Updated April 2026

Med Spa Regulations by State

A comprehensive guide to medical spa regulations, medical director requirements, and scope of practice rules across all 50 US states.

Quick Reference: All 50 States

StateMD RequiredWho Can InjectSupervisionBoard
AlabamaYesMD, DO, NP, PA, RN (supervised)DirectLookup →
AlaskaYesMD, DO, NP, PAGeneralLookup →
ArizonaYesMD, DO, NP, PA, RN (delegated)GeneralLookup →
ArkansasYesMD, DO, NP, PADirectLookup →
CaliforniaYesMD, DO, NP, PA, RN (supervised)Direct for RNLookup →
ColoradoYesMD, DO, NP, PA, RN (delegated)CollaborativeLookup →
ConnecticutYesMD, DO, NP, PAGeneralLookup →
DelawareYesMD, DO, NP, PAGeneralLookup →
FloridaYesMD, DO, NP, PA, RN (supervised)Direct for RNLookup →
GeorgiaYesMD, DO, NP, PA, RN (supervised)DirectLookup →
HawaiiYesMD, DO, NP, PAGeneralLookup →
IdahoYesMD, DO, NP, PAGeneralLookup →
IllinoisYesMD, DO, NP, PA, RN (delegated)DirectLookup →
IndianaYesMD, DO, NP, PAGeneralLookup →
IowaYesMD, DO, NP, PAGeneralLookup →
KansasYesMD, DO, NP, PACollaborativeLookup →
KentuckyYesMD, DO, NP, PACollaborativeLookup →
LouisianaYesMD, DO, NP (collaborative), PACollaborativeLookup →
MaineYesMD, DO, NP, PAGeneralLookup →
MarylandYesMD, DO, NP, PAGeneralLookup →
MassachusettsYesMD, DO, NP, PAGeneralLookup →
MichiganYesMD, DO, NP, PA, RN (delegated)GeneralLookup →
MinnesotaYesMD, DO, NP, PAGeneralLookup →
MississippiYesMD, DO, NP, PADirectLookup →
MissouriYesMD, DO, NP (collaborative), PACollaborativeLookup →
MontanaYesMD, DO, NP, PAGeneralLookup →
NebraskaYesMD, DO, NP, PAGeneralLookup →
NevadaYesMD, DO, NP, PA, RN (supervised)GeneralLookup →
New HampshireYesMD, DO, NP, PAGeneralLookup →
New JerseyYesMD, DO, NP, PA, RN (supervised)Direct for RNLookup →
New MexicoYesMD, DO, NP, PAGeneralLookup →
New YorkYesMD, DO, NP, PA, RN (supervised)DirectLookup →
North CarolinaYesMD, DO, NP (supervised), PACollaborativeLookup →
North DakotaYesMD, DO, NP, PAGeneralLookup →
OhioYesMD, DO, NP, PACollaborativeLookup →
OklahomaYesMD, DO, NP, PAGeneralLookup →
OregonYesMD, DO, NP, PAGeneralLookup →
PennsylvaniaYesMD, DO, NP, PAGeneralLookup →
Rhode IslandYesMD, DO, NP, PAGeneralLookup →
South CarolinaYesMD, DO, NP, PACollaborativeLookup →
South DakotaYesMD, DO, NP, PAGeneralLookup →
TennesseeYesMD, DO, NP, PA, RN (supervised)CollaborativeLookup →
TexasYesMD, DO, NP, PA, RN (delegated)GeneralLookup →
UtahYesMD, DO, NP, PAGeneralLookup →
VermontYesMD, DO, NP, PAGeneralLookup →
VirginiaYesMD, DO, NP, PA, RN (supervised)Direct for RNLookup →
WashingtonYesMD, DO, NP, PAGeneralLookup →
West VirginiaYesMD, DO, NP, PAGeneralLookup →
WisconsinYesMD, DO, NP, PAGeneralLookup →
WyomingYesMD, DO, NP, PAGeneralLookup →

This information is for general reference only and does not constitute legal advice. Regulations change frequently — verify with your state medical board for current requirements.

Why Regulations Vary by State

Medical spa regulations in the United States are determined at the state level, not federally. Each state's medical board sets its own rules for who can own a med spa, which providers can perform specific treatments, and what level of physician oversight is required.

Key differences include supervision levels (some states require the physician to be physically present during treatments, while others allow general oversight), scope of practice (which provider types can administer injectables), and facility requirements (licensing, registration, and inspection rules).

As a patient, understanding your state's rules helps you verify that your med spa and provider are operating legally and safely.

Cite This Page

Medical Spa Locator. "Med Spa Regulations by State: A Complete 2026 Guide." MedicalSpaLocator.com, April 2026. https://www.medicalspalocator.com/resources/med-spa-regulations-by-state