The short version. Texas SB 378 was vetoed on 2 June 2025. It is not law and never was. Several med spa compliance vendors still describe it as current Texas requirements — which is a useful way to find out how a vendor sources its content. The change that did happen is the elective IV therapy statute effective 1 September 2025.
What this is. A read of what a named statutory change actually requires, and by when. It is not a client engagement. Dates and section numbers come from the enacted text, cited at the foot of the page.
What happened
SB 378 passed the Texas legislature and was vetoed on 2 June 2025. A vetoed bill creates no obligations. There is nothing to comply with.
This matters beyond Texas because of what it reveals. A compliance page describing SB 378 as live 2026 law was written from another company’s summary rather than from the legislative record, and was never re-checked. If that is how a vendor handles a bill with a public veto date, consider how it handles a quiet administrative rule change.
What actually governs a Texas med spa
- The corporate practice of medicine applies. Texas is a strict state.
- The medical director must be an MD or DO. Not a nurse practitioner, not a physician assistant.
- Written delegation only. Verbal delegation is not recognised.
- The delegating physician’s licence number must be posted in treatment rooms.
- The elective IV therapy law effective 1 September 2025 — commonly referred to by the name of the patient whose death prompted it — is the real recent change, and it is the one to read.
How to check a compliance claim in about two minutes
- Find the bill number and look it up on the legislature’s own site. Passage, veto and effective dates are public.
- Check the effective date, not the signing date. They are frequently different and sometimes years apart.
- Prefer the statute, the administrative code, or the board’s own publication. A vendor blog citing another vendor blog is not a source.
- Ask when the page was last reviewed, and against what.
Why we publish this
Because it is the cheapest possible demonstration of the difference between content written from primary sources and content written from other people’s content. Our 52 jurisdiction pages cite statute, administrative code, board publications or decided cases, and we publish a corrections policy because we expect to be wrong occasionally and to fix it in public.
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Frequently asked questions
Is Texas SB 378 law?
No. It was vetoed on 2 June 2025 and never took effect.
What changed in Texas recently?
The elective IV therapy statute effective 1 September 2025.
Who may be a Texas med spa medical director?
An MD or DO. Not an NP and not a PA.
How should we verify a compliance claim?
Look up the bill on the legislature’s own site, check the effective date rather than the signing date, and prefer statute, administrative code or a board publication over a vendor summary.
Sources. Texas SB 378 (2025), vetoed 2 June 2025; Texas elective IV therapy legislation effective 1 September 2025; Texas Occupations Code ch. 157 (delegation); Texas Medical Board rules.
General information, not legal advice. This page analyses a public record or a published statute and describes no client of MDside. Confirm your own position with healthcare counsel licensed where you operate.