Ohio medspas are regulated through physician delegation, scope-of-practice, and Medical Board enforcement, not a single “medspa statute.”

Physicians must retain control over diagnosis, treatment, prescribing, delegation, and quality assurance under Ohio Revised Code 4731.22.

APRNs and PAs may not practice independently and must operate under written Standard Care Arrangements or Supervision Agreements that reflect actual services provided.

Injectables, lasers, energy-based devices, microneedling, and IV therapy are treated as medical acts and require physician oversight, written protocols, and documented training.

Light-based and laser procedures must comply with Ohio Medical Board delegation rules in Ohio Administrative Code Chapter 4731-18.

Supervision has no numeric cap, but must be meaningful, ongoing, and supported by chart review and QA documentation.

Telehealth services must meet the same standard of care as in-person visits, with adequate evaluation, documentation, and escalation pathways.

Marketing and advertising must accurately reflect licensure, avoid misleading claims, and comply with Ohio consumer protection laws.

Regulators focus on documentation, including agreements, protocols, competency records, QA logs, and medical director access to records.

Compliant medspas use a physician-directed clinical model, sometimes paired with a management entity that handles nonclinical operations only.