Indiana’s Senate Bill 282 changes the rules for med spas: beginning January 1, 2027, med spas must register with the state and designate a responsible practitioner on file with the medical board. Good-faith exams must be performed by a prescriber — an MD, DO, NP, or PA, not an RN — and energy-based devices are held to the same delegation standards as injectables. If you’re an RN delivering aesthetic services, or a med spa owner employing RNs, the question is no longer optional: who supervises your work, and does your structure actually comply?
A turnkey physician-oversight structure, already built
Dr. William Starsiak, DO offers Indiana RNs and med spas a complete, working compliance framework — not a signature for hire:
- Supervising physician in the direct line of supervision. Dr. Starsiak stands behind the clinical structure personally, as the physician.
- MSA already set up. The medical services agreement framework is established and ready.
- Delegation protocols already written. Service-specific protocols define what is delegated, to whom, and under what conditions.
- Collaborating nurse practitioners. NPs who collaborate with Dr. Starsiak perform the evaluations and treatment plans in alignment with the delegation protocols — keeping every treatment anchored to a prescriber evaluation.
- You perform the delegated service. As the RN, you deliver the treatment inside a documented chain of supervision that keeps you — and the practice — defensible.
Who this is for
RNs offering or wanting to offer aesthetic services — injectables, energy-based devices, IV therapy, and more. Med spa owners who employ RNs and need a compliant supervision structure in place before the registration deadline. Practices that outgrew an informal arrangement and want the paperwork to match the work.
Pricing
Pricing depends on the services offered. Reach out with what you perform — or plan to — and you’ll get a clear quote.
Email info@drstarsiak.com or call (317) 410-9978. Dr. Starsiak also provides collaboration for aesthetic nurse practitioners in Indiana — currently accepting new Indiana collaborations.
This page is general information about Indiana Senate Bill 282, not legal advice. Confirm the specifics for your own situation.