State Guides

Colorado wrote its corporate practice rule into the statute, down to who holds the shares and where they work. A 2026 bill to open med spa ownership died in committee.

Colorado’s delegation rule runs on a calendar. On site every two weeks, every chart within 14 days, over the shoulder once a year, and a physician physically in the state.

A Michigan nurse practitioner can sign a semaglutide prescription alone. The same NP cannot supervise your laser, delegate an injection, or prescribe testosterone without a physician.

Alabama has a whole chapter on weight-loss prescribing. It splits your menu in two: scheduled drugs belong to the physician, in the building. The rest can go to a CRNP or PA, with conditions.

Alabama does not license laser technicians. It ranks them, counts their supervised cases, and decides from the count how close your physician has to stand.

Alabama does not count how many nurse practitioners your physician signs for. It counts their weekly hours, adds the PAs, and adds the agreements in other states.

Colorado does not put a collaborating physician in the Nurse Practice Act. It puts a 750-hour mentorship, a population focus and a dispensing limit there instead.

Michigan does not say who may hold the handpiece. It says a physician must supervise whoever does, and that the patient must agree to that person by name.

Michigan lets a prescriber examine and prescribe by telehealth with no in-person visit first. It asks for four things in return, and each one belongs in the chart.

Arkansas lets telemedicine build a relationship for noncontrolled drugs. Testosterone is Schedule III, so the first exam happens in a room, with the prescriber.

Connecticut does not ask for an in-person visit first. It bars the Schedule III prescription by telehealth altogether. Video can support a testosterone program. It cannot write for one.

On August 28, 2026, Missouri swapped telephone for telemedicine in one sentence. Read literally, a video visit can no longer start testosterone on its own.