Currently Texas is one of the most liberal states in the US when it comes to who can inject Botox and perform other aesthetic treatments. Anyone with “proper training” can inject Botox and other cosmetic injectable treatments as long as it is under the written protocols, supervision, and delegation of a licensed Texas physician. This means an aesthetician could do it, an LNP could do it, an RN could do it, and theoretically even someone without any licensure could do it, as long as it’s under the supervision and delegation of a licensed Texas physician. But, that may be changing soon, as a response to the many unlicensed providers in Texas currently providing these services, and a few undercover investigations by the Texas Police Department. On March 8, 2019, Texas Senator Bryan Hughes introduced TX SB2366. For the complete text of the bill click here. The bill, if it’s passed, will change and add a few things in Texas:

  1. Medical spas will need to have a posting in the spa in a conspicuous place, stating who can do procedures there and the contract information for where complaints could be filed.
  2. Injectable procedures could only be administered by a physician, or a nurse practitioner or physician assistant, each acting under the supervision of a physician.
  3. New civil penalties on the medical spas if medical spas are found to be in violation of this law.

It’s not certain that this bill will become law, and we will post updates here as we learn about them.