State Guides

Virginia is relaxed about presence and unusually strict about what happens after something goes wrong.

Virginia restricts ownership to licensees but does not restrict it to physicians — and it restricts the entity’s purpose as tightly as its ownership.

One word in a 2002 declaratory ruling decides your entire Maryland staffing model.

Maryland’s prohibition names employment specifically, which is a different and blunter rule than “do not interfere with clinical judgment.”

Missouri is the state where a remote medical director genuinely does not work, and the reason is written into the statute as distance.

Missouri stacks three separate requirements on a single injection: a licensed prescriber, a good faith exam, and a collaborating physician who is close enough.

Minnesota permits something Michigan flatly prohibits: a physician and a nurse owning the same clinical entity.

Not voidable. Void. And it includes the transfer nobody plans for, which is the one that happens when someone dies.

Nevada gets described as permissive. The statute is not, and the gap shows up at exactly the moment you try to sell the business or replace the physician on the paperwork.

An RN can do the injection. An RN cannot do the evaluation or write the order. In a high-volume Las Vegas clinic that distinction is the whole staffing model.

Signed in April 2025, HB25-1024 makes the delegating practitioner’s name and license number a public disclosure — on your sign, on your website, and in every advertisement.

Colorado did not ban delegation to unlicensed staff. It made you announce it — which is a much sharper instrument than a ban.