Alabama scope of practice for med spas
Who may perform which procedures, and under what supervision, by state. Below are the Alabama rules that govern it, each linked to its primary source.
RN / NP scope for injectables in Alabama
Alabama sorts the staff into two named tiers for energy-device work. a level 1 DELEGATE is a physician assistant, a certified registered nurse practitioner or a registered nurse authorized in a written job description or protocol to use a specific device for non-ablative procedures, who has met the Level 1 educational requirements. A LEVEL 2 DELEGATE is an LPN or a medical assistant — the rule names aestheticians, cosmetologists and laser technicians in that tier — on the same written-authorization and education conditions. Separately, a certified registered nurse practitioner in collaborative practice may evaluate health status from a comprehensive history and physical examination, formulate a working diagnosis and develop a treatment plan.
(5) Level 1 Delegate - A Level 1 Delegate is an assistant to physicians (PA) as defined in Ala. Code § 34-24-290, a certified registered nurse practitioner, or registered nurse (RN) authorized in a written job description or protocol to use a specific laser/pulsed light device or other energy source, chemical or other modality for non-ablative procedures, as designated in the written job description or protocol, and who has met the educational requirements for a Level 1 Delegate stated in these rules.
Ala. Admin. Code r. 540-X-11-.02(5) (definition of “Level 1 Delegate”) · verified Sep 4, 2026
(6) Level 2 Delegate - A Level 2 Delegate is a licensed practicing nurse (LPN) or medical assistant to include Medical Examiners Chapter 540-X-11 Revised 3/16/26 11-3 aestheticians, cosmetologists, and laser technicians authorized in a written job description or protocol to use a specific laser/pulsed light device or other energy source, chemical or other modality for non-ablative procedures, as designated in the written job description or protocol, and who has met the educational requirements for a Level 2 Delegate as stated in these rules.
Ala. Admin. Code r. 540-X-11-.02(6) (definition of “Level 2 Delegate”) · verified Sep 4, 2026
(a) Evaluate current health status and risk factors of individuals based on comprehensive health history and comprehensive physical examinations and assessments. (b) Formulate a working diagnosis, develop and implement a treatment plan, and evaluate/modify therapeutic regimens to promote positive patient outcomes.
Ala. Admin. Code r. 540-X-8 (Certified registered nurse practitioner — services) · verified Sep 4, 2026
There shall be no practice by a physician assistant who is not licensed and registered by the Board, and there shall be no independent practice by a physician assistant who is licensed and/or registered by the Board.
Ala. Admin. Code r. 540-X-7-.27(2)–(3) (Prohibited activities and functions — physician assistants) · verified Sep 8, 2026
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