MedSpaRadar monitors all 50 state legislatures, licensing boards, the FDA and the Federal Register for changes affecting med spas — GLP-1 and peptide compounding, scope of practice, supervision — then tells you what changed, why it matters, and what to review next.
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Ownership rules for health care facilities in Illinois affect med spas.
What to do
With the repeal of the January 1, 2027, inoperative date regarding ownership changes, ensure that your change of ownership applications comply with the new notice provisions, particularly the requirement to notify the Attorney General about 'covered transactions' involving private equity companies.
Select a state and see the regulatory intelligence MedSpaRadar has already sourced — each answer cited to the statute or board rule, and checked against it.
“Source verified” means the cited sentence was checked against the statute or board rule it names. An empty row means we hold no citation yet — not that the state is silent.
Every potentially relevant change is scored for impact.
—Relevant to med spas?
—Material, or background?
—Which jurisdiction?
—Is there something specific to do?
03Alert
You receive the conclusion — not a pile of documents.
—What changed
—Why it matters
—What to review (members)
—The primary source, linked
Anything eligible to reach your inbox is approved by a person first. Two high-volume federal record feeds — import refusals and inspection citations — publish straight to the feed and can never email you. Read the methodology →
Membership
Knowing what changed isn’t enough.
You need to know what to do next.
01 What changed?
A plain-language summary of the change. · Free
02 Does this affect me?
Mapped to the states you operate in. · Free
03 What should I do?
The concrete review step, where the change calls for one. · Members
Every relevant change. Every source. Every review step. One dated document — generated for your states, printable, and ready to hand to your medical director or counsel. Included with Solo-State and All Access.
Launch rate through September 30, 2026 — then $39/mo. Start before it closes and your rate stays $29 for as long as you’re a member — or $290/yr (2 months free).
Everything in Free
A Compliance Brief for your state
The “what to do” on your state’s alerts
Emailed when we publish — not held for the weekly Brief
Federal and nationally significant alerts
Every plan includes all federal FDA, FTC & Federal Register coverage. The label is what we hold that is specific to that state — we scan all 50 state legislatures daily and add state items as they surface.
What your state’s law says about a compounded GLP-1 or peptide program, each answer quoted from its statute. Confirmed in 10 states so far — pick your state above to check.
Delegation, supervision, good-faith exam, ownership and the disciplinary landscape for your state — statute-cited, plus who on your staff may perform which procedure and up to what limit.
Source-linked compliance intelligence across your client roster — a per-client Compliance Brief under your firm’s name, seats for colleagues, and a license for client work.
Each standing links to its government source; where only trade-press reporting exists, it’s marked reported until the FDA primary record posts. Monitoring, not legal advice.
A real snapshot from the live pipeline — refreshed on every deploy, never a mockup.
The deliverable
The document your attorney wants on file
The Peptide & GLP-1 Status Pack is the current federal standing of every tracked substance — 503A/503B bulks status, PCAC reviews, FDA actions — each linked to its primary source and dated. When a PCAC review moves a substance, the standing changes and the record updates.
Who may inject, microneedle or run a laser moves by statute and board rule.
Supervision
Medical-director, delegation and exam rules differ state to state.
GLP-1 / compounding
A shortage-list move or FDA action changes what can be compounded.
Enforcement
Warning letters, recalls and board discipline arrive without notice.
Tracking it yourself means reading bills across 50 legislatures, the Federal Register, FDA actions, court dockets and state boards — every week. That is the work MedSpaRadar does.
Enforcement radar
Enforcement isn’t theoretical.
Real FDA and FTC actions — recalls, warning letters, enforcement — against products med spas buy. If your supplier lands here, it is your problem too.
Compounded GLP-1, fees to a non-clinical owner, esthetician microneedling, and what it costs to open — every state on one grid. Each cell names the statute or board rule, links to the publisher, and carries the date the sentence was checked against that document.
Each page answers one question for every state whose rules we have read against the primary source, with the citation beside each answer. The count is states cited, not a claim about the rest.
MedSpaRadar is the early-warning layer between regulatory publication and your compliance process. It is monitoring, not legal advice.
FAQ
Questions, answered plainly
GLP-1 compounding, scope of practice, supervision, and how MedSpaRadar works. Monitoring, not legal advice.
How is MedSpaRadar different from AmSpa, a compliance consultant, or Google Alerts?
They do different jobs, and most practices want more than one of them. MedSpaRadar is continuous monitoring: it reads all 50 state legislatures plus the FDA and Federal Register every day, and polls 44 further primary sources every 2 hours — the regulatory text itself, federal court dockets, drug labels and state licensing boards — scores each change for its impact on aesthetic practices, has a human review it, and tells you in plain language what changed and what to do, linked to the primary source. A trade association is membership, education, events and a peer community. A consultant or attorney applies the rules to your specific facts, which is something we will never do — we are not a law firm and this is not legal advice. Google Alerts match keywords; they do not parse bills or FDA actions for med-spa relevance. MedSpaRadar is the layer that tells you a rule moved, so you can take it to the people above. See our side-by-side comparison with AmSpa membership for published prices and what each includes.
Is MedSpaRadar legal or compliance advice?
No. MedSpaRadar is regulatory monitoring, not legal, medical, or compliance advice. We surface relevant changes early and link you to the primary source so you and your counsel can act on them. Always verify against the primary source and consult qualified counsel before making compliance decisions.
How fast will I know about a regulatory change?
We do not publish a speed figure, because we have not measured one over a long enough window to stand behind it — and an invented number is exactly the kind of claim this product exists not to make. What we can tell you is the method: sources are scanned daily, a monitoring tier polls 44 primary sources every 2 hours, and that tier includes the Federal Register's public-inspection desk, where federal documents are filed ahead of the date they publish under. Material changes are reviewed by a person and published to your feed and the weekly MedSpaRadar Brief. Every alert is human-reviewed before publishing, because a wrong compliance alert is worse than none.
Which states and agencies does MedSpaRadar monitor?
We scan all 50 state legislatures plus Washington, DC via LegiScan daily, plus federal activity from the U.S. Federal Register and the FDA — including the FDA drug-shortage database, the key signal for GLP-1 compounding legality. On top of that, a monitoring service reads 44 primary sources directly every 2 hours: 14 federal, including the Federal Register's public-inspection desk, the 21 CFR amendment log, FDA MedWatch, recalls, health-fraud alerts, criminal-enforcement announcements, federal court dockets and drug-label revisions; and 30 state — medical, osteopathic, pharmacy and nursing boards, professional-licensing offices, and attorneys general across 22 states: Alabama, Arizona, California, Colorado, Delaware, Florida, Georgia, Idaho, Massachusetts, Minnesota, Montana, New Jersey, New Mexico, New York, North Carolina, North Dakota, Oregon, Pennsylvania, Texas, Utah, Washington, Wisconsin. That is the monitoring scope — what we read, not what we send. Not every state has had a med-spa-relevant change yet, so you see the states that have (federal alerts apply everywhere). Every alert links directly to its primary source so you can verify it in one click.
Is MedSpaRadar free, and how much does it cost?
There is a free tier, two subscription levels, and one-time reports. Free: subscribe with your email for the weekly MedSpaRadar Brief and see what changed across everything we watch — all 50 state legislatures, the FDA, and the Federal Register. Solo-State ($29/month — a launch rate through September 30, 2026, then $39) watches a single state daily, with its own Compliance Brief and a specific what-to-do wherever a change in it calls for one, plus federal and nationally-significant alerts. All-Access ($99/month founding for the first 50 practices, then $149) covers every state we monitor, with the Compliance Brief across all your states, the GLP-1 Compounding Intelligence view, and the compliance checklists. Prefer to buy once? The $49 State Compliance Snapshot needs no subscription and is credited toward one if you subscribe within 30 days. Monitoring, not legal advice.
More questions (13)
Do I have to subscribe, or can I buy a one-time report?
You can buy once — no subscription required. The $49 State Compliance Snapshot is an instant, source-linked report of every published med-spa and injectable change for your state, with the federal record included; if you subscribe within 30 days, the $49 is credited toward it. The $99 Peptide & GLP-1 Status Pack adds what your state's law says about a compounded GLP-1 or peptide program — office use, sterile licensing, out-of-state suppliers and dispensing — and is sold only where we have confirmed at least three of those four answers from cited law (currently Alaska, California, Colorado, Connecticut, Florida, Georgia, Idaho, Iowa, Mississippi and Texas); its price is credited toward a subscription the same way, and the federal standings on their own stay free on /tracker. All-Access members get every pack included for their states. Monitoring, not legal advice.
Can med spas legally compound or sell semaglutide and tirzepatide?
It depends on two things that change frequently: whether the drug is on the FDA shortage list, and your state’s rules. Under federal law (sections 503A and 503B), a compounder generally may not make a copy of a commercially available drug — being on the FDA shortage list has been the main exception that allowed compounded semaglutide and tirzepatide. When the FDA declared those shortages resolved, the basis for compounded versions narrowed sharply. MedSpaRadar tracks FDA shortage status and state action daily so you know when it changes. This is regulatory monitoring, not legal advice.
Can med spas compound peptides like BPC-157, KPV, or TB-500?
It depends on whether the peptide is on the FDA’s 503A Bulks List — and as of the July 2026 Pharmacy Compounding Advisory Committee (PCAC) meetings, none of the headline peptides are. PCAC recommended further review of BPC-157, KPV, TB-500, and MOTS-c, but a recommendation is not a legal status change: FDA is not bound by it, and actually permitting 503A compounding requires notice-and-comment rulemaking, commonly 8–12 months. So these remain not compoundable under 503A today. FDA has separately scheduled a further PCAC meeting by the end of February 2027 for five more peptides (GHK-Cu, Melanotan II, LL-37, Dihexa, PEG-MGF). We track each substance’s current standing, with its government source and date, on the MedSpaRadar substance tracker. This is regulatory monitoring, not legal advice.
Where can I check the current FDA compounding status of a specific peptide or GLP-1?
The MedSpaRadar substance tracker lists every peptide and GLP-1 we monitor with its current federal standing — 503A Bulks List status, PCAC review history, and any state overlay — each linked to the government document it came from and dated. Where an outcome has so far only been reported by trade press (as with the July 2026 PCAC votes), it is marked "reported" until FDA’s primary record posts, so the tracker never overstates its own sourcing. It is free to view. Monitoring, not legal advice.
What is the FDA drug shortage list, and why does it matter for GLP-1s?
The FDA drug shortage list is a primary factor in whether compounding pharmacies (503A) and outsourcing facilities (503B) may prepare copies of a drug such as semaglutide or tirzepatide. When a GLP-1 comes off the shortage list, that basis for compounding generally ends — often after a short wind-down period. We monitor the list and alert you as soon as a GLP-1’s status changes.
What is the difference between 503A and 503B compounding?
503A pharmacies compound patient-specific prescriptions; 503B outsourcing facilities make larger batches under tighter FDA oversight and cGMP standards. For GLP-1s, both pathways generally hinge on FDA shortage status. The distinction drives which compounded products a med spa can legally source and from whom — so a change to either pathway can affect your supply overnight.
Do I need a medical director or supervising physician to run a med spa?
In most states, yes. Aesthetic procedures like injectables and lasers are considered the practice of medicine, which typically requires a physician owner, a medical director, or a supervising/delegating physician relationship. The specifics — ownership rules, delegation, chart review, and how often the physician must be involved — vary by state and change through legislation, which is exactly what MedSpaRadar tracks.
What is a good-faith exam requirement for med spas?
A good-faith exam (GFE) is a clinical evaluation required before a patient is treated — for example before Botox or filler — to establish a valid provider-patient relationship and a treatment order. States increasingly regulate who may perform the GFE and whether it can be done over telehealth. New GFE rules are one of the most common scope-of-practice changes we surface.
Can a nurse, NP, or PA inject Botox or filler without a doctor present?
It varies widely by state. Some states grant nurse practitioners broad independent authority; others require a delegating or supervising physician, an established good-faith exam, or physician availability. Because these scope-of-practice rules change through state legislation and licensing-board action, the safe answer is state-specific — and it moves. MedSpaRadar monitors all 50 states and DC for exactly these changes.
How does a med spa stay compliant with constantly changing regulations?
The practical challenge is awareness: rules change through hundreds of state bills plus FDA and Federal Register activity every session, and a single missed change can put a license or the business at risk. MedSpaRadar monitors all of those sources daily, scores each change for impact, and tells you in plain language what changed and what to do — so compliance starts with knowing first.
Does MedSpaRadar alert me on everything it monitors?
No, and that is deliberate. Monitoring is what we read; alerts are what we send, and the second is much smaller than the first. We poll 44 primary sources every 2 hours on top of the legislative and federal sweep, and store every item with the publisher's own payload and the time we first saw it. Most of what that catches is real, sourced, and irrelevant to a practice — single-shipment border records, routine facility citations, agency notices about other industries. A human reviews what is material before anything is published, and publishing is itself a separate decision from emailing. A wider net means fewer things missed, not more things in your inbox.
Can I get MedSpaRadar data into my own systems — is there an API?
Yes. There is a free, public tier that needs no subscription: peptide and GLP-1 substance standings, per-state coverage posture, and freshness metadata, documented at medsparadar.com/api. Any paid plan additionally includes API access to the cited rules corpus and the changes feed for the states that plan covers — you issue the key yourself from your dashboard, no sales call. That key is licensed for internal use: pointing your own dashboard, matter-management system, or a recurring internal check at it. Redistributing the corpus inside something you hand a third party — a client report, a portal, a product you sell — is a separate redistribution licence, scoped with us first. Every response carries its own attribution, including the LegiScan CC BY 4.0 line. Monitoring, not legal advice.
Who is MedSpaRadar for?
Med-spa owners, injectors, nurse practitioners, medical directors, and practice managers — anyone who offers GLP-1 weight-loss programs, injectables, or other aesthetic services and cannot afford to miss a scope-of-practice or compounding change that affects their license or their business.