The DEA registration is theirs, their name is on the wall in Texas, and Georgia wants the new protocol filed inside 30 days. Replace the physician in the wrong order and the clinic stops treating.
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The RN injects. The RN does not evaluate. Every state that has written the rule down puts the exam with a physician, NP or PA, and puts it before the treatment.
Can an RN Perform a Good Faith Exam? In the States That Have Answered, No Read More »
Florida, Texas and California let a prescriber evaluate by video if the standard of care is met. Louisiana wants a physician on the premises. Mississippi does not count telemedicine hours at all.
New York bans it outright. California allows a percentage only where it matches real services. Florida makes the referral version a felony. The industry’s favorite pay structure is its most exposed.
The federal statutes mostly stop at the federal-program line. Florida, Texas and California do not, EKRA reaches labs on any payer, and the Travel Act turns a state bribery offense into a federal one.
Washington says yes, with a practitioner on the premises and no drug in the line. Texas says the person administering elective IV therapy is a PA, APRN or RN. California and Florida say no.
Louisiana lets an RN inject neurotoxin and bars the same RN from filler. Washington caps a physician at three PAs. Colorado lets unlicensed staff inject if you tell the patient.
Who Can Inject Botox? RN, LPN, NP, PA and Esthetician Limits by State Read More »
Wyoming wants shareholders licensed by Wyoming. West Virginia renews the entity’s right to exist every two years. Alaska wants the board to certify every shareholder. One PC does not travel.
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Georgia caps a delegating physician at eight protocols and job descriptions combined. Your physician assistants count against the same ceiling, and that decides your hiring plan.
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Texas rewrote the med spa delegation rules in January 2025 and added an elective IV therapy statute in September. Most directorship agreements in circulation predate both.
Medical Director for a Texas Med Spa: Cost, Agreement, and Delegation Requirements Read More »
SB 351 took effect 1 January 2026 and names what a private equity group or hedge fund may not control. If your MSO is founder-owned, it is not the entity the statute is aimed at.
Medical Director for a California Med Spa: Cost, SB 351 Constraints, and Red Flags Read More »
Arizona nurse practitioners practice without physician supervision, so the director’s job here is narrower than operators assume. That changes what you should be paying for.
Medical Director for an Arizona Med Spa: Cost and Supervision Rules Read More »
