Does a med spa in Montana need a medical director?
Oversight · part of The Practice Perimeter
Short answer
No — the only "medical director" in Montana's medical practice chapter and Board of Medical Examiners rules is the physician or PA overseeing emergency care providers; nothing there requires a med spa or other office practice to name one.
"Medical director" means a physician or physician assistant who holds a current unrestricted Montana license and is professionally and legally responsible for training, providing medical direction, and oversight of licensed ECPs under the medical director's supervision. That is the only medical director defined anywhere in Title 37, chapter 3 of the Montana Code Annotated or in the Board of Medical Examiners’ rules in Title 24, chapter 156 of the Administrative Rules of Montana, and it concerns emergency care providers; neither the chapter nor the rules requires a medical spa or any other office practice to designate a medical director.
Mont. Admin. R. 24.156.403(1)(h) (Title 37, ch. 3 and ARM Title 24, ch. 156 surveyed) · verified Sep 8, 2026 · regulatory monitoring, not legal advice
Related Montana rules
"Practice of medicine" means the diagnosis, treatment, or correction of or the attempt to or the holding of oneself out as being able to diagnose, treat, or correct human conditions, ailments, diseases, injuries, or infirmities, whether physical or mental, by any means, methods, devices, or instrumentalities, including electronic and technological means such as telemedicine. If a person who does not possess a license to practice medicine in this state under this chapter and who is not exempt from the licensing requirements of this chapter performs acts constituting the practice of medicine, the person is practicing medicine in violation of this chapter.
Mont. Code Ann. § 37-3-102(11) · verified Sep 8, 2026
The board shall adopt guidelines by administrative rule for: (a) the performance of administrative and clinical tasks by a medical assistant that are allowed to be delegated by a physician, physician assistant, or podiatrist, including the administration of medications; and (b) the level of physician, physician assistant, or podiatrist supervision required for a medical assistant when performing specified administrative and clinical tasks delegated by a physician, physician assistant, or podiatrist. However, the board shall adopt a rule requiring onsite supervision of a medical assistant by a physician, physician assistant, or podiatrist for invasive procedures, administration of medication, or allergy testing.
Mont. Code Ann. § 37-3-104(1) · verified Sep 8, 2026
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← All Montana rules and changes · 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. Legislative data via LegiScan (CC BY 4.0).