On March 8, 2019, a bill was introduced in the Texas Senate that would significantly change who may perform procedures in medical spas. This bill is known as Senate Bill 2366 (SB 2366); you can review the text of SB 2366 in full here.


SB 2366 defines a “medical spa” as an establishment that offers nonsurgical medical cosmetic procedures. These procedures would fall under regulation by the Texas Medical Board, and include: 
• Injections of medicines or substances for cosmetic purposes;
• Colonics; and
• Prescription medical devices for cosmetic purposes.

SB 2366 would prohibit anyone other than a physician assistant (PA) or advanced practice registered nurse (APRN) acting under physician supervision to perform a “nonsurgical medical cosmetic procedure” at a medical spa. This would include procedures and devices such as: 
• The injection of toxins and dermal fillers; 
• Microneedling; 
• Skin tightening devices;
• Body sculpting devices; 
• Laser and intense pulsed light devices; 
• Dermaplaning;
• Dermal peels; and
• Medical dermabrasion or microdermabrasion.