MICHIGAN Bill Restricts Who Can Do Cosmetic Injections

Posted By American Med Spa Association, Monday, July 11, 2022

Bill Name: Senate Bill 1068 (SB 1068) 

Primary Sponsor: Senator Paul Wojno

Status: 6/7/2022 Referred to Senate Committee on Health Policy and Human Services

AmSpa’s Take: While cosmetic injections do pose some patient risks if performed improperly, limiting them to only physicians, PAs or NPs is much too restrictive. The track record of hundreds of medical spas in other states shows that others are able to inject safely and effectively with appropriate training and medical supervision. 

Outlook: This bill is in the first steps of the process and based on the sponsor’s past records, it has a lower likelihood of passing. However, Sen. Paul Wojno is the Senate Assistant Minority Caucus Chair and co-Sponsor Sen. Marshall Bullock is the Senate Associate President Pro Tempore, which may improve the odds of moving forward. 

Analysis:  
Currently, Michigan, as in most other states, allows the injection of dermal fillers and botulinum toxin type A (“Botox”) to be performed by trained medical personnel under the delegation and supervision of a physician. SB 1068 would change this, limiting these cosmetic injections to only: 

No other persons would be permitted to perform cosmetic injections. 

SB 1068 is a very short bill, only about 1 page. It does not require any special training for the above listed persons, nor does it provide any exceptions. It does only restrict the injection of dermal fillers and botulinum toxin type A “for cosmetic purposes.” So, it is likely that injection for other therapeutic uses could still be performed by other professionals, such as for treatment of TMJ (temporomandibular joint) pain. 

The majority of states allow physicians and independent practitioners broad authority to delegate patient treatments, including cosmetic injections, to other persons under their supervision. The key is proper training and appropriate supervision. SB 1068 would make Michigan the most restrictive state for cosmetic injections and would be a major step backward for all practitioners and medical spas in the state. If you would like additional information, to read the language of the bill or to contact the sponsors or committee, you can find the information you need through this link.