Prospyr practice resources / 50 states
Your practice starts with a plan.
Start with your state.
Med spa licensing is more than one application. Find the state-specific rules, official sources and questions that shape your ownership, staffing and service menu.
Read the state highlights
Useful guidance and official sources, freely available.
Get your PDF workbook
An opening checklist and worksheets, delivered by email.
Document your decisions
Work through unresolved details with your boards and advisors.
Choose your state
Alabama
Laser registration and procedure-specific delegation
Alaska
Separate adopted scope guidance from proposed med-spa rules
Arizona
Nursing scope and the medical-aesthetic advisory
Arkansas
Laser surgery rules and physician accountability
California
Clinical ownership and the limits of esthetics licenses
Colorado
Required disclosures when aesthetic medicine is delegated
Connecticut
Connecticut’s specific medical-spa statute
Delaware
Aesthetician scope does not include medical treatment
Florida
AHCA clinic licensure, exemptions and medical oversight
Georgia
Senior and assistant cosmetic-laser practitioner licensing
Hawaii
APRN prescribing authority is tied to qualifications and specialty
Idaho
Classify devices before relying on an esthetics license
Illinois
Professional ownership and separate salon registration
Indiana
Resolve procedure jurisdiction before opening
Iowa
Medical-aesthetic rules and the laser-technician exception
Kansas
Medical-device services under a cosmetology credential
Kentucky
RN cosmetic procedures need a prescribed plan of care
Louisiana
Office-based surgery applicability and anesthesia planning
Maine
A new joint rule effective July 14, 2026
Maryland
Cosmetic delegation requires a qualified licensed healthcare provider
Massachusetts
Clinic licensure depends on ownership and control
Michigan
Delegation must fit the Public Health Code
Minnesota
Advanced practice esthetics still has an epidermal boundary
Mississippi
Laser and pulsed-light procedures require direct supervision
Missouri
Written collaboration and limits on delegated medical acts
Montana
Separate salon premises from medical treatment areas
Nebraska
Use the current aesthetic nursing advisory
Nevada
Advanced esthetics and esthetic medical devices
New Hampshire
Establish the patient relationship before physician-directed care
New Jersey
Medical services are outside a skin-care specialty license
New Mexico
Medical assistants have a limited cosmetic delegation pathway
New York
Use the state’s procedure licensure chart
North Carolina
Laser surgery and nursing orders follow different authorities
North Dakota
RN injections require a prescribed, patient-specific plan
Ohio
Non-ablative vascular laser delegation has specific conditions
Oklahoma
New 2026 cosmetic nursing guidelines
Oregon
Advanced esthetics certification and a referral agreement
Pennsylvania
Cosmetic medical procedures need a clinical business review
Rhode Island
Use RIDOH’s procedure-by-profession matrix
South Carolina
Laser delegation and cosmetic nursing have separate guidance
South Dakota
Esthetics licenses exclude invasive and medical treatments
Tennessee
Medical-spa registration is a distinct state requirement
Texas
No general TMB med-spa registration; other licenses still apply
Utah
Delegation groups and device-specific supervision
Vermont
IV therapy needs a real prescriber-patient workflow
Virginia
Laser-hair-removal delegation is addressed in statute
Washington
Separate injection rules from energy-device rules
West Virginia
Esthetics definitions and nursing delegation are separate
Wisconsin
Delegated medical procedures in cosmetology establishments
Wyoming
APRN independence does not remove scope and competency limits
How these guides are prepared
Prepared by Prospyr using state statutes, regulations and official agency materials. Each guide labels its source type and research date. An advisory, historical newsletter or proposed rule is not presented as a newly enacted law. We do not claim attorney review.
A source-based planning guide for practice owners, not legal advice or a license approval. The state highlights cover the issues identified below; the workbook helps you resolve additional ownership, scope and facility questions with the relevant boards and qualified counsel. Requirements depend on your services, staff and business structure.
Suggest a correction or updated official source