States are not unified in their approaches to laser hair removal. Some, including California, Connecticut, and Florida, classify laser hair removal as a form of medical practice and regulate it accordingly. Others, such as Washington, allow non-medical staff to perform laser treatments as long as they have access to a doctor in case of need. Some states have taken a position on who can and who cannot perform laser hair removal or intense pulsed light hair removal.
This is generally determined by each state's state medical board and, in some cases, other professional boards. States without regulation included in the list have not been confirmed at the time of writing. Please note that this is not medical or legal advice. All information below is subject to change and may contain inaccuracies.
You are responsible for confirming the most current version of your state's laws. Appoints mid-level professionals, level 1 delegates and level 2 delegates; classifies treatments as ablative or non-ablative; defines energy source, direct physician supervision, and on-site supervision. Electrocautery can be used by a Level 1 or Level 2 delegate under the direct supervision of a physician. Establishes guidelines on minimum education requirements for physicians and delegates, quality control, equipment safety, mandatory injury notification, physician registration and safe use of lasers Ensures that patients are properly informed and, prior to treatment, have signed consent forms that describe reasonably foreseeable side effects and complications that may result from non-ablative treatment; Remains on-site for non-ablative treatments performed by delegates in accordance with these rules and is immediately available for consultation, assistance and guidance; personally attends, evaluates and treats complications that arise; and A) properly operate the devices and provide safe and effective care; and B) respond appropriately to complications and adverse effects of procedures.
Alaska State Medical Board Guidelines on Who Can Perform Laser Surgery Physician's Guide to Delegating Procedures to Non-Medical Personnel When Performing Certain Dermatologic Procedures. Memorandum from the Board of Barbers and Barbers of the Alaska Department of Commerce, Community and Economic Development Class 3 and Class 4 laser products used in the practice of medicine must have a means of measuring the level of laser radiation within the specified error range and a protection mechanism in the switch to control patient exposure and prevent unintentional exposure. You must calibrate a laser according to the calibration procedure specified by the manufacturer, at intervals not exceeding those specified by the manufacturer. In a medical facility where several medical disciplines or several different professionals use Class 3b and Class 4 lasers, a Laser Safety Committee must be formed to govern laser activity, establish usage criteria, and approve operating procedures.
Requires “registration” of any laser or IPL medical device that is a Class II surgical device, certified to meet labeling standards EN 21 CFR 801,109. The registrant must “ensure that the device is only used by an authorized professional or an operator working under the direct supervision of a licensed professional or, at a minimum, an operator working under the indirect supervision of a licensed professional. A, R, S. R4-16-301-303 provides for a supervising physician to delegate specific medical procedures to a physician assistant in accordance with CAAHEP standards for an accredited educational program for the physician assistant. Arkansas Statutes 17-105 to 111 govern the delegation of health care services to a physician assistant.
Physician assistants can perform those tasks and responsibilities, including prescribing, ordering, and administering medications and medical devices delegated by their supervising physician. Supervision will be continuous, but does not require the physical presence of the supervising physician at the time and place where services are provided. FAQ: Cosmetic treatments Who can use lasers or intense pulsed light devices to remove hair, spider veins, and tattoos? FAQ - Physician Assistants Are medical assistants allowed to use lasers to remove hair, wrinkles, scars, moles, or other imperfections? Not. Physician assistants are not legally allowed to use lasers to remove hair, wrinkles, scars, moles, or other imperfections.
Rule 800, Colorado Board of Medical Examiners. Rules Regarding Delegation and Supervision of Medical Services to Unlicensed Health Care Providers Pursuant to Section 12-36-106 (L), C, R, S. In order for the cosmetologist or cosmetologist to work deeper than the layer of dead skin cells (stratum corneum) of the skin, they must be under the supervision of a doctor. Ultrasound, laser and different pulsed light therapies cannot be performed without the supervision of a doctor.
No license allows any type of cutting or use of electricity or any other means to remove warts, tags, etc. No one in the field of cosmetology can practice on anyone who has an ailment or condition that could create cuts, sores, or rashes that cause openings in the skin. Section 20-9 of the Declaratory Judgment of the State of Connecticut Medical Examining Board provides the framework for determining whether a particular activity is within the scope of the practice of medicine. The Board considers that the use of lasers for hair removal is within the scope of medical practice.
The Board considers that a licensed physician with the appropriate knowledge, experience and training should evaluate each patient before and during the course of laser therapy hair removal treatment. The Board determines that such physician may delegate the operation of the laser for hair removal to persons listed in §20-9 (b) (1) who can provide the service under the supervision, control and responsibility of a licensed physician, provided that the physician performs the evaluation of each patient. The doctor will provide direct on-site supervision in the course of laser therapy hair removal treatment. State of Connecticut Board of Chiropractic Examiners Declaratory Judgment The Board has determined that the use of lasers for hair removal is not within the scope of the practice of chiropractors in Connecticut.
In 1700 Board of Medical Practice, Section 2l, 1.1, states that a physician who delegates medical responsibility to a non-physician is responsible for that person's activities and must provide adequate supervision. No function may be delegated to a non-physician who is prohibited by law or regulation from performing that function. Direct and indirect supervision is defined. Physicians who decide to have their patients followed by someone other than a doctor should personally evaluate any patient at least every three months.
If this rule does not apply to you, but you are interested in performing laser hair removal, it is recommended that you contact an attorney for legal guidance. The Board of Medicine approves the following equipment and devices for permanent hair removal by authorized electrologists if used in accordance with the requirements established by the Board. B) Laser- and light-based hair removal or hair reduction devices approved by the U.S. Food and Drug Administration (FDA) for hair removal or reduction.
A) Have completed laser and light hair removal and hair reduction training that meets the requirements set out in subsections 64B8-52.004 (and (, F, A, C. A) The supervising physician, initially assuming his duties as supervisor and every six months thereafter, shall review and inspect the techniques, procedures and equipment used by the electrologist in performing hair removal or reduction with laser and light. B) The supervising physician will ensure that the electrologist has received biannual training in the areas of infection control, sterilization and emergency procedures. Pursuant to Section 456.072 (i), F, S.
Any physician supervising an electrologist should keep the Board informed of the number of electrologists the physician supervises. No doctor is allowed to supervise more than four (electrologists) at the same time. Rule 64B8-52,004, Florida Administrative Code, Requirements for Passing Continuing Education Courses for Laser and Light Hair Removal or Reduction Rule 64B8-51,006, Florida Administrative Code, Rule Governing Licensing and Inspection of Electrology Facilities (see (g)) Rule 64B8-56,002, Florida Code Administrative, Equipment and Devices; Protocols for Laser and Light-Based Devices Section 458,348 (, Florida Statutes, (Board of Medicine) Formal Supervisory Relations, Standing Orders and Established Protocols; Notice; Rules. Anyone other than a physician with an active Georgia license who provides non-ablative cosmetic laser services.
If you are a PA with additional tasks approved by the Board or an APRN with a protocol agreement that includes the provision of cosmetic laser services AND YOU ARE NOT supervising a person who requires a laser assistant license, you do not need a separate laser license. If YOU ARE SUPERVISING a person who requires a laser assistant license, you need a senior laser professional license. Unlicensed individuals should not use lasers or IPL treatments to cut, shape, burn, vaporize, or otherwise structurally alter human tissue, whether delegated or not. B) Use of Light-Emitting Devices An ablative or non-ablative procedure that may disturb the eye (cornea to retina) can only be performed by a physician licensed to practice medicine in all its branches and cannot be delegated pursuant to this Section.
The physician should examine the patient and determine an appropriate course of treatment for the patient before performing any ablative or non-ablative procedure. If the established course of treatment requires multiple procedures, a subsequent examination will not be required prior to the performance of each individual procedure. Indiana Professional Licensing Agency Practice FAQs I want to open a salon and have laser hair removal, what do I need to do this? Iowa Board of Medicine Report of the Ad Hoc Committee on the Use of Lasers, Intense Pulsed Light Devices, and Radiofrequency Devices The Kansas Office of the Reviewer of Statutes KSA 65-2872 (g) states that individuals who provide medical services under the supervision of a physician are not illegally practicing medicine. KSA 65-28, 127 imposes specific duties on delegating physicians, etc.
Board Opinion Regarding Laser Surgery Only A Doctor Can Use A Laser For Hair Removal. Degree of supervision needed by nurses performing laser surgery treatments The statute states that the use of lasers or chemical treatments for therapeutic or cosmetic purposes constitutes the practice of medicine. Only individuals licensed under state laws to practice medicine, veterinary medicine, dentistry, or podiatry should perform laser surgery. In November 2001, the Board issued a position statement on the use of medical lasers for chemical skin treatments, stating that such treatments are the practice of medicine and can only be performed by a licensed physician or a non-physician acting under the direct supervision of a licensed physician in Los Angels.
Non-doctors who perform laser or chemical treatments in violation of the law will be considered to be involved in the unauthorized practice of the medicine. Only a doctor can use a laser for hair removal. The Professional and Financial Regulation also works in conjunction with the Medical Licensing Board regarding laser skin treatment devices used by estheticians and cosmetologists. This chapter governs the performance, delegation, assignment and supervision of cosmetic medical procedures, and the use of cosmetic medical devices by a physician or under the direction of a physician.
This chapter does not govern the use of medical procedures or medical devices for the purpose of treating a disease. This chapter does not endorse or certify the safety of any cosmetic medical device or cosmetic medical procedure. This chapter does not authorize the delegation of any duty to any person who is not licensed under Health Occupations A. The physician must obtain a license to practice medicine in Maryland before he can perform, delegate, assign, or supervise cosmetic medical procedures or the use of cosmetic medical devices.
A physician who performs, assigns, supervises, or delegates the performance of cosmetic medical procedures by a non-physician must first obtain training in the directions and performance of cosmetic medical procedures and the operation of any cosmetic medical device to be used. Training programs provided by a manufacturer or seller of cosmetic medical devices or supplies may not be the physician's only education in cosmetic medical procedures or the operation of cosmetic medical devices to be used. Conduct the initial evaluation of each patient in person; obtain the patient's informed consent to be treated by a non-physician; Except as provided in §B or C of these regulations, provide on-site supervision whenever a non-physician performs cosmetic medical procedures or uses cosmetic medical devices; Retain responsibility for any act delegated to a person other than a physician; and Create and maintain medical records in a manner consistent with accepted medical practice and in accordance with General Health Article, Title 4, Subtitles 3 and 4, Maryland Annotated Code and Health Insurance Portability; and Accountability Act of 1996 (42 U, S , C. The physician is responsible for ensuring that any person to whom the physician delegates or assigns to perform a cosmetic medical procedure or the operation of a cosmetic medical device is properly trained.
The training will include both theoretical instruction and clinical instruction. A) Complications; (b) Adverse reactions; (c) equipment malfunction; or (d) any other interruption of a procedure; and appropriate documentation of the procedure in the patient's medical history. Observation of the performance of the procedure or use of the device by a person experienced in performing the procedure; and Performing the procedure or using the device under the direct supervision of the delegating physician who is present and observing the procedure a sufficient number of times to ensure that the procedure is not doctor is competent to perform the procedure without direct supervision. MA Administrative Code Allows Use of Laser Acupuncture by Acupuncturists.
Non-Ablative and Laser-Free Sources Use of Devices Registration Board in Medicine The MA Code of Regulations, 243 CMR 2.00 allows a physician to allow a qualified or non-professional professional assistant to provide services in a manner consistent with accepted medical standards and appropriate to the assistant skill. Board rules include the use of lasers in the definition of surgery. The Board of Medicine and Surgery has recorded that the use of a laser, for aesthetic procedures or any other procedure, is the practice of medicine and surgery. The physician may not delegate the use of a laser to persons other than physicians, except that a physician assistant may be delegated with supervision and training consistent with the requirements for tasks delegated to a physician assistant.
In 2000, the Board revised the rules and regulations on the use of lasers and light-activated devices to incorporate the board's policy. The rule states that non-medical personnel performing hair removal on patients must have adequate training in the use of the laser and that the supervising physician must be on the immediate premises during the procedure. However, when the procedure is performed by a trained physician assistant, the supervising physician is not required to be physically present in the building where the surgery is being performed. New York State Department Consumer Guide for Beauty Salons & Spas Are certain products or procedures potentially hazardous or prohibited? Yes.
Some products may pose health and safety risks. Others are specifically prohibited by law. In August 2002, the New York State Board of Medicine passed a resolution recommending that the use of lasers and intense pulsed light for hair removal be considered the practice of medicine and therefore be performed by a physician or under the direct supervision of the physician. MPA, Chapter 90, Section 90-18, under Unlicensed Practice, provides that physicians are not prohibited from delegating any act or task to a qualified person that is permitted by law or established by custom.
Rule 800, adopted 11/15/02, provides that responsibility for the delivery and outcome of any delegated function rests solely with the delegating physician, the suitability and suitability of training for the function must be documented, the appropriateness and appropriateness of supervision shall be judged by the standard of care for a physician which directly provides the same medical service, and delegated services cannot be redelegated by anyone other than the doctor in charge. In addition, prescription of medications, other than replenishments, cannot be delegated under the OC statute. Rule 4731-23 regulates the delegation of medical tasks. Medical tasks may be delegated by a physician only in certain circumstances, including that the person to whom the task is delegated is competent based on specific factors; that the task is within the physician's expertise; and that the supervising physician retains responsibility for the delegated task.
Use of lasers not included in the definition of the practice of medicine and not otherwise addressed by law or standard. A physician may delegate to a healthcare professional or technician the provision of a medical service if (the delegation) is consistent with the standards of acceptable medical practice adopted by the physician community in the Commonwealth; the delegation is not prohibited by regulations promulgated by the board; the delegation is not prohibited by statutes or regulations relating to other licensed health professionals. Texas Department of State Health Services Report on Regulation of Laser Hair Removal The Executive Director will administer and enforce this chapter. The commission may adopt rules to govern the conduct and administration of an exam for an applicant under this subchapter.
B) The request must require the applicant to provide affidavits related to the applicant's education and to provide other information required by the commission. A) A person may not perform or attempt to perform laser hair removal unless the person holds the corresponding certificate according to this subchapter. B) A certificate issued under this subchapter only authorizes a person to perform non-ablative cosmetic laser hair removal. The certificate does not authorize the person to diagnose, treat or offer treatment to any client for any disease, disease, injury, defect or deformity of the human body.
The certificate holder will specifically disclose this limitation in writing to all customers and prospective customers. C) This subchapter does not require a health professional licensed under another law to hold a certificate under this subchapter to perform laser hair removal if performing laser hair removal is within the scope of that professional's practice as determined by the professional's licensing board. D) This subchapter does not apply to a physician or to an employee or delegate of a physician acting under Chapter 157, Occupations Code. Be certified by a recognized certification agency, including the Society for Clinical and Medical Hair Removal or other department-approved certification body; meet the requirements for a Senior Laser Hair Removal Technician Certificate under Section 401,506; and pass a department-required exam.
B) A certified laser hair removal professional acting under the established protocol with a consulting physician can perform laser hair removal without supervision. Be eligible for a Section 401,507 laser hair removal technician certificate; and have supervised at least 100 laser hair removal procedures, audited by a certified laser hair removal professional. B) Eligibility requirements for an applicant for a senior laser hair removal technician certificate who is a licensed health professional shall be established by the licensing entity for that healthcare profession. Meet the requirements to earn a laser hair removal certificate of apprenticeship under Section 401,508; and Have performed at least 100 laser hair removal procedures under the direct supervision of a senior laser hair removal technician or certified laser hair removal professional.
A) An applicant for a laser hair removal learning certificate must have at least 24 hours of training in safety, laser physics, skin typing, skin reactions, treatment protocols, burns, eye protection, emergencies, and post-treatment protocols. B) A trainee laser hair removal trainee must work directly under the supervision of a senior laser hair removal technician or a certified laser hair removal professional. C) A person must be at least 18 years of age to qualify as a laser hair removal apprentice. A) A person may not operate a laser hair removal center unless he has a license issued under this subchapter to operate the center.
B) A separate license is required for each laser hair removal facility. A) A certificate or license expires on the second anniversary of the date of issue and can be renewed. A person holding a license or certificate under this subchapter shall display the person's license or certificate in an open public area of the laser hair removal facility. A) A laser or pulsed light device used for laser hair removal in a laser hair removal center must comply with all applicable federal and state laws and regulations.
C) A person may only use a laser or pulsed light device approved for laser hair removal by the Federal Food and Drug Administration for that purpose and may only use the device in the settings intended to remove hair safely. B) The commission shall adopt rules related to customer notification. C) Compliance with the notification requirement does not affect the liability of the operator of the laser hair removal facility or the manufacturer of a laser or pulsed light device. A) A laser hair removal center shall place a warning sign as prescribed by the commission in a location visible and easily visible to a person entering the center.
The sign must provide a toll-free telephone number and department email address and inform the customer that the customer can contact the department. B) The commission shall adopt rules specifying the size, content and design of the sign, with text listing the possible hazards involved. C) The department shall include with a license application and a license renewal request a description of the design standards required for a sign in this section. A) Except as provided in Subsection (b), a laser hair removal center shall have a certified laser hair removal professional or licensed health professional described in Section 401,504 (c) present to supervise laser hair removal procedures performed at the center during the center's operating hours.
The center's senior laser hair removal technician must be certified as a laser hair removal professional under Section 401.505; or (the center must hire a new certified laser hair removal professional). A) The operator of a laser hair removal facility is responsible for maintaining the laser hair removal facility's compliance with the requirements of this subchapter and the commission's rules related to laser and pulsed light devices. B) The operator of a laser hair removal center may not claim, advertise or distribute promotional materials that claim that laser hair removal is risk-free or provides any medical benefit. C) The operator of a laser hair removal center may not produce false or misleading advertising regarding the services offered at the center.
Establish appropriate protocols for the services provided at the center; and (audit) the protocols and operations of the laser hair removal center. B) Under the rules of the commission, a laser hair removal center must document with the department the center's contractual relationship with the consulting physician. C) The consulting physician should be available for emergency consultations with the facility as appropriate to the circumstances, including, if deemed necessary by the physician, an emergency appointment with the client. If the consulting physician is not available for an emergency visit, another designated physician should be available for consultation with the facility related to the client's care.
D) This subchapter does not exempt a consulting physician or other health professional from complying with applicable regulations prescribed by a state or federal agency. A physician; (acting under the order of a physician; or (authorized by another law) to treat the disease, illness, injury, or physical defect or deformity in that manner. B) A person who violates Subsection (a) is practicing medicine in violation of Subtitle B, Title 3, Occupations Code, and is subject to sanctions under that subtitle and Subchapter F, Chapter 51, Occupations Code. The use of any procedure in which human tissue is cut or altered with laser energy or ionizing radiation is prohibited for all persons licensed under this chapter, unless it is within the scope of practice for the licensee and under the appropriate level of supervision of a health professional with license.
act within the scope of the practice of the licensed health professional. Washington Administrative Code WAC 246-919-605 Use of Lasers, Light, Radiofrequency, and Plasma Devices Applied to Skin. Public Policy Statement Regarding Laser Surgery, Pulsed Light, Radiofrequency Devices, or Other Techniques Wyoming Board of Medicine Rules and Regulations as Adopted Vii) Operates or Delegates Responsibility to Operate a Medical Device Classified as a Class II or Class III Medical Device by the U.S. UU.
Department of State, unless the operation or authorization to operate is performed at a site under the supervision of a person licensed under this chapter. American Academy of Dermatology Federation of State Medical Boards. To date, fewer states, including California and New Jersey, prohibit beauticians or other beauty professionals from performing laser hair removal. Again, it's important to consult your state's specific requirements regarding the acceptable length and type of laser hair removal program.
Laser hair removal (LHR) uses a beam of light to damage the hair follicle during the growth phase and prevent it from growing further. ELECTROLOGISTS “Electrology means the permanent removal of hair by using a solid probe electrode type hair removal, which includes thermolysis, which is short-wave, high-frequency and includes electrolysis, being of the galvanic type, or a combination of both, which is achieved by a super. Physicians using lasers should receive appropriate training, and any physician who delegates a procedure with lasers or intense pulsed light devices to a non-physician should be qualified to perform the procedure on their own. As a result, anyone with the money to purchase a laser hair removal device was performing this service.
You can use an alexandrite laser in patients with lighter skin and an aluminum garnet laser in patients with darker skin. In Florida, licensed electrologists can receive training in laser hair removal and operate under the supervision of physicians. B) A laser hair removal center may continue to perform laser hair removal procedures after the center's certified laser hair removal professional leaves the center if a senior laser hair removal technician is present to perform or supervise each procedure. There is also the Certified Laser Hair Removal Professional (CLHRP) exam, which you may need to take instead of or in addition to the NIC exam.