Illinois scope of practice for med spas

RN / NP scope for injectables in Illinois

Illinois grants APRNs full practice authority on conditions, and the regulator spells out where that authority stops. It is unusually explicit about the ceiling: local anesthetic only, and no operative surgery.

• An advanced practice registered nurse with full practice authority may practice without a written collaborative agreement in all settings consistent with national certification, and may prescribe legend drugs and Schedule II to V controlled substances. That authority expressly does not include operative surgery, and extends to the use of local anesthetic only.

  225 ILCS 65/65-43 · verified Aug 17, 2026

• A registered professional nurse may delegate nursing interventions to other registered nurses, licensed practical nurses and unlicensed personnel, but only on a comprehensive nursing assessment covering the stability and condition of the patient, the potential for harm, the complexity of the intervention, the predictability of outcomes and the competency of the person being delegated to. The nurse may refuse to delegate, or stop or rescind a delegation already given.

  225 ILCS 65/50-75 · verified Aug 17, 2026

• The laser rule’s exceptions preserve the separate scopes of dentists, podiatrists, advanced practice nurses working under collaborative agreements, physician assistants working under written guidelines, and electrologists — each may perform procedures within their own licensed scope.

  68 Ill. Adm. Code 1285.336(c) · verified Aug 17, 2026

Recent Illinois changes

• IL HB4281: Certified Medical EstheticianJan 7, 2025