💉⚖️Med Spa Crackdowns & Medicare Shakeups 💰: Texas and Feds Turn Up the Heat

Texas Tightens 🔧 Reins on Med Spas with New Bill

Texas House Bill 3749 proposes new licensing, training, and oversight requirements for med spas operating outside traditional physician offices.

Key Points

• HB 3749 was introduced on March 4, 2025, by Rep. Angelia Orr and is currently under consideration in the Texas Legislature.

• The bill requires all med spas performing cosmetic procedures to appoint a licensed physician with specific training as a medical director.

• Physicians must conduct initial patient assessments and create written treatment plans before delegating procedures to nonphysician providers.

• Nonphysician providers must be properly trained, supervised by a qualified physician, and have patient consent documented in medical records.

Why It Matters

This legislation signals a more aggressive regulatory posture toward the booming med spa market, reshaping operational standards and tightening physician liability. It also hints at possible future rulemaking in other states watching Texas’s approach to nontraditional care settings.

Takeaway

Operators and investors should reassess supervisory protocols and prepare for formal classification as medical practice sites, which could carry broader regulatory implications by fall.