Who Can Do What at a Med Spa? Scope by State

A LEVEL 1 DELEGATE is a physician assistant, a certified registered nurse practitioner or a registered nurse authorized in a written job description or protocol to use a specific device for non-ablative procedures, who has met the Level 1 educational requirements.

Ala. Admin. Code r. 540-X-11-.02(5) (definition of “Level 1 Delegate”) · verified Sep 4, 2026

The Alaska Nursing statutes let a registered, advanced practice registered or practical nurse delegate nursing duties to other persons including unlicensed assistive personnel, under board regulations, and a delegate may perform those duties without any nursing license of their own provided they meet the board’s…

AS 08.68.805 (Delegation of nursing functions) · verified Sep 5, 2026

The Nurse Practice Act defines registered nursing as diagnosing and treating human responses, establishing a nursing diagnosis, prescribing and delegating nursing interventions, and related acts. Prescriptive authority for legend drugs is granted separately, to registered nurse practitioners, and not by this definition.

A.R.S. §32-1601(24) · verified Jul 26, 2026

Delegated administration of drugs covers only drugs that do not require substantial, specialized judgment and skill, and is permissible only within the physical boundaries of the delegating physician’s offices.

17 CAR § 140-1806 (Availability of supervising physician) · verified Sep 4, 2026

A registered nurse administering medications or therapeutic agents must be implementing a regimen ordered by, and within the scope of licensure of, a physician, dentist, podiatrist or clinical psychologist. Functions shared with other practitioners are performed under standardized procedures developed within an organized health care system.

Cal. Bus. & Prof. Code §2725 · verified Jul 26, 2026 · read at Public.Law — California Codes

Colorado APRNs prescribe only with separate, earned authority: THREE YEARS of clinical experience, then 750 HOURS of documented prescribing mentorship.

Colo. Rev. Stat. § 12-255-112(1)(a), (3)(a) · verified Sep 2, 2026

Connecticut defines registered nursing as a list of functions — diagnosing human responses to actual or potential health problems, supportive and restorative care, health counseling and teaching, case finding and referral, collaborating in the implementation of the total health care regimen, and executing the…

Conn. Gen. Stat. §20-87a(b)(2)(A) · verified Sep 3, 2026

Delaware is an independent-practice state for advanced practice registered nurses, and says so inside the definition: advanced practice nursing is “licensed as an independent licensed practitioner” in a role and population focus approved by the Board of Nursing, and the APRN scope includes performing acts of…

24 Del. C. §1902(b) · verified Sep 3, 2026

The District defines registered nursing broadly — the full scope of nursing services, including diagnosis and treatment of human response.

D.C. Code §3-1201.02(17) (“Practice of registered nursing” defined) · verified Sep 3, 2026

A registered nurse may administer medications and treatments — including injectables — as prescribed or authorized by a duly licensed practitioner. RNs are not independent prescribers.

Fla. Stat. §464.003 · verified Jul 26, 2026

A nurse acting under a nurse protocol may administer and order drugs, but ordering under delegation is expressly not prescribing: it does not authorize the issuance of a written prescription. Ordering means selecting a drug, medical treatment, or diagnostic study through physician delegation under a nurse protocol or a physician assistant job description.

O.C.G.A. §43-34-23(a) · verified Aug 17, 2026 · read at FindLaw Codes

Registered nurse practice is the full scope of nursing guided by the chapter, the board’s rules, and board-recognized standards, and includes carrying out prescribed medical orders of a physician, an advanced practice registered nurse, or a supervised physician assistant; licensed practical nurse practice is a…

Haw. Rev. Stat. § 457-2.7(a)-(b) · verified Sep 8, 2026

An Idaho advanced practice registered nurse is a registered nurse licensed in the state who has gained additional specialized knowledge, skills and experience through a program of study recognized or defined by the board.

Idaho Code §54-1402(1) · verified Sep 3, 2026

Illinois grants APRNs full practice authority on conditions, and the regulator spells out where that authority stops.

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

Registered nursing includes executing regimens delegated by a physician or other authorized prescriber. An RN does not independently prescribe; an RN administers injectables pursuant to a valid order within the delegated regimen.

Ind. Code §25-23-1-1.1 · verified Jul 26, 2026

An ARNP practices to the full extent of their license, education and experience within their population foci.

Iowa Admin. Code r. 481—621.4(4) (Advanced registered nurse practitioners — scope) · verified Sep 4, 2026

Kansas gates the advanced practice registered nurse TITLE on board licensure: no professional nurse may announce or represent to the public that they are an advanced practice registered nurse unless they have complied with the requirements established by the board and hold a valid APRN license.

Kan. Stat. Ann. §65-1130(a) · verified Sep 3, 2026

A Kentucky physician assistant may render no medical service at all without a signed, in-effect supervision agreement, and a physician may not supervise one without board approval — failing to obtain that approval is itself unprofessional conduct.

Ky. Rev. Stat. §311.854(1) · verified Sep 3, 2026

Louisiana defines the advanced practice registered nurse by national certification plus board criteria: an APRN is a licensed registered nurse certified by a nationally recognized certifying body, such as the American Nurses Credentialing Center, as having an advanced nursing specialty described in the Part, and…

La. Rev. Stat. §37:913(1) · verified Sep 3, 2026

A certified nurse practitioner qualifying as an advanced practice registered nurse must practice for AT LEAST 24 MONTHS under the supervision of a licensed physician or a supervising nurse practitioner, or be employed by a clinic or hospital with a medical director who is a licensed physician, and must submit…

32 M.R.S. §2102(2-A) · verified Sep 3, 2026

Maryland defines registered nursing to include execution of a therapeutic regimen — expressly including the administration of medication and treatment — and both independent nursing functions and delegated medical functions, which is the frame an injecting RN works inside.

Md. Code Regs. 10.27.07.03(A) (Nurse Practitioner — Scope and Standards of Practice) · verified Sep 3, 2026

Massachusetts already grants nurse practitioners independent practice authority — after not less than 2 years of supervised practice following board-recognized certification, or 2 years of alternative experience the Board accepts.

Mass. Gen. Laws ch. 112, § 80B · verified Sep 1, 2026

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.

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

Minnesota is a full practice authority state for APRNs — but only after 2,080 postgraduate hours under a collaborative agreement.

Minn. Stat. § 151.37, subd. 2(a) · verified Sep 2, 2026

Registered-nurse practice includes executing the medical regimen, including administering medications and treatments prescribed by a licensed physician or dentist, and excludes medical diagnosis and prescribing except as the Board of Nursing provides by rule; licensed practical nursing is performed under the…

Miss. Code Ann. § 73-15-5(2) · verified Sep 8, 2026

An advanced practice registered nurse in Missouri is a person licensed under the nursing chapter to practice advanced practice nursing as a certified clinical nurse specialist, certified nurse midwife, certified nurse practitioner or certified registered nurse anesthetist.

Mo. Rev. Stat. §335.016(2) · verified Sep 3, 2026

Professional nursing includes the administration of medications and treatments prescribed by physicians, physician assistants, advanced practice registered nurses, and the other prescribers the statute lists, and practical nursing is the same administration under the supervision of a registered nurse or a…

Mont. Admin. R. 24.159.1406(1) · verified Sep 8, 2026

Nebraska defines registered nursing as assuming responsibility and accountability for nursing actions — assessing human responses to actual or potential health conditions, establishing nursing diagnoses, establishing goals and outcomes, establishing and maintaining a plan of care, prescribing nursing interventions…

Neb. Rev. Stat. §38-2212(1), (2) · verified Sep 3, 2026

Nevada’s Nurse Practice Act grants an advanced practice registered nurse authority to engage in selected medical diagnosis and treatment and, where separately authorized, to prescribe — bounded by the rule that an APRN may not undertake anything he or she is not qualified to perform.

Nev. Rev. Stat. §632.237(2) · verified Sep 3, 2026

An advanced practice registered nurse in New Hampshire is a registered nurse currently licensed by the board under RSA 326-B:18, and the statute defines the APRN-patient relationship in medical terms: an in-person or telemedicine exam, a history, a diagnosis, a treatment plan appropriate to the licensee’s…

N.H. Rev. Stat. §326-B:2, I · verified Sep 3, 2026

The delegation rule names the licensed people a physician may direct — physical therapists, registered and practical nurses, physician assistants, chiropractors, athletic trainers and occupational therapists — and treats them as a different category from the unlicensed aide.

N.J.A.C. 13:35-6.14(a) · verified Aug 17, 2026 · read at Cornell Legal Information Institute

An APRN with the appropriate population foci, licensure, national certification and education may perform aesthetic healthcare procedures and is the only nursing license that may serve as a clinical supervisor.

16.12.14.8(D) NMAC (Education and scope of practice) · verified Sep 4, 2026

Registered professional nursing includes executing medical regimens prescribed by a licensed physician, dentist or other authorized provider. A nursing regimen must be consistent with, and may not vary, an existing medical regimen — so a registered nurse administers an injectable pursuant to an order rather than on their own judgment.

N.Y. Educ. Law §6902(1) · verified Aug 17, 2026

North Carolina answers the injector question directly rather than by inference.

NC Board of Nursing, Cosmetic/Aesthetic Dermatological Procedures Position Statement (rev. 9/2022) · verified Aug 17, 2026

The Nurse Practices Act defines an advanced practice registered nurse as one licensed in the state within one of four roles — certified nurse practitioner, certified registered nurse anesthetist, certified nurse midwife or certified clinical nurse specialist — and functioning in a population focus the board approves.

N.D.C.C. § 43-12.1-02 (Definition of advanced practice registered nurse) · verified Sep 5, 2026

Ohio is a collaboration state for nurse practitioners — a CNP practices in collaboration with one or more physicians, not independently — and the laser rule then treats nurses as delegatees rather than autonomous operators.

Ohio Rev. Code §4723.43(B) · verified Aug 17, 2026

§ 567.4c opens it to an APRN recognized as a Certified Nurse Practitioner, Clinical Nurse Specialist or Certified Nurse-Midwife who has completed a minimum of 6,240 clinical practice hours with prescriptive authority.

Okla. Stat. tit. 59, § 567.4c(A) (Independent prescriptive authority for APRNs) · verified Sep 5, 2026

Oregon defines the practice of nursing as autonomous and collaborative care, and includes within it executing medical orders prescribed by a physician or other authorized provider.

Or. Rev. Stat. §678.010(9) (“Practice of nursing” defined) · verified Sep 3, 2026

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.

49 Pa. Code §21.283(a) · verified Aug 17, 2026 · read at Cornell Legal Information Institute

Rhode Island writes APRN autonomy into the definition itself.

R.I. Gen. Laws §5-34-3(2) · verified Sep 3, 2026

An advanced practice registered nurse in South Carolina may perform specified medical acts only pursuant to a written practice agreement with a physician or medical staff — the agreement must establish the medical aspects of care to be provided, including prescribing, and must contain mechanisms letting the…

S.C. Code §40-33-20(45) (“Practice agreement” defined) · verified Sep 3, 2026

South Dakota enumerates the certified nurse practitioner scope as a list of powers ADDED to the registered nurse scope.

S.D. Codified Laws §36-9A-12 · verified Sep 3, 2026

WHERE a physician supervises a Tennessee certified nurse practitioner who writes prescriptions, that physician must hold an UNENCUMBERED license — the same standard the Board of Medical Examiners applies to physician assistants, and set out in that board’s own rules.

Tenn. Comp. R. & Regs. 0880-02-.14(12), referring to 0880-02-.18(1) and 0880-06-.02(1) · verified Sep 2, 2026

A registered nurse who is not an APRN (and an LVN) may not perform medical diagnosis or prescribe, but may carry out a delegated medical act — such as administering a cosmetic injection ordered by an appropriately licensed practitioner — when the Board of Nursing’s criteria are met: documented competency/education, written policies and guidelines, an order from an appropriate licensed practitioner, and available medical and nursing support.

Tex. BON Position Statement 15.11 · verified Jul 26, 2026

Issuing a prescription for a prescription drug as an RN or LPN is listed as unprofessional conduct except under Section 58-17b, the section the rule itself names.

Utah Admin. Code R156-31b-502(1)(c) (Unprofessional conduct) · verified Sep 4, 2026

Vermont runs a transition-to-practice scheme rather than immediate independence.

Vt. Stat. tit. 26, §1613(a)(1) (Transition to practice) · verified Sep 3, 2026

A Virginia nurse practitioner can reach autonomous practice, but only by meeting a statutory experience threshold; until then a written practice agreement with a named patient care team physician is mandatory.

Va. Code § 54.1-2957(B) · verified Sep 2, 2026

Registered nursing in Washington expressly includes executing a medical regimen prescribed by a physician, physician assistant or ARNP — and separately includes delegation.

Wash. Rev. Code 18.79.050 · verified Sep 2, 2026

The Board of Examiners for Registered Professional Nurses issues the advanced practice registered nurse license to an applicant nationally certified in one of four recognized roles, and an APRN is by virtue of that license also licensed as a registered professional nurse.

W. Va. Code §30-7-15b(a)(3) · verified Sep 3, 2026

Wisconsin’s medical board governs the physician’s side of a delegation; the nurse’s own scope sits with the Board of Nursing, and this corpus has not read that chapter.

Wis. Admin. Code Med §§ 10.02(1) and 10.03(1)(L) · verified Sep 2, 2026

Wyoming writes prescribing authority into the DEFINITION of the advanced practice registered nurse.

Wyo. Stat. Ann. §33-21-120(a)(i)(A) · verified Sep 3, 2026