Compliance Portal
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+Free Interactive Tool

Who Can Legally Do That in Your State?

Delegating a medical procedure to the wrong staff member — or skipping a required exam — can mean fines, license revocation, or patient lawsuits. Use this tool to get a source-linked answer in seconds before you hire or delegate.

All 50 States Selectable 4 Detailed State Reviews 5 Practitioner Roles 5 Treatments Linked to Official State Boards
Coverage note: All 50 states now have a source-linked state research summary. Procedure-by-procedure verdicts are currently detailed for California, Texas, Florida, and New York; other states show the state summary and clearly ask you to verify the selected procedure with the applicable board.

How to use this tool

1

Pick your state

Select the state where your clinic is (or will be) located. Supervision rules vary dramatically by state.

2

Choose the staff role

Select the type of practitioner you plan to hire or currently have on staff — RN, NP, PA, aesthetician, or physician.

3

Select the treatment

Pick the specific procedure you want to offer. Instantly see if it's allowed, restricted, or prohibited for that role.

Allowed

This practitioner can legally perform this treatment in this state, with or without specific conditions.

Restricted

Allowed — but only under specific conditions such as physician delegation, a signed agreement, or a prior patient exam. Read the guidelines carefully.

Prohibited

This treatment is outside the practitioner's legal scope in this state. Performing it risks license revocation and legal liability.

Make your selections below to see the compliance verdict:

Compliance Verdict

Restricted

Detailed procedure review: This California result uses the matrix's state-specific procedure review.

Scope Guideline

Allowed only under delegation of a physician, or an NP/PA acting under physician protocols. A prior Good Faith Exam (GFE) by a physician, NP, or PA is mandatory before the RN can inject.

Report a problem or broken source link

Why supervision rules matter

Getting this wrong isn't just a compliance issue — it's a business and patient safety risk.

License at Risk

State medical and nursing boards actively investigate scope-of-practice violations. A single complaint can trigger a board investigation, disciplinary action, or revocation of your clinic's operating license.

Legal Liability

If a patient is harmed by a procedure performed outside a staff member's legal scope, your clinic can face civil lawsuits and criminal charges — and insurance may not cover you for unlicensed acts.

Patient Safety

Supervision rules exist because certain procedures (like Botox or IV therapy) carry real medical risk. Proper delegation — including Good Faith Exams and signed protocols — ensures a qualified clinician has evaluated the patient.

Need a full compliance roadmap for your clinic?

The supervision matrix is just one piece of the puzzle. Get a personalized, state-specific checklist covering licensing, HIPAA, OSHA, DEA, business structure, insurance, and more — built from your clinic's exact profile.

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Disclaimer: Medical practice acts and nursing delegation rules change frequently. This matrix is an educational reference tool — not legal advice. Always confirm your supervision setup with a licensed healthcare compliance attorney before hiring staff or delegating clinical procedures.