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Med Spas & The Texas Corporate Practice of Medicine Doctrine

In recent years, the med spa industry has experienced significant growth, offering a wide array of cosmetic treatments and medical procedures aimed at enhancing beauty and wellness. However, this burgeoning industry operates within a complex regulatory framework, particularly in states like Texas where the corporate practice of medicine (CPM) holds sway. Knowing the legal nuances governing med spas and the corporate practice of medicine is essential for practitioners, entrepreneurs, and investors alike.

Picture of lip injection with the corporate practice of medicine words over top.


Understanding the Corporate Practice of Medicine:


The corporate practice of medicine doctrine is a legal principle that prohibits corporations from practicing medicine or employing physicians to provide medical services. The rationale behind this doctrine is to safeguard the integrity of medical decision-making, ensuring that physicians are not influenced by financial considerations or corporate interests. In Texas, the corporate practice of medicine is codified in the state's Medical Practice Act, which prohibits the employment of physicians by non-physician entities.


Challenges and Opportunities for Med Spas:


Med spas, which offer a blend of medical and cosmetic services, often find themselves navigating a regulatory gray area. While certain treatments, such as facials and massages, fall squarely within the realm of non-medical spa services, others, like Botox injections and laser hair removal, involve medical procedures that must be performed or supervised by a licensed provider, keeping in mind that an unlicensed person, if qualified can perform medical procedures if properly supervised. This dichotomy poses challenges for med spa owners seeking to structure their businesses in compliance with the law while maximizing profitability.


Compliance Strategies:


To navigate the regulatory landscape effectively, med spa owners must adopt compliance strategies that align with Texas law. One common approach is to establish an independent contractor relationship with a licensed physician who serves as the medical director of the spa. The medical director oversees the provision of medical services, ensures compliance with regulations, and assumes responsibility for patient care. By structuring the relationship in this manner, med spas can leverage the expertise of physicians while maintaining legal compliance.


Part of such a strategy involves delineation of roles and responsibilities within the spa. Non-medical personnel, such as estheticians and laser technicians, can perform certain medical procedures under the indirect supervision of a physician, provided they receive appropriate training and oversight. Clear protocols and procedures should be established to ensure that all staff members understand their scope of practice and adhere to applicable regulations.


Educating Consumers:


In addition to compliance efforts, med spas must prioritize consumer education to promote transparency and informed decision-making. Clients should be made aware of the distinction between medical and non-medical services, as well as the qualifications of the practitioners performing each type of procedure. Clear and accurate information about the risks, benefits, and alternatives associated with various treatments is essential for ensuring that clients can make well-informed choices about their care.




The Texas corporate practice of medicine doctrine presents unique challenges for med spas seeking to operate within the bounds of the law while delivering high-quality services to clients. By understanding the regulatory landscape, implementing effective compliance strategies, and prioritizing consumer education, med spas can navigate this complex terrain successfully. As the industry continues to evolve, ongoing vigilance and adaptation will be essential to ensure continued compliance and success in the competitive marketplace.



Weitz Morgan is a leading law firm in Texas in providing comprehensive advice and guidance to med spas. With a deep understanding of the unique challenges and complexities faced by this rapidly growing industry, our team of experienced attorneys is dedicated to helping med spas navigate the legal landscape successfully.
We recognize that med spas operate at the intersection of healthcare and beauty, which necessitates a multifaceted approach to representation. Our firm offers a range of services, including a flat-fee med spa formation package, tailored to meet the specific needs of med spas, ensuring compliance, mitigating risks, protecting licenses, and fostering a legally sound business environment.

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