Can a management company run the business side of a med spa, state by state
The same question, answered for 4states from each state’s own law. States disagree on this, which is the point — an answer that is right in one is wrong next door. Every entry below is a statute or board rule we verified, most recently Aug 17, 2026.
Ownership · part of The Practice Perimeter
California
A lay-owned management services organization (MSO) may provide administrative/back-office services by contract, but may not control medical records, clinical hiring/firing, coding/billing, or the selection of medical equipment or drugs — doing so is illegal corporate practice of medicine.
Medical Board of California — Medical Spas guidance · verified Jul 26, 2026
The full California answer, with the rest of the section →Indiana
An employment or other contractual relationship between an entity and a licensed physician is not the unlawful practice of medicine, as long as the entity does not direct or control the physician’s independent medical acts, decisions, or judgment. So a non-physician-owned entity may employ physicians without controlling their clinical judgment.
Ind. Code §25-22.5-1-2(c) · verified Jul 26, 2026
The full Indiana answer, with the rest of the section →New York
Permitting any person to share in the fees for professional services is professional misconduct, except for a partner, employee, associate in a professional firm or corporation, professional subcontractor or consultant authorized to practice medicine, or a supervised trainee. The prohibition expressly reaches a management arrangement in which the payment for furnishing space, facilities, equipment or personnel services is a percentage of, or is otherwise dependent upon, the licensee’s income or receipts from the practice.
N.Y. Educ. Law §6530(19) · verified Aug 17, 2026
The full New York answer, with the rest of the section →Texas
Even a certified organization may not interfere with, control, or otherwise direct a physician’s professional judgment.
Tex. Occ. Code §162.0021 · verified Jul 26, 2026
The full Texas answer, with the rest of the section →Which states this covers
4 of the 6 states for which we publish statute-cited rules. That is not every state, and nothing above should be read as describing one that is not listed — the answer genuinely differs, so a neighbouring state is not a guide. We monitor all 50 state legislatures plus the FDA and the Federal Register daily; the cited rule set is narrower than the monitoring and is growing on its own timetable.
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Med Spa Radar is regulatory monitoring and reference, not legal, medical, or compliance advice. Verify against the linked primary source and consult qualified counsel before acting — rules change and turn on your specific facts. Legislative data via LegiScan (CC BY 4.0).