Alabama scope of practice for med spas

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