Med Spa Laws by State

Most states have no single statute called “med spa law.” The rules that decide how a med spa runs sit in three places: who may own a business that practices medicine, who may perform each treatment and under whose order, and whether the location needs its own license or registration. This page links the researched page for each state, with the citation behind every answer.

What to check in your state

  1. Ownership. Whether a non-physician may own the entity that provides medical services, or whether you need a physician-owned practice and a separate management company. How the PC-MSO structure works.
  2. The physician. Who may serve as medical director or delegating physician, and how available they must be. Medical director requirements, explained.
  3. The exam and the order. Who performs the good faith exam before a prescription treatment, and whether it may happen by telehealth. Good faith exam rules.
  4. Scope by treatment. Who may inject, run a laser or start an IV. Who can inject Botox, by state.
  5. Facility rules. Some states license or register the location itself, such as Florida health care clinic licensure and the Tennessee med spa registry.

Med spa rules for all 50 states, DC and Puerto Rico

State Medical director and ownership Good faith exam
Alabama Alabama medical director and ownership rules Alabama good faith exams
Alaska Alaska medical director and ownership rules Alaska good faith exams
Arizona Arizona medical director and ownership rules Arizona good faith exams
Arkansas Arkansas medical director and ownership rules Arkansas good faith exams
California California medical director and ownership rules California good faith exams
Colorado Colorado medical director and ownership rules Colorado good faith exams
Connecticut Connecticut medical director and ownership rules Connecticut good faith exams
Delaware Delaware medical director and ownership rules Delaware good faith exams
District of Columbia District of Columbia medical director and ownership rules District of Columbia good faith exams
Florida Florida medical director and ownership rules Florida good faith exams
Georgia Georgia medical director and ownership rules Georgia good faith exams
Hawaii Hawaii medical director and ownership rules Hawaii good faith exams
Idaho Idaho medical director and ownership rules Idaho good faith exams
Illinois Illinois medical director and ownership rules Illinois good faith exams
Indiana Indiana medical director and ownership rules Indiana good faith exams
Iowa Iowa medical director and ownership rules Iowa good faith exams
Kansas Kansas medical director and ownership rules Kansas good faith exams
Kentucky Kentucky medical director and ownership rules Kentucky good faith exams
Louisiana Louisiana medical director and ownership rules Louisiana good faith exams
Maine Maine medical director and ownership rules Maine good faith exams
Maryland Maryland medical director and ownership rules Maryland good faith exams
Massachusetts Massachusetts medical director and ownership rules Massachusetts good faith exams
Michigan Michigan medical director and ownership rules Michigan good faith exams
Minnesota Minnesota medical director and ownership rules Minnesota good faith exams
Mississippi Mississippi medical director and ownership rules Mississippi good faith exams
Missouri Missouri medical director and ownership rules Missouri good faith exams
Montana Montana medical director and ownership rules Montana good faith exams
Nebraska Nebraska medical director and ownership rules Nebraska good faith exams
Nevada Nevada medical director and ownership rules Nevada good faith exams
New Hampshire New Hampshire medical director and ownership rules New Hampshire good faith exams
New Jersey New Jersey medical director and ownership rules New Jersey good faith exams
New Mexico New Mexico medical director and ownership rules New Mexico good faith exams
New York New York medical director and ownership rules New York good faith exams
North Carolina North Carolina medical director and ownership rules North Carolina good faith exams
North Dakota North Dakota medical director and ownership rules North Dakota good faith exams
Ohio Ohio medical director and ownership rules Ohio good faith exams
Oklahoma Oklahoma medical director and ownership rules Oklahoma good faith exams
Oregon Oregon medical director and ownership rules Oregon good faith exams
Pennsylvania Pennsylvania medical director and ownership rules Pennsylvania good faith exams
Puerto Rico Puerto Rico medical director and ownership rules Puerto Rico good faith exams
Rhode Island Rhode Island medical director and ownership rules Rhode Island good faith exams
South Carolina South Carolina medical director and ownership rules South Carolina good faith exams
South Dakota South Dakota medical director and ownership rules South Dakota good faith exams
Tennessee Tennessee medical director and ownership rules Tennessee good faith exams
Texas Texas medical director and ownership rules Texas good faith exams
Utah Utah medical director and ownership rules Utah good faith exams
Vermont Vermont medical director and ownership rules Vermont good faith exams
Virginia Virginia medical director and ownership rules Virginia good faith exams
Washington Washington medical director and ownership rules Washington good faith exams
West Virginia West Virginia medical director and ownership rules West Virginia good faith exams
Wisconsin Wisconsin medical director and ownership rules Wisconsin good faith exams
Wyoming Wyoming medical director and ownership rules Wyoming good faith exams

Rules change. Each state page shows when it was last verified, and the citations link to the statute or board rule itself.

Book a call and tell us the states you operate in. We start by reading the rule that applies to you.


General information, not legal advice. Requirements differ by state and change often. Confirm your obligations with counsel licensed where you operate.

Medical direction. Victor D. Cruz, MD, Systems Medical Director, licensed in Florida (ME117105) and New York, directs structure, corporate practice of medicine, delegation and good faith exams. This states who carries clinical responsibility for this subject area. It is not a page-level review: pages that have been reviewed name the reviewer and show the date. How this site is written and checked.