Pennsylvania scope of practice for med spas
Who may perform which procedures, and under what supervision, by state. Below are the Pennsylvania rules that govern it, each linked to its primary source. Monitoring and reference, not legal advice.
RN / NP scope for injectables in Pennsylvania
Pennsylvania is a collaborative-agreement state for nurse practitioners, and it is prescriptive about the paperwork: the agreement must name a substitute physician for when the collaborating one is unavailable.
A certified registered nurse practitioner with prescriptive authority approval may prescribe and dispense drugs and give written or oral orders for drugs and other therapeutic or corrective measures only when acting in collaboration with a physician as set out in a prescriptive authority collaborative agreement, and only within the CRNP’s own certified specialty.
49 Pa. Code §21.283(a) · verified Aug 17, 2026
The collaborative agreement must be in writing, identify the collaborating physician, the CRNP and at least one substitute physician who will collaborate when the primary one is unavailable, be signed and dated by both, identify the CRNP’s certified specialty, specify the professional liability insurance covering the CRNP, and be reviewed and updated at least once every two years or whenever it changes.
49 Pa. Code §21.285 · verified Aug 17, 2026
The delegation rule does not restrict a practitioner who is separately licensed or certified from practicing within their own scope, and expressly does not limit certified registered nurse anesthetists, nurse midwives, certified registered nurse practitioners or physician assistants acting under their own statutes and regulations.
49 Pa. Code §18.402 · verified Aug 17, 2026
Recent Pennsylvania changes
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