- Representatives from the Boards of Medicine, Nursing and Cosmetology
- Two ranking members from the state Legislature (one from the House and one from the Senate) with experience in the public health sector
- Four physicians – one internist, one plastic surgeon, and two dermatologists
- One nurse
- One registered electrologist
- One consumer
Representative from the Boards of Medicine, Nursing, Cosmetology and Electrology provided overviews of permitted practices and related education and training requirements. Industry representatives provided input on the medical spa marketplace and the training of estheticians. Finally, concerns related to patient safety were identified by a physician from a leading dermatological association and a 2007 survey of American Society for Dermatologic Surgery members, which reported a steady increase in complications caused by non-physicians performing aesthetic procedures over the past five years.
- Who should perform medical spa services?
- What services should be offered and how should they be regulated?
- In what environment should these services be provided?
Level I Procedures are noninvasive and demonstrate low risk. LED therapy and microdermabrasion are examples of procedures at this level. Since Level I procedures are not considered the practice of medicine, they are overseen solely by the Board of Cosmetology.Level II Procedures represent a moderate level of risk and include nonablative and nonvaporizing lasers, intense pulsed light devices and radiofrequency devices.Level III Procedures are the highest level of risk and include ablative and vaporizing devices, chemical peels, and the use of injectables. Procedures performed using Level III devices can only be administered by a physician.Facilities providing Level II and III procedures would require a medical spa license.
Medical directors and personnel providing medical spa services must meet certain licensure and training requirements.On-site supervision by a qualified healthcare provider would be required for Level II and III procedures.While the medical director is not always required to be onsite to oversee delegated procedures, he/she must be located within four hours of the medical spa and be present on-site 10% of the time each month for each site supervised.