Indiana medical director requirements for med spas

Physician supervision & delegation in Indiana

Indiana defines the practice of medicine broadly enough to reach injectables and energy procedures: prescribing or administering treatment, and procedures that cut, burn or vaporize tissue, are the practice of medicine.

• The “practice of medicine” includes prescribing or administering any form of treatment and procedures that cut, burn, or vaporize tissue by mechanical means, laser, or penetration of the skin — the statutory basis for treating cosmetic injectables and energy-device procedures as medicine.

  Ind. Code §25-22.5-1-1.1 · verified Jul 26, 2026

• INDIANA’S ESTHETICIAN DEFINITION WAS READ IN FULL AND IS A CLOSED LIST WITH A MEDICAL CARVE-OUT. An esthetician is “A PERSON WHO ENGAGES SOLELY IN ONE (1) OR MORE OF THE FOLLOWING PRACTICES”: “GIVING FACIALS, APPLYING MAKEUP, AND GIVING SKIN CARE”; “BEAUTIFYING, MASSAGING, OR CLEANING THE BODY WITH THE USE OF COSMETIC PREPARATIONS, ANTISEPTICS, TONICS, LOTIONS, OR CREAMS”; and removing superfluous hair “BY THE USE OF DEPILATORIES, WAXING, OR TWEEZERS”. The term expressly “DOES NOT INCLUDE PERFORMING ANY OF THE ACTS DESCRIBED IN SUBSECTION (A)… IN TREATING AN ILLNESS OR A DISEASE” No act of puncturing appears — an absence in this definition.

  Ind. Code § 25-8-2-9.5 · verified Sep 2, 2026

• Each med spa must have a responsible practitioner (a physician, a qualifying APRN, or a PA with delegated prescriptive authority) with relevant training, who must be physically present enough to ensure compliance and must ensure every worker is licensed and trained for the services they perform.

  Ind. Code §25-22.5-12.5-2, §25-22.5-12.5-5 (SEA 282, 2026) · verified Jul 26, 2026

Recent Indiana changes

• IN SB0282: Compounding drugs; registration of medical spas.Mar 5, 2026