Michigan scope of practice for med spas
Who may perform which procedures, and under what supervision, by state. Below are the Michigan rules that govern it, each linked to its primary source. Monitoring and reference, not legal advice.
RN / NP scope for injectables in Michigan
Michigan reaches advanced practice through a SPECIALTY CERTIFICATION granted by the Board of Nursing rather than a separate license, and defines practical nursing as performed under the supervision of an RN, physician or dentist.
⚠️ § 17201 defines what an advanced practice registered nurse IS in Michigan; it does not settle whether one may practice or prescribe without physician involvement. Michigan routes prescriptive and delegated authority through § 333.16215 and the specialty-certification rules, and this corpus has not yet read the provisions that govern an APRN’s independence — so do not read the definition below as an answer to that question.
Mich. Comp. Laws § 333.17201 (scope of this section) · verified Sep 2, 2026 · read at Internet Archive snapshot — evidence of a page, not the current rule
An “advanced practice registered nurse” in Michigan is a registered professional nurse who has been granted a SPECIALTY CERTIFICATION under § 17210 in nurse midwifery, NURSE PRACTITIONER, or clinical nurse specialist. The status is a certification layered on the RN license, not a distinct license of its own. (Complete through PA 9 of 2026.)
Mich. Comp. Laws § 333.17201(1)(a) · verified Sep 2, 2026 · read at Internet Archive snapshot — evidence of a page, not the current rule
The Board of Nursing may grant that specialty certification to a registered professional nurse who has advanced training beyond that required for initial licensure AND who has demonstrated competency through examination or other evaluative processes. Training alone does not confer it; the Board does. (Complete through PA 74 of 2025.)
Mich. Comp. Laws § 333.17210(1) · verified Sep 2, 2026 · read at Internet Archive snapshot — evidence of a page, not the current rule
Practical nursing is defined by BOTH a lower knowledge threshold and a supervision requirement: the practice of nursing based on less comprehensive knowledge and skill than that required of a registered professional nurse, AND performed under the supervision of a registered professional nurse, physician, or dentist. An LPN in Michigan is never unsupervised by definition.
Mich. Comp. Laws § 333.17201(1)(d) · verified Sep 2, 2026 · read at Internet Archive snapshot — evidence of a page, not the current rule
MICHIGAN MAKES THE WRITTEN AGREEMENT THE PRECONDITION, NOT THE PARAGRAPH AFTERWARDS. “A physician’s assistant shall not engage in the practice as a physician’s assistant except under the terms of a practice agreement that meets the requirements of this section.” It must set out a process for communication, availability and decision making; an alternative physician for consultation when the participating physician is not available; both signatures; a 30-day written termination provision; the duties and responsibilities of each; and a requirement that the participating physician verify the physician assistant’s credentials. ⛔ IT MAY NOT ASSIGN WHAT EITHER OF THEM CANNOT DO: the agreement “shall not include as a duty or responsibility of the physician’s assistant or participating physician an act, task, or function that the physician’s assistant or participating physician is not qualified to perform by education, training, or experience and that is not within the scope of the license held” by them.
Mich. Comp. Laws § 333.17047 (Practice agreement required; contents) · verified Sep 8, 2026 · read at Internet Archive snapshot — evidence of a page, not the current rule
AND THE BOARD KEEPS A VETO OVER PARTICULAR PROCEDURES. “To the extent that a particular selected medical care service requires extensive medical training, education, or ability or poses serious risks to the health and safety of patients, the board may prohibit or otherwise restrict the delegation of that medical care service or may require higher levels of supervision”, and it may restrict such a service within a practice agreement on the same grounds. On drugs the department, in consultation with the board, “may promulgate rules concerning the prescribing of drugs by a physician’s assistant” and those rules “may define the drugs or classes of drugs that a physician’s assistant may not prescribe”.
Mich. Comp. Laws § 333.17048(1)-(2) (board may restrict delegation; prescribing rules) · verified Sep 8, 2026 · read at Internet Archive snapshot — evidence of a page, not the current rule
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