Med Spa Laws in All 50 States: For Medical Spa Owners in US

In 2022, the global medical spa market was valued at $16.4 billion and with a 14.97% growth rate, is projected to reach $49.4 billion by 2030.

It is a rapidly growing sector of the healthcare industry. 

This growth is being driven by the increasing demand for non-surgical cosmetic procedures, such as injectables, lasers, and skin tightening.

As the medical spa industry continues to grow, so too does the need for compliance with state laws and regulations. These laws and regulations vary from state to state, so it is important for medical spa owners and practitioners to understand the specific requirements in their jurisdiction.

Failure to comply with state laws and regulations can result in serious consequences, including fines, penalties, and even criminal charges. In addition, non-compliance can jeopardize the safety of patients and damage the reputation of the medical spa.

Related: The Complete Business Plan Blueprint for Your Medical Spa +Template PDF

If you are a medical spa owner or practitioner, or you’re researching on how to open medical spa, it is important to familiarize yourself with the state laws and regulations that apply to your business. You can find this information on the websites of your state’s regulatory agencies.

In this massive guide, we delve into the med spa laws by state across the United States of America, providing you with a roadmap to navigate the complexities of the regulatory landscape. By ensuring compliance, you can:

• Mitigate risks and avoid penalties
• Create a safe environment for clients
• Build trust and confidence in your services

You should also consult with an attorney who specializes in healthcare law to get personalized guidance on compliance issues.

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Disclaimer

The information in this article is for informational purposes only and is not intended to be legal advice. Please consult with an attorney who specializes in healthcare law for personalized guidance. The information in this article is subject to change, so it is always best to check with the official regulatory agency in your state for the most up-to-date information.

This article does not endorse any particular medical spa or treatment. The author of this article is not a medical professional and does not have any personal experience with medical spas. The information in this article is not intended to be a substitute for professional medical advice. If you have any questions about your health or the health of your patients, please consult with a qualified medical professional.

Med spa laws in 50 US states

In this section, we will provide a comprehensive overview of the regulations for medical spas in all 50 states.

This information will be helpful for anyone who is considering opening or operating a medical spa in the United States.

1. Alabama

Regulation	Description
Licensing and certification	● Medical spas in Alabama must be licensed by the Alabama State Board of Medical Examiners. ● All practitioners must be licensed physicians or advanced practice registered nurses (APRNs) with prescriptive authority. ● The board also requires that medical spas have a designated medical director who is a licensed physician.
Scope of practice	● Medical spas in Alabama are limited to providing non-surgical cosmetic procedures that are within the scope of practice of licensed physicians or APRNs with prescriptive authority. ● This includes procedures such as: – Botox injections – Dermal fillers – Laser hair removal – Chemical peels
Facility requirements and regulations	● Medical spas in Alabama are limited to providing non-surgical cosmetic procedures that are within the scope of practice of licensed physicians or APRNs with prescriptive authority. ● This includes procedures such as: – Botox injections – Dermal fillers – Laser hair removal – Chemical peels
Advertising and marketing	● Medical spas in Alabama are subject to certain advertising and marketing restrictions, including prohibiting false or misleading claims about the benefits of their services. ● The spa must also disclose the qualifications of its practitioners and the risks associated with the procedures they offer.
Patient safety and consent	● Medical spas in Alabama must obtain informed consent from patients before providing any services. ● Patients must be provided with a clear and concise explanation of the risks and benefits of the procedure, as well as any alternatives. ● The spa must also keep a copy of the consent form on file for at least five years.
Legal and liability considerations	● Medical spas in Alabama are subject to the same legal and liability considerations as other healthcare providers. ● This includes the need to carry malpractice insurance and to have a clear and comprehensive informed consent process in place.
Official and governmental resources	● Alabama State Board of Medical Examiners [https://www.albme.gov/] ● Alabama Department of Public Health [https://www.alabamapublichealth.gov/]

2. Alaska

Regulation	Description
Licensing and certification	● Medical spas in Alaska must be licensed by the Alaska State Medical Board. ● All practitioners must be licensed physicians or advanced practice registered nurses (APRNs) with prescriptive authority. ● The board also requires that medical spas have a designated medical director who is a licensed physician.
Scope of practice	● Medical spas in Alaska are limited to providing non-surgical cosmetic procedures that are within the scope of practice of licensed physicians or APRNs with prescriptive authority. ● This includes procedures such as: – Botox injections – Dermal fillers – Laser hair removal – Chemical peels
Facility requirements and regulations	● Medical spas in Alaska must meet certain facility requirements, including: – Having a designated medical director. – Providing adequate space for patient care. – Maintaining proper infection control procedures. – Having a written emergency plan and procedures in place in case of a medical emergency.
Advertising and marketing	● Medical spas in Alaska are subject to certain advertising and marketing restrictions, including prohibiting false or misleading claims about the benefits of their services. ● The spa must also disclose the qualifications of its practitioners and the risks associated with the procedures they offer.
Patient safety and consent	● Medical spas in Alaska must obtain informed consent from patients before providing any services. ● Patients must be provided with a clear and concise explanation of the risks and benefits of the procedure, as well as any alternatives. ● The spa must also keep a copy of the consent form on file for at least five years.
Legal and liability considerations	● Medical spas in Alaska are subject to the same legal and liability considerations as other healthcare providers. ● This includes the need to carry malpractice insurance and to have a clear and comprehensive informed consent process in place.
Official and governmental resources	● Alaska State Medical Board [https://commerce.alaska.gov/web/cbpl/ProfessionalLicensing/StateMedicalBoard.aspx] ● Alaska Department of Health and Social Services [https://health.alaska.gov/dhcs/Pages/hflc/default.aspx]

3. Arizona

Regulation	Description
Licensing and certification	● Medical spas in Arizona must be licensed by the Arizona State Board of Nursing. ● All practitioners must be licensed registered nurses (RNs) or advanced practice registered nurses (APRNs) with prescriptive authority. ● The board also requires that medical spas have a designated medical director who is a licensed physician.
Scope of practice	● Medical spas in Arizona are limited to providing non-surgical cosmetic procedures that are within the scope of practice of licensed RNs or APRNs with prescriptive authority. ● This includes procedures such as: – Botox injections – Dermal fillers – Laser hair removal – Chemical peels
Facility requirements and regulations	● Medical spas in Arizona must meet certain facility requirements, including: – Having a designated medical director. – Providing adequate space for patient care. – Maintaining proper infection control procedures. – Having a written emergency plan and procedures in place in case of a medical emergency.
Advertising and marketing	● Medical spas in Arizona are subject to certain advertising and marketing restrictions, including prohibiting false or misleading claims about the benefits of their services. ● The spa must also disclose the qualifications of its practitioners and the risks associated with the procedures they offer.
Patient safety and consent	● Medical spas in Arizona must obtain informed consent from patients before providing any services. ● Patients must be provided with a clear and concise explanation of the risks and benefits of the procedure, as well as any alternatives. ● The spa must also keep a copy of the consent form on file for at least five years.
Legal and liability considerations	● Medical spas in Arizona are subject to the same legal and liability considerations as other healthcare providers. ● This includes the need to carry malpractice insurance and to have a clear and comprehensive informed consent process in place.
Official and governmental resources	● Arizona State Board of Nursing [https://www.azbn.gov/] ● Arizona Department of Health Services [https://www.azdhs.gov/]

4. Arkansas

Regulation	Description
Licensing and certification	● Medical spas in Arkansas must be licensed by the Arkansas State Board of Health. ● All practitioners must be licensed physicians or advanced practice registered nurses (APRNs) with prescriptive authority. ● The board also requires that medical spas have a designated medical director who is a licensed physician.
Scope of practice	● Medical spas in Arkansas are limited to providing non-surgical cosmetic procedures that are within the scope of practice of licensed physicians or APRNs with prescriptive authority. ● This includes procedures such as: – Botox injections – Dermal fillers – Laser hair removal – Chemical peels – Microneedling – Ultherapy – Kybella – CoolSculpting
Facility requirements and regulations	● Medical spas in Arkansas must meet certain facility requirements, including: – Having a designated medical director. – Providing adequate space for patient care. – Maintaining proper infection control procedures. – Having a written emergency plan and procedures in place in case of a medical emergency. – Having a copy of the Arkansas Medical Board’s “Guidelines for the Use of Injectable Fillers” on file.
Advertising and marketing	● Medical spas in Arkansas are subject to certain advertising and marketing restrictions, including prohibiting false or misleading claims about the benefits of their services. ● The spa must also disclose the qualifications of its practitioners and the risks associated with the procedures they offer.
Patient safety and consent	● Medical spas in Arkansas must obtain informed consent from patients before providing any services. ● Patients must be provided with a clear and concise explanation of the risks and benefits of the procedure, as well as any alternatives. ● The spa must also keep a copy of the consent form on file for at least five years.
Legal and liability considerations	● Medical spas in Arkansas are subject to the same legal and liability considerations as other healthcare providers. ● This includes the need to carry malpractice insurance and to have a clear and comprehensive informed consent process in place.
Official and governmental resources	● Arkansas State Board of Health [https://www.healthy.arkansas.gov/arkansas-state-board-of-health] ● Arkansas Department of Health [https://www.healthy.arkansas.gov/]

5. California

Regulation	Description
Licensing and certification	● Medical spas in California must be licensed by the Medical Board of California. ● All practitioners must be licensed physicians or registered nurses (RNs) under the supervision of a licensed physician. ● The board also requires that medical spas have a designated medical director who is a licensed physician.
Scope of practice	● Medical spas in California are limited to providing non-surgical cosmetic procedures that are within the scope of practice of licensed physicians or RNs under the supervision of a licensed physician. ● This includes procedures such as: – Botox injections – Dermal fillers – Laser hair removal – Chemical peels – Microdermabrasion – Microneedling – Permanent makeup – Non-surgical fat reduction
Facility requirements and regulations	● Medical spas in California must meet certain facility requirements, including: – Having a designated medical director. – Providing adequate space for patient care. – Maintaining proper infection control procedures. – Having a written emergency plan and procedures in place in case of a medical emergency. – Complying with all local and state zoning and building codes.
Advertising and marketing	● Medical spas in California are subject to certain advertising and marketing restrictions, including prohibiting false or misleading claims about the benefits of their services. ● The spa must also disclose the qualifications of its practitioners and the risks associated with the procedures they offer.
Patient safety and consent	● Medical spas in California must obtain informed consent from patients before providing any services. ● Patients must be provided with a clear and concise explanation of the risks and benefits of the procedure, as well as any alternatives. ● The spa must also keep a copy of the consent form on file for at least five years.
Legal and liability considerations	● Medical spas in California are subject to the same legal and liability considerations as other healthcare providers. – This includes the need to carry malpractice insurance and to have a clear and comprehensive informed consent process in place.
Official and governmental resources	● Medical Board of California [https://www.mbc.ca.gov/]

6. Colorado

Regulation	Description
Licensing and certification	● Medical spas in Colorado must be licensed by the Colorado Department of Regulatory Agencies (DORA). ● All practitioners must be licensed physicians or advanced practice registered nurses (APRNs) with prescriptive authority. ● The DORA also requires that medical spas have a designated medical director who is a licensed physician.
Scope of practice	● Medical spas in Colorado are limited to providing non-surgical cosmetic procedures that are within the scope of practice of licensed physicians or advanced practice registered nurses (APRNs). ● This includes procedures such as: – Botox injections – Dermal fillers – Laser hair removal – Chemical peels – Microneedling – Radiofrequency skin tightening – Microdermabrasion – Laser skin resurfacing – Body contouring – Permanent makeup
Facility requirements and regulations	● Medical spas in Colorado must meet certain facility requirements, including: – Having a designated medical director who is a licensed physician. – Providing adequate space for patient care. – Maintaining proper infection control procedures. – Having a written emergency plan and procedures in place in case of a medical emergency.
Advertising and marketing	● Medical spas in Colorado are subject to certain advertising and marketing restrictions, including prohibiting false or misleading claims about the benefits of their services. ● The spa must also disclose the qualifications of its practitioners and the risks associated with the procedures they offer.
Patient safety and consent	● Medical spas in Colorado must obtain informed consent from patients before providing any services. ● Patients must be provided with a clear and concise explanation of the risks and benefits of the procedure, as well as any alternatives. ● The spa must also keep a copy of the consent form on file for at least five years.
Legal and liability considerations	● Medical spas in Colorado are subject to the same legal and liability considerations as other healthcare providers. ● This includes the need to carry malpractice insurance and to have a clear and comprehensive informed consent process in place.
Official and governmental resources	● Colorado Department of Regulatory Agencies (DORA) [https://www.colorado.gov/dora/] ● Colorado Department of Public Health and Environment (CDPHE) [https://www.colorado.gov/cdphe/]

7. Connecticut

Regulation	Description
Licensing and certification	● Medical spas in Connecticut must be licensed by the Connecticut Department of Public Health (DPH). ● All practitioners must be licensed physicians, physician assistants, or advanced practice registered nurses (APRNs). ● The DPH also requires that medical spas have a designated medical director who is a licensed physician.
Scope of practice	● Medical spas in Connecticut are limited to providing non-surgical cosmetic procedures that are within the scope of practice of licensed physicians, physician assistants, or APRNs. ● This includes procedures such as: – Botox injections – Dermal fillers – Laser hair removal – Chemical peels – Microdermabrasion – Radiofrequency skin tightening – Intense pulsed light (IPL) treatments
Facility requirements and regulations	● Medical spas in Connecticut must meet certain facility requirements, including: – Having a designated medical director who is a licensed physician. – Providing adequate space for patient care. – Maintaining proper infection control procedures. – Having a written emergency plan and procedures in place in case of a medical emergency. – Posting a copy of the DPH’s regulations for medical spas in a conspicuous place.
Advertising and marketing	● Medical spas in Connecticut are subject to certain advertising and marketing restrictions, including prohibiting false or misleading claims about the benefits of their services. ● The spa must also disclose the qualifications of its practitioners and the risks associated with the procedures they offer.
Patient safety and consent	● Medical spas in Connecticut must obtain informed consent from patients before providing any services. ● Patients must be provided with a clear and concise explanation of the risks and benefits of the procedure, as well as any alternatives. ● The spa must also keep a copy of the consent form on file for at least five years.
Legal and liability considerations	● Medical spas in Connecticut are subject to the same legal and liability considerations as other healthcare providers. ● This includes the need to carry malpractice insurance and to have a clear and comprehensive informed consent process in place.
Official and governmental resources	● Connecticut Department of Public Health (DPH) [https://portal.ct.gov/DPH/] ● Connecticut State Medical Society [https://www.ctmed.org/]

8. Delaware

Regulation	Description
Licensing and certification	● Medical spas in Delaware must be licensed by the Delaware Division of Professional Regulation (DPR). ● All practitioners must be licensed physicians or advanced practice registered nurses (APRNs) with prescriptive authority. ● The DPR also requires that medical spas have a designated medical director who is a licensed physician.
Scope of practice	● Medical spas in Delaware are limited to providing non-surgical cosmetic procedures that are within the scope of practice of licensed physicians or APRNs with prescriptive authority. ● This includes procedures such as: – Botox injections – Dermal fillers – Laser hair removal – Chemical peels – Microdermabrasion – Permanent makeup – Weight loss treatments
Facility requirements and regulations	● Medical spas in Delaware must meet certain facility requirements, including: – Having a designated medical director. – Providing adequate space for patient care. – Maintaining proper infection control procedures. – Having a written emergency plan and procedures in place in case of a medical emergency. – Having a waiting area that is separate from the treatment area. – Having a minimum of 100 square feet of treatment space per patient.
Advertising and marketing	● Medical spas in Delaware are subject to certain advertising and marketing restrictions, including prohibiting false or misleading claims about the benefits of their services. ● The spa must also disclose the qualifications of its practitioners and the risks associated with the procedures they offer. ● Advertisements must include the following disclaimer: “This is not a medical office. Medical spa services are not a substitute for medical care.”
Patient safety and consent	● Medical spas in Delaware must obtain informed consent from patients before providing any services. ● Patients must be provided with a clear and concise explanation of the risks and benefits of the procedure, as well as any alternatives. ● The spa must also keep a copy of the consent form on file for at least five years.
Legal and liability considerations	● Medical spas in Delaware are subject to the same legal and liability considerations as other healthcare providers. ● This includes the need to carry malpractice insurance and to have a clear and comprehensive informed consent process in place.
Official and governmental resources	● Delaware Division of Professional Regulation [https://dpr.delaware.gov/] ● Delaware Department of Health and Social Services [https://dhss.delaware.gov/]

9. Florida

Regulation	Description
Licensing and certification	● Medical spas in Florida do not need to be licensed by the state, as long as they do not accept insurance payments. However, all practitioners must be licensed medical professionals who have current certifications in the procedures they are providing. ● The spa must have a designated medical director who is a licensed physician.
Scope of practice	● Medical spas in Florida are limited to providing non-surgical cosmetic procedures that are within the scope of practice of licensed medical professionals. ● This includes procedures such as: – Botox injections – Dermal fillers – Laser hair removal – Chemical peels – Microdermabrasion – Permanent makeup – Body contouring
Facility requirements and regulations	● Medical spas in Florida must meet certain facility requirements, including: – Having a designated medical director. – Providing adequate space for patient care. – Maintaining proper infection control procedures. – Having a written emergency plan and procedures in place in case of a medical emergency.
Advertising and marketing	● Medical spas in Florida are subject to certain advertising and marketing restrictions, including prohibiting false or misleading claims about the benefits of their services. ● The spa must also disclose the qualifications of its practitioners and the risks associated with the procedures they offer.
Patient safety and consent	● Medical spas in Florida must obtain informed consent from patients before providing any services. ● Patients must be provided with a clear and concise explanation of the risks and benefits of the procedure, as well as any alternatives. ● The spa must also keep a copy of the consent form on file for at least five years.
Legal and liability considerations	● Medical spas in Florida are subject to the same legal and liability considerations as other healthcare providers. ● This includes the need to carry malpractice insurance and to have a clear and comprehensive informed consent process in place.
Official and governmental resources	● Florida Department of Health [https://www.flhealth.gov/] ● Florida Board of Medicine [https://flboardofmedicine.gov/]

10. Georgia

Regulation	Description
Licensing and certification	● Medical spas in Georgia must be licensed by the Georgia Composite State Board of Medical Examiners (GCBSME). ● All practitioners must be licensed physicians or advanced practice registered nurses (APRNs) with prescriptive authority. ● The board also requires that medical spas have a designated medical director who is a licensed physician.
Scope of practice	● Medical spas in Georgia are limited to providing non-surgical cosmetic procedures that are within the scope of practice of licensed physicians or APRNs with prescriptive authority. ● This includes procedures such as: – Botox injections – Dermal fillers – Laser hair removal – Chemical peels – Microdermabrasion – Permanent makeup – Tattoo removal – Vein treatment
Facility requirements and regulations	● Medical spas in Georgia must meet certain facility requirements, including: – Having a designated medical director. – Providing adequate space for patient care. – Maintaining proper infection control procedures. – Having a written emergency plan and procedures in place in case of a medical emergency.
Advertising and marketing	● Medical spas in Georgia are subject to certain advertising and marketing restrictions, including prohibiting false or misleading claims about the benefits of their services. ● The spa must also disclose the qualifications of its practitioners and the risks associated with the procedures they offer.
Patient safety and consent	● Medical spas in Georgia must obtain informed consent from patients before providing any services. ● Patients must be provided with a clear and concise explanation of the risks and benefits of the procedure, as well as any alternatives. ● The spa must also keep a copy of the consent form on file for at least five years.
Legal and liability considerations	● Medical spas in Georgia are subject to the same legal and liability considerations as other healthcare providers. ● This includes the need to carry malpractice insurance and to have a clear and comprehensive informed consent process in place.
Official and governmental resources	● Georgia Composite State Board of Medical Examiners [https://www.gcbme.org/] ● Georgia Department of Public Health [https://dph.georgia.gov/]

11. Hawaii

Regulation	Description
Licensing and certification	● Medical spas in Hawaii must be licensed by the Hawaii Board of Medical Examiners. ● All practitioners must be licensed physicians or physician assistants. ● The board also requires that medical spas have a designated medical director who is a licensed physician.
Scope of practice	● Medical spas in Hawaii are limited to providing non-surgical cosmetic procedures that are within the scope of practice of licensed physicians or physician assistants. ● This includes procedures such as: – Botox injections – Dermal fillers – Laser hair removal – Chemical peels – Microneedling – Intense pulsed light (IPL) therapy – Radiofrequency (RF) therapy
Facility requirements and regulations	● Medical spas in Hawaii must meet certain facility requirements, including: – Having a designated medical director. – Providing adequate space for patient care. – Maintaining proper infection control procedures. – Having a written emergency plan and procedures in place in case of a medical emergency.
Advertising and marketing	● Medical spas in Hawaii are subject to certain advertising and marketing restrictions, including prohibiting false or misleading claims about the benefits of their services. ● The spa must also disclose the qualifications of its practitioners and the risks associated with the procedures they offer.
Patient safety and consent	● Medical spas in Hawaii must obtain informed consent from patients before providing any services. ● Patients must be provided with a clear and concise explanation of the risks and benefits of the procedure, as well as any alternatives. ● The spa must also keep a copy of the consent form on file for at least five years.
Legal and liability considerations	● Medical spas in Hawaii are subject to the same legal and liability considerations as other healthcare providers. ● This includes the need to carry malpractice insurance and to have a clear and comprehensive informed consent process in place.
Official and governmental resources	● Hawaii Board of Medical Examiners [https://cca.hawaii.gov/pvl/boards/medical/] ● Hawaii Department of Health [https://health.hawaii.gov/]

12. Idaho

Regulation	Description
Licensing and certification	● Medical spas in Idaho must be licensed by the Idaho Board of Medicine. ● The board requires that all practitioners at a medical spa be licensed physicians or advanced practice registered nurses (APRNs). ● The spa must also have a designated medical director who is a licensed physician.
Scope of practice	● Medical spas in Idaho are limited to providing non-surgical cosmetic procedures that are within the scope of practice of licensed physicians or APRNs. ● This includes procedures such as: – Botox injections – Dermal fillers – Laser hair removal – Chemical peels – Microneedling – Intense pulsed light (IPL) therapy – Radiofrequency (RF) therapy
Facility requirements and regulations	● Medical spas in Idaho must meet certain facility requirements, including: – Having a designated medical director. – Providing adequate space for patient care. – Maintaining proper infection control procedures. – Having a written emergency plan and procedures in place in case of a medical emergency.
Advertising and marketing	● Medical spas in Idaho are subject to certain advertising and marketing restrictions, including prohibiting false or misleading claims about the benefits of their services. ● The spa must also disclose the qualifications of its practitioners and the risks associated with the procedures they offer.
Patient safety and consent	● Medical spas in Idaho must obtain informed consent from patients before providing any services. ● Patients must be provided with a clear and concise explanation of the risks and benefits of the procedure, as well as any alternatives. ● The spa must also keep a copy of the consent form on file for at least five years.
Legal and liability considerations	● Medical spas in Idaho are subject to the same legal and liability considerations as other healthcare providers. ● This includes the need to carry malpractice insurance and to have a clear and comprehensive informed consent process in place.
Official and governmental resources	● Idaho Board of Medicine [https://isb.idaho.gov/] ● Idaho Department of Health and Welfare [https://healthandwelfare.idaho.gov/]

13. Illinois

Regulation	Description
Licensing and certification	● Medical spas in Illinois must be licensed by the Illinois Department of Financial and Professional Regulation (IDFPR). ● All practitioners must be licensed physicians or advanced practice registered nurses (APRNs) with full practice authority. ● The IDFPR also requires that medical spas have a designated medical director who is a licensed physician.
Scope of practice	● Medical spas in Illinois are limited to providing non-surgical cosmetic procedures that are within the scope of practice of licensed physicians or APRNs with full practice authority. ● This includes procedures such as: – Botox injections – Dermal fillers – Laser hair removal – Chemical peels – Microdermabrasion – Permanent makeup – Permanent hair removal
Facility requirements and regulations	● Medical spas in Illinois must meet certain facility requirements, including: – Having a designated medical director. – Providing adequate space for patient care. – Maintaining proper infection control procedures. – Having a written emergency plan and procedures in place in case of a medical emergency. ● Medical spas must also be inspected by the IDFPR on a regular basis.
Advertising and marketing	● Medical spas in Illinois are subject to certain advertising and marketing restrictions, including prohibiting false or misleading claims about the benefits of their services. ● The spa must also disclose the qualifications of its practitioners and the risks associated with the procedures they offer. ● The spa must also obtain prior approval from the IDFPR before advertising or marketing its services.
Patient safety and consent	● Medical spas in Illinois must obtain informed consent from patients before providing any services. ● Patients must be provided with a clear and concise explanation of the risks and benefits of the procedure, as well as any alternatives. ● The spa must also keep a copy of the consent form on file for at least five years.
Legal and liability considerations	● Medical spas in Illinois are subject to the same legal and liability considerations as other healthcare providers. ● This includes the need to carry malpractice insurance and to have a clear and comprehensive informed consent process in place.
Official and governmental resources	● Illinois Department of Financial and Professional Regulation (IDFPR) [https://www.idfpr.illinois.gov/] ● Illinois Department of Public Health (IDPH) [https://dph.illinois.gov/]

14. Indiana

Regulation	Description
Licensing and certification	● Medical spas in Indiana must be licensed by the Indiana State Department of Health (ISDH). ● All practitioners must be licensed physicians, advanced practice registered nurses (APRNs) with prescriptive authority, or physician assistants (PAs). ● The ISDH also requires that medical spas have a designated medical director who is a licensed physician.
Scope of practice	● Medical spas in Indiana are limited to providing non-surgical cosmetic procedures that are within the scope of practice of licensed physicians, APRNs with prescriptive authority, or PAs. ● This includes procedures such as: – Botox injections – Dermal fillers – Laser hair removal – Chemical peels – Microneedling – Microdermabrasion – Radiofrequency treatments – Ultherapy
Facility requirements and regulations	● Medical spas in Indiana must meet certain facility requirements, including: – Having a designated medical director who is a licensed physician. – Providing adequate space for patient care. – Maintaining proper infection control procedures. – Having a written emergency plan and procedures in place in case of a medical emergency. – Having a waiting area that is separate from the treatment area. – Having a restroom that is accessible to patients with disabilities.
Advertising and marketing	● Medical spas in Indiana are subject to certain advertising and marketing restrictions, including prohibiting false or misleading claims about the benefits of their services. ● The spa must also disclose the qualifications of its practitioners and the risks associated with the procedures they offer.
Patient safety and consent	● Medical spas in Indiana must obtain informed consent from patients before providing any services. ● Patients must be provided with a clear and concise explanation of the risks and benefits of the procedure, as well as any alternatives. ● The spa must also keep a copy of the consent form on file for at least five years.
Legal and liability considerations	● Medical spas in Indiana are subject to the same legal and liability considerations as other healthcare providers. ● This includes the need to carry malpractice insurance and to have a clear and comprehensive informed consent process in place.
Official and governmental resources	● Indiana State Department of Health [https://www.in.gov/isdh/]

15. Iowa

Regulation	Description
Licensing and certification	● Medical spas in Iowa must be licensed by the Iowa Board of Medicine. ● All practitioners must be licensed physicians or qualified laser technicians. ● The board also requires that medical spas have a designated medical director who is a licensed physician.
Scope of practice	● Medical spas in Iowa are limited to providing non-surgical cosmetic procedures that are within the scope of practice of licensed physicians or qualified laser technicians. ● This includes procedures such as: – Botox injections – Dermal fillers – Laser hair removal – Chemical peels
Facility requirements and regulations	● Medical spas in Iowa must meet certain facility requirements, including: – Having a designated medical director. – Providing adequate space for patient care. – Maintaining proper infection control procedures. – Having a written emergency plan and procedures in place in case of a medical emergency.
Advertising and marketing	● Medical spas in Iowa are subject to certain advertising and marketing restrictions, including prohibiting false or misleading claims about the benefits of their services. ● The spa must also disclose the qualifications of its practitioners and the risks associated with the procedures they offer.
Patient safety and consent	● Medical spas in Iowa must obtain informed consent from patients before providing any services. ● Patients must be provided with a clear and concise explanation of the risks and benefits of the procedure, as well as any alternatives. ● The spa must also keep a copy of the consent form on file for at least five years.
Legal and liability considerations	● Medical spas in Iowa are subject to the same legal and liability considerations as other healthcare providers. ● This includes the need to carry malpractice insurance and to have a clear and comprehensive informed consent process in place.
Official and governmental resources	● Iowa Board of Medicine [https://medicalboard.iowa.gov/]

16. Kansas

Regulation	Description
Licensing and certification	● Medical spas in Kansas must be licensed by the Kansas State Board of Healing Arts. ● All practitioners must be licensed physicians or advanced practice registered nurses (APRNs) with prescriptive authority. ● The board also requires that medical spas have a designated medical director who is a licensed physician.
Scope of practice	● Medical spas in Kansas are limited to providing non-surgical cosmetic procedures that are within the scope of practice of licensed physicians or APRNs with prescriptive authority. ● This includes procedures such as: – Botox injections – Dermal fillers – Laser hair removal – Chemical peels – Microneedling – Microdermabrasion – LED light therapy – Radiofrequency treatments
Facility requirements and regulations	● Medical spas in Kansas must meet certain facility requirements, including: – Having a designated medical director. – Providing adequate space for patient care. – Maintaining proper infection control procedures. – Having a written emergency plan and procedures in place in case of a medical emergency.
Advertising and marketing	● Medical spas in Kansas are subject to certain advertising and marketing restrictions, including prohibiting false or misleading claims about the benefits of their services. ● The spa must also disclose the qualifications of its practitioners and the risks associated with the procedures they offer.
Patient safety and consent	● Medical spas in Kansas must obtain informed consent from patients before providing any services. ● Patients must be provided with a clear and concise explanation of the risks and benefits of the procedure, as well as any alternatives. ● The spa must also keep a copy of the consent form on file for at least five years.
Legal and liability considerations	● Medical spas in Kansas are subject to the same legal and liability considerations as other healthcare providers. ● This includes the need to carry malpractice insurance and to have a clear and comprehensive informed consent process in place.
Official and governmental resources	● Kansas State Board of Healing Arts [http://www.ksbha.org/] ● Kansas Department of Health and Environment [https://www.kdheks.gov/]

17. Kentucky

Regulation	Description
Licensing and certification	● Medical spas in Kentucky must be licensed by the Kentucky Board of Nursing. ● All practitioners must be licensed nurses, including registered nurses (RNs) and advanced practice registered nurses (APRNs). ● The board also requires that medical spas have a designated medical director who is a licensed physician.
Scope of practice	● Medical spas in Kentucky are limited to providing non-surgical cosmetic procedures that are within the scope of practice of licensed nurses or APRNs. ● This includes procedures such as: – Botox injections – Dermal fillers – Laser hair removal – Chemical peels – Microdermabrasion – Permanent makeup – Hair restoration
Facility requirements and regulations	● Medical spas in Kentucky must meet certain facility requirements, including: – Having a designated medical director. – Providing adequate space for patient care. – Maintaining proper infection control procedures. – Having a written emergency plan and procedures in place in case of a medical emergency.
Advertising and marketing	● Medical spas in Kentucky are subject to certain advertising and marketing restrictions, including prohibiting false or misleading claims about the benefits of their services. ● The spa must also disclose the qualifications of its practitioners and the risks associated with the procedures they offer.
Patient safety and consent	● Medical spas in Kentucky must obtain informed consent from patients before providing any services. ● Patients must be provided with a clear and concise explanation of the risks and benefits of the procedure, as well as any alternatives. ● The spa must also keep a copy of the consent form on file for at least five years.
Legal and liability considerations	● Medical spas in Kentucky are subject to the same legal and liability considerations as other healthcare providers. ● This includes the need to carry malpractice insurance and to have a clear and comprehensive informed consent process in place.
Official and governmental resources	● Kentucky Board of Nursing [https://kbn.ky.gov/] ● Kentucky Department for Public Health [https://chfs.ky.gov/]

18. Louisiana

Regulation	Description
Licensing and certification	● Medical spas in Louisiana must be licensed by the Louisiana State Board of Cosmetology. ● All practitioners must be licensed physicians, advanced practice registered nurses (APRNs) with prescriptive authority, or physician assistants (PAs). ● The board also requires that medical spas have a designated medical director who is a licensed physician.
Scope of practice	● Medical spas in Louisiana are limited to providing non-surgical cosmetic procedures that are within the scope of practice of licensed physicians, APRNs with prescriptive authority, or PAs. ● This includes procedures such as: – Botox injections – Dermal fillers – Laser hair removal – Chemical peels – Microneedling – Laser skin resurfacing – Kybella – CoolSculpting – Vampire facials
Facility requirements and regulations	● Medical spas in Louisiana must meet certain facility requirements, including: – Having a designated medical director. – Providing adequate space for patient care. – Maintaining proper infection control procedures. – Having a written emergency plan and procedures in place in case of a medical emergency. – Having a licensed esthetician on staff.
Advertising and marketing	● Medical spas in Louisiana are subject to certain advertising and marketing restrictions, including prohibiting false or misleading claims about the benefits of their services. ● The spa must also disclose the qualifications of its practitioners and the risks associated with the procedures they offer.
Patient safety and consent	● Medical spas in Louisiana must obtain informed consent from patients before providing any services. ● Patients must be provided with a clear and concise explanation of the risks and benefits of the procedure, as well as any alternatives. ● The spa must also keep a copy of the consent form on file for at least five years.
Legal and liability considerations	● Medical spas in Louisiana are subject to the same legal and liability considerations as other healthcare providers. ● This includes the need to carry malpractice insurance and to have a clear and comprehensive informed consent process in place.
Official and governmental resources	● Louisiana State Board of Cosmetology [https://www.lsbc.louisiana.gov/] ● Louisiana Department of Health [https://ldh.la.gov/]

19. Maine

Regulation	Description
Licensing and certification	● Medical spas in Maine must be licensed by the Maine Board of Licensure in Medicine. ● All practitioners must be licensed physicians, registered nurses, or physician assistants. ● The board also requires that medical spas have a designated medical director who is a licensed physician.
Scope of practice	● Medical spas in Maine are limited to providing non-surgical cosmetic procedures that are within the scope of practice of licensed physicians, registered nurses, or physician assistants. ● This includes procedures such as: – Botox injections – Dermal fillers – Laser hair removal – Chemical peels – Microdermabrasion – Vaser liposuction – Body contouring – Permanent makeup
Facility requirements and regulations	● Medical spas in Maine must meet certain facility requirements, including: – Having a designated medical director. – Providing adequate space for patient care. – Maintaining proper infection control procedures. – Having a written emergency plan and procedures in place in case of a medical emergency.
Advertising and marketing	● Medical spas in Maine are subject to certain advertising and marketing restrictions, including prohibiting false or misleading claims about the benefits of their services. ● The spa must also disclose the qualifications of its practitioners and the risks associated with the procedures they offer.
Patient safety and consent	● Medical spas in Maine must obtain informed consent from patients before providing any services. ● Patients must be provided with a clear and concise explanation of the risks and benefits of the procedure, as well as any alternatives. ● The spa must also keep a copy of the consent form on file for at least five years.
Legal and liability considerations	● Medical spas in Maine are subject to the same legal and liability considerations as other healthcare providers. ● This includes the need to carry malpractice insurance and to have a clear and comprehensive informed consent process in place.
Official and governmental resources	● Maine Board of Licensure in Medicine [https://www.maine.gov/md/home] ● Maine Department of Health [https://www.maine.gov/dhhs/]

20. Maryland

Regulation	Description
Licensing and certification	● Medical spas in Maryland must be licensed by the Maryland Board of Physicians. ● All practitioners must be licensed physicians or certified nurse practitioners (CNPs). ● The board also requires that medical spas have a designated medical director who is a licensed physician.
Scope of practice	● Medical spas in Maryland are limited to providing non-surgical cosmetic procedures that are within the scope of practice of licensed physicians or CNPs. ● This includes procedures such as: – Botox injections – Dermal fillers – Laser hair removal – Chemical peels – Microdermabrasion – Body sculpting – Permanent makeup
Facility requirements and regulations	● Medical spas in Maryland must meet certain facility requirements, including: – Having a designated medical director. – Providing adequate space for patient care. – Maintaining proper infection control procedures. – Having a written emergency plan and procedures in place in case of a medical emergency.
Advertising and marketing	● Medical spas in Maryland are subject to certain advertising and marketing restrictions, including prohibiting false or misleading claims about the benefits of their services. ● The spa must also disclose the qualifications of its practitioners and the risks associated with the procedures they offer.
Patient safety and consent	● Medical spas in Maryland must obtain informed consent from patients before providing any services. ● Patients must be provided with a clear and concise explanation of the risks and benefits of the procedure, as well as any alternatives. ● The spa must also keep a copy of the consent form on file for at least five years.
Legal and liability considerations	● Medical spas in Maryland are subject to the same legal and liability considerations as other healthcare providers. ● This includes the need to carry malpractice insurance and to have a clear and comprehensive informed consent process in place.
Official and governmental resources	● Maryland Board of Physicians [https://www.mbp.state.md.us/] ● Maryland Department of Health [https://dhmh.maryland.gov/]

21. Massachusetts

Regulation	Description
Licensing and certification	● Medical spas in Massachusetts must be licensed by the Massachusetts Department of Public Health (DPH). ● All practitioners must be licensed physicians or advanced practice registered nurses (APRNs) with prescriptive authority. ● The DPH also requires that medical spas have a designated medical director who is a licensed physician.
Scope of practice	● Medical spas in Massachusetts are limited to providing non-surgical cosmetic procedures that are within the scope of practice of licensed physicians or APRNs with prescriptive authority. ● This includes procedures such as: – Botox injections – Dermal fillers – Laser hair removal – Chemical peels – Microdermabrasion – Non-surgical body contouring – Permanent makeup
Facility requirements and regulations	● Medical spas in Massachusetts must meet certain facility requirements, including: – Having a designated medical director. – Providing adequate space for patient care. – Maintaining proper infection control procedures. – Having a written emergency plan and procedures in place in case of a medical emergency. – Having a waiting room that is separate from the treatment area. – Having a restroom that is accessible to patients with disabilities.
Advertising and marketing	● Medical spas in Massachusetts are subject to certain advertising and marketing restrictions, including prohibiting false or misleading claims about the benefits of their services. ● The spa must also disclose the qualifications of its practitioners and the risks associated with the procedures they offer. ● Advertisements must be clear and concise, and they must not make any claims that are not supported by scientific evidence.
Patient safety and consent	● Medical spas in Massachusetts must obtain informed consent from patients before providing any services. ● Patients must be provided with a clear and concise explanation of the risks and benefits of the procedure, as well as any alternatives. ● The spa must also keep a copy of the consent form on file for at least five years.
Legal and liability considerations	● Medical spas in Massachusetts are subject to the same legal and liability considerations as other healthcare providers. ● This includes the need to carry malpractice insurance and to have a clear and comprehensive informed consent process in place.
Official and governmental resources	● Massachusetts Department of Public Health [https://www.mass.gov/clinic-licensure] ● Massachusetts Board of Registration in Medicine [https://www.mass.gov/orgs/board-of-registration-in-medicine]

22. Michigan

Regulation	Description
Licensing and certification	● Medical spas in Michigan must be licensed by the Michigan Department of Licensing and Regulatory Affairs (LARA). ● All practitioners must be licensed physicians or advanced practice registered nurses (APRNs) with prescriptive authority. ● The board also requires that medical spas have a designated medical director who is a licensed physician.
Scope of practice	● Medical spas in Michigan are limited to providing non-surgical cosmetic procedures that are within the scope of practice of licensed physicians or APRNs with prescriptive authority. ● This includes procedures such as: – Botox injections – Dermal fillers – Laser hair removal – Chemical peels – Vampire facials – Ultherapy – Photofacials – Microdermabrasion – Permanent makeup
Facility requirements and regulations	● Medical spas in Michigan must meet certain facility requirements, including: – Having a designated medical director. – Providing adequate space for patient care. – Maintaining proper infection control procedures. – Having a written emergency plan and procedures in place in case of a medical emergency. – Having a valid business license. – Obtaining a Certificate of Occupancy from the local municipality.
Advertising and marketing	● Medical spas in Michigan are subject to certain advertising and marketing restrictions, including prohibiting false or misleading claims about the benefits of their services. ● The spa must also disclose the qualifications of its practitioners and the risks associated with the procedures they offer. ● The spa must not use the term “medical” in its name or advertising unless it is owned and operated by a licensed physician.
Patient safety and consent	● Medical spas in Michigan must obtain informed consent from patients before providing any services. ● Patients must be provided with a clear and concise explanation of the risks and benefits of the procedure, as well as any alternatives.The spa must also keep a copy of the consent form on file for at least five years.
Legal and liability considerations	● Medical spas in Michigan are subject to the same legal and liability considerations as other healthcare providers. ● This includes the need to carry malpractice insurance and to have a clear and comprehensive informed consent process in place.
Official and governmental resources	● Michigan Department of Licensing and Regulatory Affairs (LARA) [https://www.michigan.gov/lara/] ● Michigan Department of Health and Human Services (MDHHS) [https://www.michigan.gov/mdhhs/]

23. Minnesota

Regulation	Description
Licensing and certification	● Medical spas in Minnesota must be licensed by the Minnesota Board of Medical Practice. ● All practitioners must be licensed physicians or advanced practice registered nurses (APRNs) with prescriptive authority. ● The board also requires that medical spas have a designated medical director who is a licensed physician.
Scope of practice	● Medical spas in Minnesota are limited to providing non-surgical cosmetic procedures that are within the scope of practice of licensed physicians or APRNs with prescriptive authority. ● This includes procedures such as: – Botox injections – Dermal fillers – Laser hair removal – Chemical peels – Body sculpting – Liposuction – Microdermabrasion – Permanent makeup
Facility requirements and regulations	● Medical spas in Minnesota must meet certain facility requirements, including: – Having a designated medical director. – Providing adequate space for patient care. – Maintaining proper infection control procedures. – Having a written emergency plan and procedures in place in case of a medical emergency. – Being located in a commercial space. – Having a separate entrance and exit for patients. – Having a waiting room. – Having a treatment room. – Having a recovery room.
Advertising and marketing	● Medical spas in Minnesota are subject to certain advertising and marketing restrictions, including prohibiting false or misleading claims about the benefits of their services. ● The spa must also disclose the qualifications of its practitioners and the risks associated with the procedures they offer. ● Advertisements must be clear and concise, and they must not make any claims that are not supported by scientific evidence.
Patient safety and consent	● Medical spas in Minnesota must obtain informed consent from patients before providing any services. ● Patients must be provided with a clear and concise explanation of the risks and benefits of the procedure, as well as any alternatives. ● The spa must also keep a copy of the consent form on file for at least five years.
Legal and liability considerations	● Medical spas in Minnesota are subject to the same legal and liability considerations as other healthcare providers. ● This includes the need to carry malpractice insurance and to have a clear and comprehensive informed consent process in place.
Official and governmental resources	● Minnesota Board of Medical Practice [https://mn.gov/boards/medical-practice/] ● Minnesota Department of Health [https://www.health.state.mn.us/]

24. Mississippi

Regulation	Description
Licensing and certification	● Medical spas in Mississippi must be licensed by the Mississippi State Board of Medical Licensure. ● All practitioners must be licensed physicians or advanced practice registered nurses (APRNs) with prescriptive authority. ● The board also requires that medical spas have a designated medical director who is a licensed physician.
Scope of practice	● Medical spas in Mississippi are limited to providing non-surgical cosmetic procedures that are within the scope of practice of licensed physicians or APRNs with prescriptive authority. ● This includes procedures such as: – Botox injections – Dermal fillers – Laser hair removal – Chemical peels – Permanent hair removal – Microneedling – Microdermabrasion – Permanent makeup
Facility requirements and regulations	● Medical spas in Mississippi must meet certain facility requirements, including: –  Having a designated medical director. – Providing adequate space for patient care. – Maintaining proper infection control procedures. – Having a written emergency plan and procedures in place in case of a medical emergency. – Having a business license from the local city or county.
Advertising and marketing	● Medical spas in Mississippi are subject to certain advertising and marketing restrictions, including prohibiting false or misleading claims about the benefits of their services. ● The spa must also disclose the qualifications of its practitioners and the risks associated with the procedures they offer. ● The spa must also obtain prior written consent from patients before using their photographs or testimonials in advertising or marketing materials.
Patient safety and consent	● Medical spas in Mississippi must obtain informed consent from patients before providing any services. ● Patients must be provided with a clear and concise explanation of the risks and benefits of the procedure, as well as any alternatives. ● The spa must also keep a copy of the consent form on file for at least five years.
Legal and liability considerations	● Medical spas in Mississippi are subject to the same legal and liability considerations as other healthcare providers. ● This includes the need to carry malpractice insurance and to have a clear and comprehensive informed consent process in place.
Official and governmental resources	● Mississippi State Board of Medical Licensure [https://msbml.ms.gov/] ● Mississippi Department of Health [https://www.msdh.ms.gov/]

25. Missouri

Regulation	Description
Licensing and certification	● Medical spas in Missouri must be licensed by the Missouri Department of Health and Senior Services (DHSS). ● All practitioners must be licensed physicians or advanced practice registered nurses (APRNs) with prescriptive authority. ● The DHSS also requires that medical spas have a designated medical director who is a licensed physician.
Scope of practice	● Medical spas in Missouri are limited to providing non-surgical cosmetic procedures that are within the scope of practice of licensed physicians or APRNs with prescriptive authority. ● This includes procedures such as: – Botox injections – Dermal fillers – Laser hair removal – Chemical peels – Body contouring – Microdermabrasion – Vaser liposuction – Permanent makeup
Facility requirements and regulations	● Medical spas in Missouri must meet certain facility requirements, including: – Having a designated medical director. – Providing adequate space for patient care. – Maintaining proper infection control procedures. – Having a written emergency plan and procedures in place in case of a medical emergency. – Having a valid business license. – Filing a registration statement with the Missouri Attorney General’s Office.
Advertising and marketing	● Medical spas in Missouri are subject to certain advertising and marketing restrictions, including prohibiting false or misleading claims about the benefits of their services. ● The spa must also disclose the qualifications of its practitioners and the risks associated with the procedures they offer.
Patient safety and consent	● Medical spas in Missouri must obtain informed consent from patients before providing any services. ● Patients must be provided with a clear and concise explanation of the risks and benefits of the procedure, as well as any alternatives. ● The spa must also keep a copy of the consent form on file for at least five years.
Legal and liability considerations	● Medical spas in Missouri are subject to the same legal and liability considerations as other healthcare providers. ● This includes the need to carry malpractice insurance and to have a clear and comprehensive informed consent process in place.
Official and governmental resources	● Missouri Department of Health and Senior Services [https://health.mo.gov/] ● Missouri Attorney General’s Office [https://ago.mo.gov/]

26. Montana

Regulation	Description
Licensing and certification	● Medical spas in Montana are not regulated by a single licensing board. However, the following agencies may have jurisdiction over medical spas, depending on the procedures performed on the premises: – Montana Board of Nursing – Montana Department of Public Health and Human Services – Montana Board of Barbers and Cosmetologists ● If a medical spa offers medical procedures or injectables, a qualified health care provider must provide or appropriately supervise those procedures and must prescribe the injectables. ● Nurses may only engage in conduct that meets the generally accepted standards of practice.
Scope of practice	● Medical spas in Montana are limited to providing non-surgical cosmetic procedures that are within the scope of practice of licensed physicians or nurses. ● This includes procedures such as: – Botox injections – Dermal fillers – Laser hair removal – Chemical peels
Facility requirements and regulations	● Medical spas in Montana must meet certain facility requirements, including: – Having a designated medical director. – Providing adequate space for patient care. – Maintaining proper infection control procedures. – Having a written emergency plan and procedures in place in case of a medical emergency.
Advertising and marketing	● Medical spas in Montana are subject to certain advertising and marketing restrictions, including prohibiting false or misleading claims about the benefits of their services. ● The spa must also disclose the qualifications of its practitioners and the risks associated with the procedures they offer.
Patient safety and consent	● Medical spas in Montana must obtain informed consent from patients before providing any services. ● Patients must be provided with a clear and concise explanation of the risks and benefits of the procedure, as well as any alternatives. ● The spa must also keep a copy of the consent form on file for at least five years.
Legal and liability considerations	● Medical spas in Montana are subject to the same legal and liability considerations as other healthcare providers. ● This includes the need to carry malpractice insurance and to have a clear and comprehensive informed consent process in place.
Official and governmental resources	● Montana Board of Nursing [https://boards.bsd.dli.mt.gov/nursing/] ● Montana Department of Public Health and Human Services [https://dphhs.mt.gov/] ● Montana Board of Barbers and Cosmetologists [https://boards.bsd.dli.mt.gov/barber-and-cosmetologists/]

27. Nebraska

Regulation	Description
Licensing and certification	● Medical spas in Nebraska must be licensed by the Nebraska Department of Health and Human Services (DHHS). ● All practitioners must be licensed physicians or advanced practice registered nurses (APRNs) with prescriptive authority. ● The DHHS also requires that medical spas have a designated medical director who is a licensed physician.
Scope of practice	● Medical spas in Nebraska are limited to providing non-surgical cosmetic procedures that are within the scope of practice of licensed physicians or APRNs with prescriptive authority. ● This includes procedures such as: – Botox injections – Dermal fillers – Laser hair removal – Chemical peels – Microdermabrasion – Intense pulsed light (IPL) therapy – Radiofrequency treatments – Ultrasound treatments
Facility requirements and regulations	● Medical spas in Nebraska must meet certain facility requirements, including: – Having a designated medical director. – Providing adequate space for patient care. – Maintaining proper infection control procedures. – Having a written emergency plan and procedures in place in case of a medical emergency. – Having a license from the Nebraska Department of Environmental Quality (NDEQ) for any laser or light-based devices.
Advertising and marketing	● Medical spas in Nebraska are subject to certain advertising and marketing restrictions, including prohibiting false or misleading claims about the benefits of their services. ● The spa must also disclose the qualifications of its practitioners and the risks associated with the procedures they offer.
Patient safety and consent	● Medical spas in Nebraska must obtain informed consent from patients before providing any services. ● Patients must be provided with a clear and concise explanation of the risks and benefits of the procedure, as well as any alternatives. ● The spa must also keep a copy of the consent form on file for at least five years.
Legal and liability considerations	● Medical spas in Nebraska are subject to the same legal and liability considerations as other healthcare providers. ● This includes the need to carry malpractice insurance and to have a clear and comprehensive informed consent process in place.
Official and governmental resources	● Nebraska Department of Health and Human Services [https://dhhs.ne.gov/] ● Nebraska Department of Environmental Quality [https://dnr.ne.gov/]

28. Nevada

Regulation	Description
Licensing and certification	● Medical spas in Nevada must be licensed by the Nevada State Board of Cosmetology. ● All practitioners must be licensed cosmetologists or advanced estheticians. ● The board also requires that medical spas have a designated medical director who is a licensed physician.
Scope of practice	● Medical spas in Nevada are limited to providing non-surgical cosmetic procedures that are within the scope of practice of licensed cosmetologists or advanced estheticians. ● This includes procedures such as: – Botox injections – Dermal fillers – Laser hair removal – Chemical peels
Facility requirements and regulations	● Medical spas in Nevada must meet certain facility requirements, including: – Having a designated medical director. – Providing adequate space for patient care. – Maintaining proper infection control procedures. – Having a written emergency plan and procedures in place in case of a medical emergency.
Advertising and marketing	● Medical spas in Nevada are subject to certain advertising and marketing restrictions, including prohibiting false or misleading claims about the benefits of their services. ● The spa must also disclose the qualifications of its practitioners and the risks associated with the procedures they offer.
Patient safety and consent	● Medical spas in Nevada must obtain informed consent from patients before providing any services. ● Patients must be provided with a clear and concise explanation of the risks and benefits of the procedure, as well as any alternatives. ● The spa must also keep a copy of the consent form on file for at least five years.
Legal and liability considerations	● Medical spas in Nevada are subject to the same legal and liability considerations as other healthcare providers. ● This includes the need to carry malpractice insurance and to have a clear and comprehensive informed consent process in place.
Official and governmental resources	● Nevada State Board of Cosmetology [https://www.nvcosmo.com/] ● Nevada Department of Public Health [https://dpbh.nv.gov/]

29. New Hampshire

Regulation	Description
Licensing and certification	● Medical spas in New Hampshire must be licensed by the New Hampshire Board of Medicine. ● All practitioners must be licensed physicians, physician assistants, or advanced practice registered nurses (APRNs) with prescriptive authority. ● The board also requires that medical spas have a designated medical director who is a licensed physician.
Scope of practice	● Medical spas in New Hampshire are limited to providing non-surgical cosmetic procedures that are within the scope of practice of licensed physicians, physician assistants, or APRNs with prescriptive authority. ● This includes procedures such as: – Botox injections – Dermal fillers – Laser hair removal – Chemical peels – Microneedling – Dermabrasion – Coolsculpting
Facility requirements and regulations	● Medical spas in New Hampshire must meet certain facility requirements, including: – Having a designated medical director. – Providing adequate space for patient care. – Maintaining proper infection control procedures. – Having a written emergency plan and procedures in place in case of a medical emergency.
Advertising and marketing	● Medical spas in New Hampshire are subject to certain advertising and marketing restrictions, including prohibiting false or misleading claims about the benefits of their services. ● The spa must also disclose the qualifications of its practitioners and the risks associated with the procedures they offer.
Patient safety and consent	● Medical spas in New Hampshire must obtain informed consent from patients before providing any services. ● Patients must be provided with a clear and concise explanation of the risks and benefits of the procedure, as well as any alternatives. ● The spa must also keep a copy of the consent form on file for at least five years.
Legal and liability considerations	● Medical spas in New Hampshire are subject to the same legal and liability considerations as other healthcare providers. ● This includes the need to carry malpractice insurance and to have a clear and comprehensive informed consent process in place.
Official and governmental resources	● New Hampshire Board of Medicine [https://www.oplc.nh.gov/board-medicine] ● New Hampshire Department of Health and Human Services [https://www.dhhs.nh.gov/]

30. New Jersey

Regulation	Description
Licensing and certification	● Medical spas in New Jersey must be licensed by the State Board of Medical Examiners. ● The board requires that the medical director of a medical spa be a licensed physician. ● All other practitioners at the medical spa must be licensed physicians, advanced practice registered nurses (APRNs), or physician assistants (PAs).
Scope of practice	● Medical spas in New Jersey are limited to providing non-surgical cosmetic procedures that are within the scope of practice of licensed physicians, APRNs, or PAs. ● This includes procedures such as: – Botox injections – Dermal fillers – Laser hair removal – Chemical peels – Microneedling – Radiofrequency treatments – Microdermabrasion – IPL (intense pulsed light) treatments
Facility requirements and regulations	● Medical spas in New Jersey must meet certain facility requirements, including: – Having a designated medical director. – Providing adequate space for patient care. – Maintaining proper infection control procedures. – Having a written emergency plan and procedures in place in case of a medical emergency.
Advertising and marketing	● Medical spas in New Jersey are subject to certain advertising and marketing restrictions, including prohibiting false or misleading claims about the benefits of their services. ● The spa must also disclose the qualifications of its practitioners and the risks associated with the procedures they offer.
Patient safety and consent	● Medical spas in New Jersey must obtain informed consent from patients before providing any services. ● Patients must be provided with a clear and concise explanation of the risks and benefits of the procedure, as well as any alternatives. ● The spa must also keep a copy of the consent form on file for at least five years.
Legal and liability considerations	● Medical spas in New Jersey are subject to the same legal and liability considerations as other healthcare providers. ● This includes the need to carry malpractice insurance and to have a clear and comprehensive informed consent process in place.
Official and governmental resources	● State Board of Medical Examiners: [https://www.njconsumeraffairs.gov/bme/] ● Department of Health: [https://www.nj.gov/health/]

31. New Mexico

Regulation	Description
Licensing and certification	● Medical spas in New Mexico may require specific licensing and certification, depending on the services offered. ● Practitioners providing medical treatments must be appropriately licensed medical professionals, such as physicians or nurse practitioners.
Scope of practice	● Medical spas in New Mexico are limited to offering non-surgical aesthetic procedures that fall within the scope of practice of licensed medical professionals. ● This may include treatments like: – Botox injections – Dermal fillers – Laser treatments for hair removal or skin resurfacing – Chemical peels – Microdermabrasion – Microneedling – CoolSculpting or other non-surgical body contouring treatments
Facility requirements and regulations	● Medical spas in New Mexico may have specific facility requirements to ensure patient safety and well-being. ● This could include having a designated medical director, maintaining proper sanitation and infection control protocols, and having emergency response plans in place.
Advertising and marketing	● Medical spas in New Mexico must adhere to advertising and marketing regulations to provide accurate and transparent information to potential clients. ● Advertisements must not be false or misleading, and they must disclose the qualifications of practitioners performing the procedures.
Patient safety and consent	● Patient safety and informed consent are crucial in medical spa practices. ● Medical spas in New Mexico must obtain informed consent from patients before providing any treatments, including disclosing potential risks and benefits.
Legal and liability considerations	● Medical spas in New Mexico are subject to the same legal and liability considerations as other medical practices. ● This may include the need to carry malpractice insurance and adhere to specific patient privacy and confidentiality regulations.
Official and governmental resources	● New Mexico Regulation and Licensing Department [https://www.rld.state.nm.us/] ● New Mexico Medical Board [http://www.nmmb.state.nm.us/] ● New Mexico Board of Nursing [https://nmbon.sks.com/]

32. New York

Regulation	Description
Licensing and certification	● Medical spas in New York must be licensed by the New York State Department of Health (NYSDOH). ● All practitioners must be licensed physicians or advanced practice registered nurses (APRNs) with prescriptive authority. ● The NYSDOH also requires that medical spas have a designated medical director who is a licensed physician.
Scope of practice	● Medical spas in New York are limited to providing non-surgical cosmetic procedures that are within the scope of practice of licensed physicians or APRNs with prescriptive authority. ● This includes procedures such as: – Botox injections – Dermal fillers – Laser hair removal – Chemical peels – Microneedling – Microdermabrasion – Radiofrequency treatments – Intense pulsed light (IPL) treatments
Facility requirements and regulations	● Medical spas in New York must meet certain facility requirements, including: – Having a designated medical director. – Providing adequate space for patient care. – Maintaining proper infection control procedures. – Having a written emergency plan and procedures in place in case of a medical emergency. – Having a separate waiting area for patients who are not receiving medical services
Advertising and marketing	● Medical spas in New York are subject to certain advertising and marketing restrictions, including prohibiting false or misleading claims about the benefits of their services. ● The spa must also disclose the qualifications of its practitioners and the risks associated with the procedures they offer. ● Advertisements must include the following disclaimer: “This is not a medical emergency.”
Patient safety and consent	● Medical spas in New York must obtain informed consent from patients before providing any services. ● Patients must be provided with a clear and concise explanation of the risks and benefits of the procedure, as well as any alternatives. ● The spa must also keep a copy of the consent form on file for at least five years.
Legal and liability considerations	● Medical spas in New York are subject to the same legal and liability considerations as other healthcare providers. ● This includes the need to carry malpractice insurance and to have a clear and comprehensive informed consent process in place.
Official and governmental resources	● New York State Department of Health [https://www.health.ny.gov/] ● New York State Board of Regents [https://www.nysed.gov/]

33. North Carolina

Regulation	Description
Licensing and certification	● Medical spas in North Carolina must be licensed by the North Carolina Board of Cosmetic Arts. ● All practitioners must be licensed physicians, physician assistants, or advanced practice registered nurses (APRNs) with prescriptive authority. ● The board also requires that medical spas have a designated medical director who is a licensed physician.
Scope of practice	● Medical spas in North Carolina are limited to providing non-surgical cosmetic procedures that are within the scope of practice of licensed physicians, physician assistants, or APRNs with prescriptive authority. ● This includes procedures such as: – Botox injections – Dermal fillers – Laser hair removal – Chemical peels – Vein treatments – Microdermabrasion – Permanent makeup
Facility requirements and regulations	● Medical spas in North Carolina must meet certain facility requirements, including: – Having a designated medical director. – Providing adequate space for patient care. – Maintaining proper infection control procedures. – Having a written emergency plan and procedures in place in case of a medical emergency.
Advertising and marketing	● Medical spas in North Carolina are subject to certain advertising and marketing restrictions, including prohibiting false or misleading claims about the benefits of their services. ● The spa must also disclose the qualifications of its practitioners and the risks associated with the procedures they offer.
Patient safety and consent	● Medical spas in North Carolina must obtain informed consent from patients before providing any services. ● Patients must be provided with a clear and concise explanation of the risks and benefits of the procedure, as well as any alternatives. ● The spa must also keep a copy of the consent form on file for at least five years.
Legal and liability considerations	● Medical spas in North Carolina are subject to the same legal and liability considerations as other healthcare providers. ● This includes the need to carry malpractice insurance and to have a clear and comprehensive informed consent process in place.
Official and governmental resources	● North Carolina Board of Cosmetic Arts [https://www.nccosmeticarts.com/] ● North Carolina Department of Health and Human Services [https://www.ncdhhs.gov/]

34. North Dakota

Regulation	Description
Licensing and certification	● Medical spas in North Dakota must be licensed by the North Dakota Board of Medicine. ● All practitioners must be licensed physicians or advanced practice registered nurses (APRNs) with prescriptive authority. ● The board also requires that medical spas have a designated medical director who is a licensed physician.
Scope of practice	● Medical spas in North Dakota are limited to providing non-surgical cosmetic procedures that are within the scope of practice of licensed physicians or APRNs with prescriptive authority. ● This includes procedures such as: – Botox injections – Dermal fillers – Laser hair removal – Chemical peels – Microdermabrasion – Permanent makeup – Permanent hair removal – Body sculpting – Sclerotherapy
Facility requirements and regulations	● Medical spas in North Dakota must meet certain facility requirements, including: – Having a designated medical director. – Providing adequate space for patient care. – Maintaining proper infection control procedures. – Having a written emergency plan and procedures in place in case of a medical emergency. – Having a waiting area that is separate from the treatment area. – Having a restroom that is accessible to all patients.
Advertising and marketing	● Medical spas in North Dakota are subject to certain advertising and marketing restrictions, including prohibiting false or misleading claims about the benefits of their services. ● The spa must also disclose the qualifications of its practitioners and the risks associated with the procedures they offer. ● The spa must not use the words “doctor” or “medical” in its name or advertising unless the spa is owned and operated by a licensed physician.
Patient safety and consent	● Medical spas in North Dakota must obtain informed consent from patients before providing any services. ● Patients must be provided with a clear and concise explanation of the risks and benefits of the procedure, as well as any alternatives. ● The spa must also keep a copy of the consent form on file for at least five years.
Legal and liability considerations	● Medical spas in North Dakota are subject to the same legal and liability considerations as other healthcare providers. ● This includes the need to carry malpractice insurance and to have a clear and comprehensive informed consent process in place.
Official and governmental resources	● North Dakota Board of Medicine [https://www.ndbom.org/] ● North Dakota Department of Health [https://www.ndhealth.gov/]

35. Ohio

Regulation	Description
Licensing and certification	● Medical spas in Ohio must be licensed by the Ohio Department of Commerce. ● All practitioners must be licensed physicians, physician assistants, or registered nurses. ● The department also requires that medical spas have a designated medical director who is a licensed physician.
Scope of practice	● Medical spas in Ohio are limited to providing non-surgical cosmetic procedures that are within the scope of practice of licensed physicians, physician assistants, or registered nurses. ● This includes procedures such as: – Botox injections – Dermal fillers – Laser hair removal – Chemical peels – Microneedling – CoolSculpting – Kybella
Facility requirements and regulations	● Medical spas in Ohio must meet certain facility requirements, including: – Having a designated medical director. – Providing adequate space for patient care. – Maintaining proper infection control procedures. – Having a written emergency plan and procedures in place in case of a medical emergency.
Advertising and marketing	● Medical spas in Ohio are subject to certain advertising and marketing restrictions, including prohibiting false or misleading claims about the benefits of their services. ● The spa must also disclose the qualifications of its practitioners and the risks associated with the procedures they offer.
Patient safety and consent	● Medical spas in Ohio must obtain informed consent from patients before providing any services. ● Patients must be provided with a clear and concise explanation of the risks and benefits of the procedure, as well as any alternatives. ● The spa must also keep a copy of the consent form on file for at least five years.
Legal and liability considerations	● Medical spas in Ohio are subject to the same legal and liability considerations as other healthcare providers. ● This includes the need to carry malpractice insurance and to have a clear and comprehensive informed consent process in place.
Official and governmental resources	● Ohio Department of Commerce [https://www.com.ohio.gov/] ● Ohio Department of Health [https://odh.ohio.gov/]

36. Oklahoma

Regulation	Description
Licensing and certification	● Medical spas in Oklahoma must be registered with the Oklahoma Department of Consumer Credit. ● All practitioners must be licensed physicians or advanced practice registered nurses (APRNs) with prescriptive authority. ● The board also requires that medical spas have a designated medical director who is a licensed physician.
Scope of practice	● Medical spas in Oklahoma are limited to providing non-surgical cosmetic procedures that are within the scope of practice of licensed physicians or APRNs with prescriptive authority. ● This includes procedures such as: – Botox injections – Dermal fillers – Laser hair removal – Chemical peels – Microneedling – Ultherapy – Kybella – CoolSculpting
Facility requirements and regulations	● Medical spas in Oklahoma must meet certain facility requirements, including: – Having a designated medical director. – Providing adequate space for patient care. – Maintaining proper infection control procedures. – Having a written emergency plan and procedures in place in case of a medical emergency.
Advertising and marketing	● Medical spas in Oklahoma are subject to certain advertising and marketing restrictions, including prohibiting false or misleading claims about the benefits of their services. ● The spa must also disclose the qualifications of its practitioners and the risks associated with the procedures they offer.
Patient safety and consent	● Medical spas in Oklahoma must obtain informed consent from patients before providing any services. ● Patients must be provided with a clear and concise explanation of the risks and benefits of the procedure, as well as any alternatives. ● The spa must also keep a copy of the consent form on file for at least five years.
Legal and liability considerations	● Medical spas in Oklahoma are subject to the same legal and liability considerations as other healthcare providers. ● This includes the need to carry malpractice insurance and to have a clear and comprehensive informed consent process in place.
Official and governmental resources	● Oklahoma Department of Consumer Credit [https://www.ok.gov/okdocc/] ● Oklahoma State Board of Medical Licensure and Supervision [https://www.okmedicalboard.org/] ● Oklahoma Osteopathic Board of Examiners [https://www.ok.gov/osboe/]

37. Oregon

Regulation	Description
Licensing and certification	● Medical spas in Oregon must be licensed by the Oregon State Board of Medical Examiners (OSBME). ● All practitioners must be licensed physicians, advanced practice registered nurses (APRNs) with prescriptive authority, or certified aestheticians. ● The board also requires that medical spas have a designated medical director who is a licensed physician.
Scope of practice	● Medical spas in Oregon are limited to providing non-surgical cosmetic procedures that are within the scope of practice of licensed physicians, APRNs with prescriptive authority, or certified aestheticians. ● This includes procedures such as: – Botox injections – Dermal fillers – Laser hair removal – Chemical peels – Microneedling – Microdermabrasion – Body contouring – Permanent makeup
Facility requirements and regulations	● Medical spas in Oregon must meet certain facility requirements, including: – Having a designated medical director. – Providing adequate space for patient care. – Maintaining proper infection control procedures. – Having a written emergency plan and procedures in place in case of a medical emergency. – Complying with all applicable local and state zoning and building codes.
Advertising and marketing	● Medical spas in Oregon are subject to certain advertising and marketing restrictions, including prohibiting false or misleading claims about the benefits of their services. ● The spa must also disclose the qualifications of its practitioners and the risks associated with the procedures they offer.
Patient safety and consent	● Medical spas in Oregon must obtain informed consent from patients before providing any services. ● Patients must be provided with a clear and concise explanation of the risks and benefits of the procedure, as well as any alternatives. ● The spa must also keep a copy of the consent form on file for at least five years.
Legal and liability considerations	● Medical spas in Oregon are subject to the same legal and liability considerations as other healthcare providers. ● This includes the need to carry malpractice insurance and to have a clear and comprehensive informed consent process in place.
Official and governmental resources	● Oregon State Board of Medical Examiners [https://www.oregon.gov/omb/board/] ● Oregon Department of Public Health [https://www.oregon.gov/oha/]

38. Pennsylvania

Regulation	Description
Licensing and certification	● Medical spas in Pennsylvania must be licensed by the Pennsylvania State Board of Medicine. ● All practitioners must be licensed physicians or advanced practice registered nurses (APRNs) with prescriptive authority. ● The board also requires that medical spas have a designated medical director who is a licensed physician.
Scope of practice	● Medical spas in Pennsylvania are limited to providing non-surgical cosmetic procedures that are within the scope of practice of licensed physicians or APRNs with prescriptive authority. ● This includes procedures such as: – Botox injections – Dermal fillers – Laser hair removal – Chemical peels – Microneedling – Microdermabrasion – Non-surgical body contouring – Permanent makeup
Facility requirements and regulations	● Medical spas in Pennsylvania must meet certain facility requirements, including: – Having a designated medical director. – Providing adequate space for patient care. – Maintaining proper infection control procedures. – Having a written emergency plan and procedures in place in case of a medical emergency. – Having a separate waiting area for patients who are not receiving medical care
Advertising and marketing	● Medical spas in Pennsylvania are subject to certain advertising and marketing restrictions, including prohibiting false or misleading claims about the benefits of their services. ● The spa must also disclose the qualifications of its practitioners and the risks associated with the procedures they offer. ● Advertisements must be clear and concise, and they must not be misleading. ● The spa must not make any claims that could be construed as a guarantee of results.
Patient safety and consent	● Medical spas in Pennsylvania must obtain informed consent from patients before providing any services. ● Patients must be provided with a clear and concise explanation of the risks and benefits of the procedure, as well as any alternatives. ● The spa must also keep a copy of the consent form on file for at least five years.
Legal and liability considerations	● Medical spas in Pennsylvania are subject to the same legal and liability considerations as other healthcare providers. ● This includes the need to carry malpractice insurance and to have a clear and comprehensive informed consent process in place.
Official and governmental resources	● Pennsylvania State Board of Medicine [https://www.dos.pa.gov/ProfessionalLicensing/BoardsCommissions/Medicine/Pages/default.aspx] ● Pennsylvania Department of Health [https://www.health.pa.gov/]

39. Rhode Island

Regulation	Description
Licensing and certification	● Medical spas in Rhode Island must be licensed by the Rhode Island Department of Health (RIDOH). ● All practitioners must be licensed physicians or advanced practice registered nurses (APRNs) with prescriptive authority. ● The board also requires that medical spas have a designated medical director who is a licensed physician.
Scope of practice	● Medical spas in Rhode Island are limited to providing non-surgical cosmetic procedures that are within the scope of practice of licensed physicians or APRNs with prescriptive authority. ● This includes procedures such as: – Botox injections – Dermal fillers – Laser hair removal –     Chemical peels
Facility requirements and regulations	● Medical spas in Rhode Island must meet certain facility requirements, including: – Having a designated medical director. – Providing adequate space for patient care. – Maintaining proper infection control procedures. – Having a written emergency plan and procedures in place in case of a medical emergency.
Advertising and marketing	● Medical spas in Rhode Island are subject to certain advertising and marketing restrictions, including prohibiting false or misleading claims about the benefits of their services. ● The spa must also disclose the qualifications of its practitioners and the risks associated with the procedures they offer.
Patient safety and consent	● Medical spas in Rhode Island must obtain informed consent from patients before providing any services. ● Patients must be provided with a clear and concise explanation of the risks and benefits of the procedure, as well as any alternatives. ● The spa must also keep a copy of the consent form on file for at least five years.
Legal and liability considerations	● Medical spas in Rhode Island are subject to the same legal and liability considerations as other healthcare providers. ● This includes the need to carry malpractice insurance and to have a clear and comprehensive informed consent process in place.
Official and governmental resources	● Rhode Island Department of Health [https://health.ri.gov/] ● Rhode Island Medical Society [https://www.rimedicalsociety.org/]

40. South Carolina

Regulation	Description
Licensing and certification	● Medical spas in South Carolina must be licensed by the South Carolina Department of Health and Environmental Control (DHEC). ● All practitioners must be licensed physicians or advanced practice registered nurses (APRNs) with prescriptive authority. ● The board also requires that medical spas have a designated medical director who is a licensed physician.
Scope of practice	● Medical spas in South Carolina are limited to providing non-surgical cosmetic procedures that are within the scope of practice of licensed physicians or APRNs with prescriptive authority. ● This includes procedures such as: – Botox injections – Dermal fillers – Laser hair removal – Chemical peels – Microneedling – Weight loss treatments – Microdermabrasion – Permanent makeup
Facility requirements and regulations	● Medical spas in South Carolina must meet certain facility requirements, including: – Having a designated medical director. – Providing adequate space for patient care. – Maintaining proper infection control procedures. – Having a written emergency plan and procedures in place in case of a medical emergency. – Having a licensed esthetician on staff if providing facials or other esthetic services
Advertising and marketing	● Medical spas in South Carolina are subject to certain advertising and marketing restrictions, including prohibiting false or misleading claims about the benefits of their services. ● The spa must also disclose the qualifications of its practitioners and the risks associated with the procedures they offer.
Patient safety and consent	● Medical spas in South Carolina must obtain informed consent from patients before providing any services. ● Patients must be provided with a clear and concise explanation of the risks and benefits of the procedure, as well as any alternatives. ● The spa must also keep a copy of the consent form on file for at least five years.
Legal and liability considerations	● Medical spas in South Carolina are subject to the same legal and liability considerations as other healthcare providers. ● This includes the need to carry malpractice insurance and to have a clear and comprehensive informed consent process in place.
Official and governmental resources	● South Carolina Department of Health and Environmental Control [https://scdhec.gov/] ● South Carolina Board of Medical Examiners [https://llr.sc.gov/med/]

41. South Dakota

Regulation	Description
Licensing and certification	● Medical spas in South Dakota must be licensed by the South Dakota Department of Health. ● All practitioners must be licensed physicians or advanced practice registered nurses (APRNs) with prescriptive authority. ● The department also requires that medical spas have a designated medical director who is a licensed physician.
Scope of practice	● Medical spas in South Dakota are limited to providing non-surgical cosmetic procedures that are within the scope of practice of licensed physicians or APRNs with prescriptive authority. ● This includes procedures such as: – Botox injections – Dermal fillers – Laser hair removal – Chemical peels – Weight loss programs – Microdermabrasion – Body contouring – Permanent makeup
Facility requirements and regulations	● Medical spas in South Dakota must meet certain facility requirements, including: – Having a designated medical director. – Providing adequate space for patient care. – Maintaining proper infection control procedures. – Having a written emergency plan and procedures in place in case of a medical emergency. – Having a licensed cosmetologist on staff if the spa offers services that are within the scope of practice of a cosmetologist
Advertising and marketing	● Medical spas in South Dakota are subject to certain advertising and marketing restrictions, including prohibiting false or misleading claims about the benefits of their services. ● The spa must also disclose the qualifications of its practitioners and the risks associated with the procedures they offer.
Patient safety and consent	● Medical spas in South Dakota must obtain informed consent from patients before providing any services. ● Patients must be provided with a clear and concise explanation of the risks and benefits of the procedure, as well as any alternatives. ● The spa must also keep a copy of the consent form on file for at least five years.
Legal and liability considerations	● Medical spas in South Dakota are subject to the same legal and liability considerations as other healthcare providers. ● This includes the need to carry malpractice insurance and to have a clear and comprehensive informed consent process in place.
Official and governmental resources	● South Dakota Department of Health [https://doh.sd.gov/providers/licensure/facility-license.aspx] ● South Dakota Cosmetology Commission [https://dlr.sd.gov/cosmetology/]

42. Tennessee

Regulation	Description
Licensing and certification	● Medical spas in Tennessee must be registered with the Tennessee Board of Medical Examiners (BME). ● The BME requires that all practitioners at a medical spa be licensed physicians or advanced practice registered nurses (APRNs) with prescriptive authority. ● The BME also requires that medical spas have a designated medical director who is a licensed physician.
Scope of practice	● Medical spas in Tennessee are limited to providing non-surgical cosmetic procedures that are within the scope of practice of licensed physicians or APRNs with prescriptive authority. ● This includes procedures such as: – Botox injections – Dermal fillers – Laser hair removal – Chemical peels – Microneedling – Radiofrequency treatments – Microdermabrasion – Intense pulsed light (IPL) treatments
Facility requirements and regulations	● Medical spas in Tennessee must meet certain facility requirements, including: – Having a designated medical director. – Providing adequate space for patient care. – Maintaining proper infection control procedures. – Having a written emergency plan and procedures in place in case of a medical emergency. – Having a designated laser safety officer for laser procedures
Advertising and marketing	● Medical spas in Tennessee are subject to certain advertising and marketing restrictions, including prohibiting false or misleading claims about the benefits of their services. ● The spa must also disclose the qualifications of its practitioners and the risks associated with the procedures they offer.
Patient safety and consent	● Medical spas in Tennessee must obtain informed consent from patients before providing any services. ● Patients must be provided with a clear and concise explanation of the risks and benefits of the procedure, as well as any alternatives. ● The spa must also keep a copy of the consent form on file for at least five years.
Legal and liability considerations	● Medical spas in Tennessee are subject to the same legal and liability considerations as other healthcare providers. ● This includes the need to carry malpractice insurance and to have a clear and comprehensive informed consent process in place.
Official and governmental resources	● Tennessee Board of Medical Examiners [https://www.tn.gov/health/health-program-areas/health-professional-boards/me-board.html] ● Tennessee Department of Health [https://www.tn.gov/health/]

43. Texas

Regulation	Description
Licensing and certification	● Medical spas in Texas must be licensed by the Texas Department of Licensing and Regulation (TDLR). ● All practitioners must be licensed physicians or advanced practice registered nurses (APRNs) with prescriptive authority. ● The TDLR also requires that medical spas have a designated medical director who is a licensed physician.
Scope of practice	● Medical spas in Texas are limited to providing non-surgical cosmetic procedures that are within the scope of practice of licensed physicians or APRNs with prescriptive authority. ● This includes procedures such as: – Botox injections – Dermal fillers – Laser hair removal – Chemical peels – Radiofrequency treatments – Microdermabrasion – Laser skin resurfacing – Body contouring
Facility requirements and regulations	● Medical spas in Texas must meet certain facility requirements, including: – Having a designated medical director. – Providing adequate space for patient care. – Maintaining proper infection control procedures. – Having a written emergency plan and procedures in place in case of a medical emergency. – Posting a copy of the TDLR’s Medical Spa Rules and Regulations in a conspicuous location
Advertising and marketing	● Medical spas in Texas are subject to certain advertising and marketing restrictions, including prohibiting false or misleading claims about the benefits of their services. ● The spa must also disclose the qualifications of its practitioners and the risks associated with the procedures they offer. ● Advertisements must include the following disclaimer: “This is not a medical emergency. If you are experiencing a medical emergency, please call 911.”
Patient safety and consent	● Medical spas in Texas must obtain informed consent from patients before providing any services. ● Patients must be provided with a clear and concise explanation of the risks and benefits of the procedure, as well as any alternatives. ● The spa must also keep a copy of the consent form on file for at least five years.
Legal and liability considerations	● Medical spas in Texas are subject to the same legal and liability considerations as other healthcare providers. ● This includes the need to carry malpractice insurance and to have a clear and comprehensive informed consent process in place.
Official and governmental resources	● Texas Department of Licensing and Regulation (TDLR) [https://www.tdlr.texas.gov/cosmet/medspas.htm] ● Texas Medical Board (TMB) [https://www.tmb.state.tx.us/]

44. Utah

Regulation	Description
Licensing and certification	● Medical spas in Utah must be licensed by the Utah Division of Occupational and Professional Licensing (DOPL). ● All practitioners must be licensed physicians, advanced practice registered nurses (APRNs), or physician assistants (PAs). ● The DOPL also requires that medical spas have a designated medical director who is a licensed physician.
Scope of practice	● Medical spas in Utah are limited to providing non-surgical cosmetic procedures that are within the scope of practice of licensed physicians, APRNs, or PAs. ● This includes procedures such as: – Botox injections – Dermal fillers – Laser hair removal – Chemical peels – Microdermabrasion – Non-surgical body contouring – Permanent makeup
Facility requirements and regulations	● Medical spas in Utah must meet certain facility requirements, including: – Having a designated medical director. – Providing adequate space for patient care. – Maintaining proper infection control procedures. – Having a written emergency plan and procedures in place in case of a medical emergency. – Having a designated area for the administration of injectables. – Having a waiting area that is separate from the treatment area.
Advertising and marketing	● Medical spas in Utah are subject to certain advertising and marketing restrictions, including prohibiting false or misleading claims about the benefits of their services. ● The spa must also disclose the qualifications of its practitioners and the risks associated with the procedures they offer.
Patient safety and consent	● Medical spas in Utah must obtain informed consent from patients before providing any services. ● Patients must be provided with a clear and concise explanation of the risks and benefits of the procedure, as well as any alternatives. ● The spa must also keep a copy of the consent form on file for at least five years.
Legal and liability considerations	● Medical spas in Utah are subject to the same legal and liability considerations as other healthcare providers. ● This includes the need to carry malpractice insurance and to have a clear and comprehensive informed consent process in place
Official and governmental resources	● Utah Division of Occupational and Professional Licensing (DOPL) [https://dopl.utah.gov/] ● Utah Department of Health (UDOH) [https://health.utah.gov/]

45. Vermont

Regulation	Description
Licensing and certification	● Medical spas in Vermont must be licensed by the Vermont Office of Professional Regulation (OPR). ● All practitioners must be licensed physicians, registered nurses, or physician assistants. ● The OPR also requires that medical spas have a designated medical director who is a licensed physician.
Scope of practice	● Medical spas in Vermont are limited to providing non-surgical cosmetic procedures that are within the scope of practice of licensed physicians, registered nurses, or physician assistants. ● This includes procedures such as: – Botox injections – Dermal fillers – Laser hair removal – Chemical peels – Microdermabrasion – Body contouring – Permanent makeup
Facility requirements and regulations	● Medical spas in Vermont must meet certain facility requirements, including: – Having a designated medical director. – Providing adequate space for patient care. – Maintaining proper infection control procedures. – Having a written emergency plan and procedures in place in case of a medical emergency.
Advertising and marketing	● Medical spas in Vermont are subject to certain advertising and marketing restrictions, including prohibiting false or misleading claims about the benefits of their services. ● The spa must also disclose the qualifications of its practitioners and the risks associated with the procedures they offer.
Patient safety and consent	● Medical spas in Vermont must obtain informed consent from patients before providing any services. ● Patients must be provided with a clear and concise explanation of the risks and benefits of the procedure, as well as any alternatives. ● The spa must also keep a copy of the consent form on file for at least five years.
Legal and liability considerations	● Medical spas in Vermont are subject to the same legal and liability considerations as other healthcare providers. ● This includes the need to carry malpractice insurance and to have a clear and comprehensive informed consent process in place.
Official and governmental resources	● Vermont Office of Professional Regulation (OPR) [https://sos.vermont.gov/opr/] ● Vermont Department of Health [https://healthvermont.gov/]

46. Virginia

Regulation	Description
Licensing and certification	● Medical spas in Vermont must be licensed by the Vermont Secretary of State. ● All practitioners must be licensed physicians, registered nurses, or physician assistants. ● The spa must also have a designated medical director who is a licensed physician.
Scope of practice	● Medical spas in Vermont are limited to providing non-surgical cosmetic procedures that are within the scope of practice of licensed physicians, registered nurses, or physician assistants. ● This includes procedures such as: – Botox injections – Dermal fillers- – Laser hair removal – Chemical peels
Facility requirements and regulations	● Medical spas in Vermont must meet certain facility requirements, including: – Having a designated medical director. – Providing adequate space for patient care. – Maintaining proper infection control procedures. – Having a written emergency plan and procedures in place in case of a medical emergency.
Advertising and marketing	● Medical spas in Vermont are subject to certain advertising and marketing restrictions, including prohibiting false or misleading claims about the benefits of their services. ● The spa must also disclose the qualifications of its practitioners and the risks associated with the procedures they offer.
Patient safety and consent	● Medical spas in Vermont must obtain informed consent from patients before providing any services. ● Patients must be provided with a clear and concise explanation of the risks and benefits of the procedure, as well as any alternatives. ● The spa must also keep a copy of the consent form on file for at least five years.
Legal and liability considerations	● Medical spas in Vermont are subject to the same legal and liability considerations as other healthcare providers. ● This includes the need to carry malpractice insurance and to have a clear and comprehensive informed consent process in place.
Official and governmental resources	● Vermont Secretary of State [https://sos.vermont.gov/] ● Vermont Department of Health [https://healthvermont.gov/]

47. Washington

Regulation	Description
Licensing and certification	● Medical spas in Washington must be licensed by the Washington State Department of Health. ● All practitioners must be licensed physicians or advanced practice registered nurses (APRNs) with prescriptive authority. ● The department also requires that medical spas have a designated medical director who is a licensed physician.
Scope of practice	● Medical spas in Washington are limited to providing non-surgical cosmetic procedures that are within the scope of practice of licensed physicians or APRNs with prescriptive authority. ● This includes procedures such as: – Botox injections – Dermal fillers – Laser hair removal – Chemical peels – Ultherapy – Microdermabrasion – Vaser liposuction – Permanent makeup
Facility requirements and regulations	● Medical spas in Washington must meet certain facility requirements, including: – Having a designated medical director. – Providing adequate space for patient care. – Maintaining proper infection control procedures. – Having a written emergency plan and procedures in place in case of a medical emergency. – Having a waiting room that is separate from the treatment area. – Having a private room for each patient. – Having a bathroom that is accessible to patients with disabilities.
Advertising and marketing	● Medical spas in Washington are subject to certain advertising and marketing restrictions, including prohibiting false or misleading claims about the benefits of their services. ● The spa must also disclose the qualifications of its practitioners and the risks associated with the procedures they offer. ● Advertisements must include the following disclaimer: “This is a medical spa. All procedures are performed by a licensed physician or APRN.”.
Patient safety and consent	● Medical spas in Washington must obtain informed consent from patients before providing any services. ● Patients must be provided with a clear and concise explanation of the risks and benefits of the procedure, as well as any alternatives. ● The spa must also keep a copy of the consent form on file for at least five years.
Legal and liability considerations	● Medical spas in Washington are subject to the same legal and liability considerations as other healthcare providers. ● This includes the need to carry malpractice insurance and to have a clear and comprehensive informed consent process in place.
Official and governmental resources	● Washington State Department of Health [https://www.doh.wa.gov/] ● Washington State Medical Commission [https://www.wsma.org/]

48. West Virginia

Regulation	Description
Licensing and certification	● Medical spas in West Virginia must be licensed by the West Virginia Board of Medicine. ● All practitioners must be licensed physicians or advanced practice registered nurses (APRNs) with prescriptive authority. ● The board also requires that medical spas have a designated medical director who is a licensed physician.
Scope of practice	● Medical spas in West Virginia are limited to providing non-surgical cosmetic procedures that are within the scope of practice of licensed physicians or APRNs with prescriptive authority. ● This includes procedures such as: – Botox injections – Dermal fillers – Laser hair removal – Chemical peels
Facility requirements and regulations	● Medical spas in West Virginia must meet certain facility requirements, including: – Having a designated medical director. – Providing adequate space for patient care. – Maintaining proper infection control procedures. – Having a written emergency plan and procedures in place in case of a medical emergency.
Advertising and marketing	● Medical spas in West Virginia are subject to certain advertising and marketing restrictions, including prohibiting false or misleading claims about the benefits of their services. ● The spa must also disclose the qualifications of its practitioners and the risks associated with the procedures they offer.
Patient safety and consent	● Medical spas in West Virginia must obtain informed consent from patients before providing any services. ● Patients must be provided with a clear and concise explanation of the risks and benefits of the procedure, as well as any alternatives. ● The spa must also keep a copy of the consent form on file for at least five years.
Legal and liability considerations	● Medical spas in West Virginia are subject to the same legal and liability considerations as other healthcare providers. ● This includes the need to carry malpractice insurance and to have a clear and comprehensive informed consent process in place.
Official and governmental resources	● West Virginia Board of Medicine [https://wvbom.wv.gov/] ● West Virginia Department of Health and Human Resources [https://dhhr.wv.gov/]

49. Wisconsin

Regulation	Description
Licensing and certification	● Medical spas in Wisconsin must be licensed by the Wisconsin Department of Safety and Professional Services (DSPS). ● All practitioners must be licensed physicians, advanced practice registered nurses (APRNs), or physician assistants (PAs). ● The DSPS also requires that medical spas have a designated medical director who is a licensed physician.
Scope of practice	● Medical spas in Wisconsin are limited to providing non-surgical cosmetic procedures that are within the scope of practice of licensed physicians, APRNs, or PAs. ● This includes procedures such as: – Botox injections – Dermal fillers – Laser hair removal – Chemical peels – Microdermabrasion – Non-surgical body contouring – Permanent makeup
Facility requirements and regulations	● Medical spas in Wisconsin must meet certain facility requirements, including: – Having a designated medical director. – Providing adequate space for patient care. – Maintaining proper infection control procedures. – Having a written emergency plan and procedures in place in case of a medical emergency. – Having a valid business license. – Paying all applicable taxes.
Advertising and marketing	● Medical spas in Wisconsin are subject to certain advertising and marketing restrictions, including prohibiting false or misleading claims about the benefits of their services. ● The spa must also disclose the qualifications of its practitioners and the risks associated with the procedures they offer. ● The spa must not advertise or market its services in a way that is likely to attract minors.
Patient safety and consent	● Medical spas in Wisconsin must obtain informed consent from patients before providing any services. ● Patients must be provided with a clear and concise explanation of the risks and benefits of the procedure, as well as any alternatives. ● The spa must also keep a copy of the consent form on file for at least five years.
Legal and liability considerations	● Medical spas in Wisconsin are subject to the same legal and liability considerations as other healthcare providers. ● This includes the need to carry malpractice insurance and to have a clear and comprehensive informed consent process in place.
Official and governmental resources	● Wisconsin Department of Safety and Professional Services (DSPS) [https://dsps.wi.gov/] ● Wisconsin Department of Health Services (DHS) [https://www.dhs.wisconsin.gov/]

50. Wyoming

Regulation	Description
Licensing and certification	● Medical spas in Wyoming must be licensed by the Wyoming Department of Health. ● All practitioners must be licensed physicians or advanced practice registered nurses (APRNs) with prescriptive authority. ● The board also requires that medical spas have a designated medical director who is a licensed physician.
Scope of practice	● Medical spas in Wyoming are limited to providing non-surgical cosmetic procedures that are within the scope of practice of licensed physicians or APRNs with prescriptive authority. ● This includes procedures such as: – Botox injections – Dermal fillers – Laser hair removal – Chemical peels – Microneedling – Radiofrequency treatments – Microdermabrasion – Laser skin resurfacing – Intense pulsed light (IPL) treatments
Facility requirements and regulations	● Medical spas in Wyoming must meet certain facility requirements, including: – Having a designated medical director. – Providing adequate space for patient care. – Maintaining proper infection control procedures. – Having a written emergency plan and procedures in place in case of a medical emergency. – Having a fire suppression system. – Having a ventilation system that meets the requirements of the Wyoming Department of Environmental Quality.
Advertising and marketing	● Medical spas in Wyoming are subject to certain advertising and marketing restrictions, including prohibiting false or misleading claims about the benefits of their services. ● The spa must also disclose the qualifications of its practitioners and the risks associated with the procedures they offer. ● The spa must not use the words “doctor” or “medical” in its name or advertising unless the spa is actually owned and operated by a licensed physician.
Patient safety and consent	● Medical spas in Wyoming must obtain informed consent from patients before providing any services. ● Patients must be provided with a clear and concise explanation of the risks and benefits of the procedure, as well as any alternatives. ● The spa must also keep a copy of the consent form on file for at least five years.
Legal and liability considerations	● Medical spas in Wyoming are subject to the same legal and liability considerations as other healthcare providers. ● This includes the need to carry malpractice insurance and to have a clear and comprehensive informed consent process in place.
Official and governmental resources	● Wyoming Department of Health [https://health.wyo.gov/] ● Wyoming Board of Cosmetology [https://cosmetology.wyo.gov/]

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Summary

In conclusion, understanding and adhering to state-specific laws and regulations in the medical spa industry is of utmost importance. It empowers practitioners and owners by equipping them with the necessary knowledge and resources to ensure legal compliance and provide safe and ethical services.

By being well-versed in the laws governing their operations, medical spa professionals can confidently navigate the industry landscape, avoiding potential legal pitfalls and protecting the well-being of their clients. Moreover, adhering to med spa laws by states promotes transparency and trust, enhancing the credibility and reputation of the medical spa industry as a whole.

Ultimately, by prioritizing compliance with state-specific laws, practitioners and owners can create a secure and ethical environment that promotes the well-being of both their clients and their businesses.

FAQs

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Resources

• American Med Spa Association (AmSpa) – This organization provides comprehensive resources and information on medical spa laws, regulations, and compliance for medical spa owners and practitioners. Website: https://www.americanmedspa.org/
• U.S. Food and Drug Administration (FDA) – The FDA oversees and regulates medical devices and procedures, including those used in medical spas. Their website contains information on safety guidelines and regulations for cosmetic procedures. Website: https://www.fda.gov/
• American Society for Dermatologic Surgery (ASDS) – This professional society offers valuable insights and guidelines related to dermatologic surgery and non-surgical cosmetic procedures performed in medical spas. Website: https://www.asds.net/
• American Academy of Dermatology (AAD) – AAD provides authoritative information on dermatologic conditions, treatments, and cosmetic procedures, which can be relevant for medical spa practices. Website: https://www.aad.org/
• State Medical Boards – Each state has its own medical board responsible for licensing and regulating medical professionals, including those working in medical spas. You can find state-specific regulations and requirements on their official websites.
• Grand View Research – This market research and consulting company offers reports on the medical spa industry, providing valuable market insights and trends. Website: https://www.grandviewresearch.com/
• Future Market Insights – A reputable market research firm that provides in-depth analysis and forecasts of various industries, including the medical spa market. Website: https://www.futuremarketinsights.com/
• The American Society for Aesthetic Plastic Surgery (ASAPS) – ASAPS is a leading professional organization that focuses on aesthetic plastic surgery procedures, which can be relevant for medical spa practitioners. Website: https://www.surgery.org/

References

• Medical Spa Market Size, Share & Trends Analysis Report By Service (Facial Treatment, Body Shaping & Contouring), By Age Group, By Gender, By Service Provider, By Region, And Segment Forecasts, 2023 – 2030 | Grand View Research
  https://www.grandviewresearch.com/industry-analysis/medical-spa-market
• 2022 Medical Spa State of the Industry Report | American Med Spa Association
  https://americanmedspa.org/resources/med-spa-statistics
• Medical Spa Market Outlook (2022 to 2032) | Future Market Insights
  https://www.futuremarketinsights.com/reports/medical-spa-market
• Behind the Facade: Six Legal Considerations for Med Spa Transactions | McGuireWoods
  https://www.mcguirewoods.com/client-resources/Alerts/2023/4/six-legal-considerations-med-spa-transactions
• Health & Wellness Spas in the US – Number of Businesses | IBISworld
  https://www.ibisworld.com/industry-statistics/number-of-businesses/health-wellness-spas-united-states/
• Medical Spas – What You Need to Know | Medical Board of California
  https://www.mbc.ca.gov/Resources/Medical-Resources/Medical-Spas.aspx
• Understanding Who Can Open a Med Spa | Moxie
  https://www.joinmoxie.com/post/who-can-open-a-med-spa-rules-and-regulations-around-starting-a-med-spa
• Medical Spas Frequently Asked Questions | Texas Department of Licensing & Regulation
  https://www.tdlr.texas.gov/cosmet/medspas.htm