Rhode Island's Medical Spas Safety Act requires each medical spa to appoint a medical director who is a physician or certified nurse practitioner. The supervising physician, APRN or PA must perform an initial assessment and prepare a written treatment plan, and non-physicians may only perform cosmetic medical procedures (a category that includes cosmetic injections and fillers) that they are trained for and that were delegated to them. 'Supervision' is defined as either on site (direct) or off site but in Rhode Island and immediately available (indirect).
Source: R.I. Gen. Laws Chapter 23-105, Medical Spas Safety Act (P.L. 2025, ch. 308)
Law or regulationPublished or effective Jun 30, 2025Checked Sep 14, 2026