Field Notes from the Practice.
Compliance, infrastructure, and operating wisdom for medical wellness businesses — from the physicians and operators who do this every day.
The Florida Pharmacy Board Mandate
Florida SB 1728 / HB 1429 would require many med spas that purchase, store, compound, or administer prescription drugs to obtain a Board of Pharmacy license and designate a Responsible Person. Still pending as of March 2026.
Level I, II, or III? The MA Licensing Tier Guide
Massachusetts H 5087 would sort med spas into three licensing tiers based on procedure risk — with different director and physical-presence requirements at each level. Still pending in the Joint Committee on Public Health.
NY LLC Transparency: Beneficial Ownership
New York's LLC Transparency Act now requires med spas, MSOs, and holding companies formed as LLCs to disclose beneficial ownership — or file an exemption — with the state. Here's what to do before the January 1, 2027 deadline.
Aesthetician Scope: The Massachusetts Warning
Massachusetts has made it clear — a medical environment does not expand an aesthetician's scope of practice, even with a physician on-site. Here's what med spa operators need to do now.
How Clinics Can Offer GLP-1 – Legally and Safely
GLP-1 medications like semaglutide and tirzepatide require a precise legal structure — physician oversight, proper entity setup, legal delegation, and compliant sourcing. Here's how to build a GLP-1 program that holds up.
Medical Oversight vs. Medical Direction: What's the Difference?
Oversight and direction sound interchangeable — they aren't. Here's how the two roles differ in scope, liability, and what your clinic actually needs.