Field Notes from the Practice.
Compliance, infrastructure, and operating wisdom for medical wellness businesses — from the physicians and operators who do this every day.
Colorado's Ownership Revolution: PAs & NPs
Colorado HB 26-1249 could reshape med spa ownership — allowing PAs, APRNs, RNs, estheticians, and cosmetologists to hold majority interest in a medical-aesthetics professional corporation. Still pending as of March 2026.
The 5-Day Adverse Event Reporting Rule
Indiana SB 282 requires med spas to report serious adverse events to the Medical Licensing Board within five days. Part of a broader 2026 reform package on registration, responsible practitioners, and compounded drugs.
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.