Alaska scope of practice for med spas

Who may perform which procedures, and under what supervision, by state. Below are the Alaska rules that govern it, each linked to its primary source.

RN / NP scope for injectables in Alaska

The Alaska Nursing statutes let a registered, advanced practice registered or practical nurse delegate nursing duties to other persons including unlicensed assistive personnel, under board regulations, and a delegate may perform those duties without any nursing license of their own provided they meet the board’s requirements. AS 08.68.850 defines an advanced practice registered nurse as one certified to perform acts of medical diagnosis and to prescribe and dispense medical, therapeutic or corrective measures under board regulations. And the regulation that would require physician collaboration is no longer there. In the board’s advanced-practice article the collaboration slot reads “12 AAC 44.410. Collaborative relationship. Repealed 12/1/84.”, as does the remote-location rule beside it; prescriptive authority runs from the board to the nurse on the nurse’s own application; and scope follows statements of national professional nursing associations recognized by the board. These claims address AS 08.68.805 and AS 08.68.850 and the cited provisions of 12 AAC 44.400 through 44.480; they do not survey the rest of Title 12, and the physician assistant rules on this page are a different article with a different answer — effective September 16, 2026, the Medical Board’s SB89 guidance allows facility-specific collaboration exemptions under AS 08.64.107(d), requires written attestation when an agreement is required, and removes collaborating-physician approval of PA prescriptive authorization. Inconsistent older PA regulations have lost force.

  • A registered, advanced practice registered, or practical nurse licensed under this chapter may delegate nursing duties to other persons, including unlicensed assistive personnel, under regulations adopted by the board.

    AS 08.68.805 (Delegation of nursing functions) · verified Sep 5, 2026

  • A person to whom the nursing duties are delegated may perform the delegated duties without a license or certificate under this chapter if the person meets the applicable requirements established by the board.

    AS 08.68.805 (Delegate may act without a nursing license) · verified Sep 5, 2026

  • means a registered nurse licensed to practice in the state who, because of specialized education and experience, is certified to perform acts of medical diagnosis and the prescription and dispensing of medical, therapeutic, or corrective measures under regulations adopted by the board;

    AS 08.68.850(1) (Definition of advanced practice registered nurse) · verified Sep 5, 2026

  • Effective September 16, 2026, a physician associate may practice without a collaborative agreement at a facility directed by a licensed physician, osteopath or podiatrist; a Department of Health licensed facility; a federal or tribal facility; a federally qualified health center or rural health clinic; or a military and veterans’ facility, after submitting the required attestation. At other facilities the PA must apply for and receive the board’s exemption approval. The exemption is facility-specific; the board must be notified of a facility change. Otherwise a collaborative agreement and written attestation are required.

    Alaska State Medical Board SB89 implementation FAQs, p. 1 (AS 08.64.107(d)) · verified Oct 23, 2026

  • Under the law effective September 16, 2026, physician associates are not subject to approval from a collaborating physician for their prescriptive authorization.

    Alaska State Medical Board SB89 implementation FAQs, p. 3 (prescriptive authorization) · verified Oct 23, 2026

  • Effective September 16, 2026, parts of 12 AAC 40.400–40.490 lost the force of law because the revised statute overrides inconsistent regulations; the board’s redlined regulations identify text that no longer applies.

    Alaska State Medical Board SB89 implementation FAQs, p. 4 (superseded regulations) · verified Oct 23, 2026

  • Alaska answers this by what its rule book no longer contains. The slot in the advanced-practice article that would carry a physician-collaboration requirement reads, in full, “12 AAC 44.410. Collaborative relationship. Repealed 12/1/84.” — as does “12 AAC 44.435. Advanced nurse practitioner in remote location. Repealed 12/1/84.” Prescribing runs between the board and the nurse with no physician in the chain: “The board may authorize an advanced practice registered nurse (APRN) to prescribe and dispense legend drugs in accordance with applicable state and federal laws”, on the nurse’s own application, current APRN designation and 15 contact hours of advanced pharmacology. Scope is set the same way — the board “recognizes advanced and specialized acts of nursing practice as those described in the scope of practice statements published by national professional nursing associations recognized by the board”. These claims survey 12 AAC 44.400 through 44.480, the APRN article; they do not survey the rest of Title 12.

    12 AAC 44.410, 44.430, 44.435, 44.440 (APRN article — collaboration rule repealed; scope and prescriptive authority) · verified Sep 8, 2026

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MedSpaRadar is regulatory monitoring and reference: it summarizes public laws, regulations and agency actions and links each to its source. It is not legal, medical, or compliance advice, and using it creates no attorney-client relationship. A summary can lag its source or leave out detail, and monitoring itself can be interrupted — so an absence of alerts means nothing reached you, not that nothing happened. Read the cited source, check its effective date, and confirm any change to your operations or clinical practice with qualified health-law counsel and your medical director.