Does a med spa in each state need a medical director
The same question, answered for 6states 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.
Oversight · part of The Practice Perimeter
Arizona
Arizona regulates individual licensees, not procedures by name; delegation flows through the Medical Practice Act.
A.R.S. §32-1401 · verified Jul 26, 2026
The full Arizona answer, with the rest of the section →California
In California, using prescriptive drugs (Botox, fillers) and prescriptive/energy devices (lasers, IPL) for cosmetic reasons IS the practice of medicine.
Cal. Bus. & Prof. Code §2052; Medical Board of California — Medical Spas guidance · verified Jul 26, 2026
The full California answer, with the rest of the section →Florida
Florida regulates cosmetic procedures through the physician’s duty to supervise and to delegate only to qualified people — not a single “cosmetic procedures” statute.
Fla. Stat. §458.331(1)(w) · verified Jul 26, 2026
The full Florida answer, with the rest of the section →Indiana
Indiana defines the practice of medicine broadly; injectables and energy procedures are the practice of medicine unless performed by a licensed professional within scope or under proper delegation.
Ind. Code §25-22.5-1-1.1 · verified Jul 26, 2026
The full Indiana answer, with the rest of the section →New York
New York has no statute naming cosmetic procedures. It reaches them through the definition of the practice of medicine, plus the physician’s own duties not to delegate to the unqualified and not to permit unlicensed practice.
N.Y. Educ. Law §6521 · verified Aug 17, 2026
The full New York answer, with the rest of the section →Texas
Cosmetic injections, fillers, and cosmetic laser use are medical acts a physician may delegate under supervision. As of Jan 9, 2025 the governing Board rules are in 22 TAC Chapter 169.
Tex. Occ. Code §157.001 · verified Jul 26, 2026
The full Texas answer, with the rest of the section →Which states this covers
6 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.
What we track in every state →Get regulatory changes as they publish
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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).