Med Spa Laws by State: Who Can Do What
We ask every state the same questions. Each page below answers one of them for every state whose rules we have read against the primary source, with the citation beside each answer — so you can see where the states agree, and where they do not.
27 comparisons · the widest covers 51 states · latest individual source check: Oct 23, 2026
Ownership & corporate practice of medicine
- Can a non-physician own a med spa, state by stateNon-physician ownership51 states
- What limits does each state place on a med spa's business structureStructure limits51 states
- Can a management company run the business side of a med spa, state by stateManagement companies (MSO)7 states
- Can private equity invest in a med spa, state by statePrivate-equity investment6 states
- In each state, may a non-clinical owner or manager be paid a share of revenueFees to a non-clinical owner40 states
Physician supervision & delegation
- Does a med spa in each state need a medical directorMedical director required?51 states
- What must the supervising physician actually do, state by stateSupervising physician duties34 states
- Who may operate a cosmetic laser, state by stateLaser & energy devices41 states
- Can a medical assistant give injections, state by stateMedical assistants38 states
- May an esthetician or laser technician perform microneedling, state by stateEsthetician microneedling51 states
Good-faith examination
- Is an exam required before a patient can be treated, state by stateExam before treatment51 states
- Can the pre-treatment exam be done by telehealth, state by stateTelehealth exams51 states
- Who may perform the pre-treatment exam, state by stateWho performs the exam9 states
- Must someone be on site while a patient is treated, state by stateOn-site presence28 states
- Can a med spa in each state offer compounded semaglutide or tirzepatideCompounded GLP-151 states
RN / NP scope for injectables
Med-spa registration & licensing
- Does a med spa have to register or hold a license, state by stateRegistration & licensing51 states
- Who must be the responsible practitioner for a med spa, state by stateResponsible practitioner5 states
- What must a med spa in each state report to the boardReporting duties23 states
- What are the license fees to open a med spa, state by stateLicense fees51 states
Advertising rules
Disciplinary landscape
These comparisons cover the states whose rules we have read and cited. They say nothing about the states that are absent — a state missing from an answer means we do not hold a citation for it, not that the answer there is no.
Looking for one state rather than one question? Browse by state. Every state on one grid? At a glance.
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