Indiana is the newest regulatory regime in our coverage, and it comes with a date on it.
On March 5, 2026, Governor Braun signed Senate Bill 282, creating Indiana’s first dedicated regulatory framework for medical spas at Indiana Code 25-22.5-12.5. Most provisions take effect July 1, 2026, and med spas have until January 1, 2027 to register with the Indiana Medical Licensing Board.
What Indiana actually requires
- Registration with the Indiana Medical Licensing Board by January 1, 2027.
- Designation of a responsible practitioner under the new framework.
- Adverse event reporting within 15 days.
- Compliance with the framework’s location restrictions.
- A designated medical director who is a licensed physician, actively involved in operations, with a written practice plan — and note that Indiana does not impose geographic limits on who may serve.
- A structure consistent with Indiana’s existing corporate practice prohibition, under which the MSO/MSA model remains a contested legal question rather than a settled one.
Who may do what in Indiana
| Licence | What they may do |
|---|---|
| MD or DO | Independent; the medical director and, typically, the responsible practitioner |
| Nurse practitioner / PA | Within scope, under the applicable arrangement |
| Registered nurse | Within RN scope, under a valid order |
| Med spa entity | Must register with the Medical Licensing Board by January 1, 2027 |
| Non-physician owner | Indiana prohibits the corporate practice of medicine; the MSO route is not fully settled |
Two dates and one caveat. July 1, 2026 for most provisions; January 1, 2027 to register. And unusually candid: the MSO/MSA model in Indiana is a contested question rather than a settled workaround, so an aggressive structure here carries more uncertainty than the same structure elsewhere.
What MDside provides in Indiana
- A Indiana-licensed MD or DO as medical director, doing the work rather than lending a name.
- Registration handled to the January 1, 2027 deadline, with the responsible practitioner designated properly rather than retrofitted.
- The professional entity and management agreement built to Indiana rather than to a national template.
- Licensed physicians for the good faith exams behind prescriptions and injectables.
- 503A and 503B pharmacy relationships and lab draws.
See what is included, or book a call and tell us which states you operate in.
Read the detail on Indiana
Frequently asked questions
When must an Indiana med spa register?
By January 1, 2027, with the Indiana Medical Licensing Board, under the framework created by SB 282 at IC 25-22.5-12.5.
When does the law take effect?
SB 282 was signed on March 5, 2026, and most provisions take effect July 1, 2026.
How quickly must adverse events be reported?
Within 15 days.
Does Indiana limit who can be a medical director geographically?
No. Indiana does not impose geographic limitations on who may serve as a med spa medical director, unlike Missouri or Mississippi.
General information about Indiana practice structure and med spa regulation, not legal advice. Statutes, board rules and scope-of-practice requirements change. Confirm your obligations with healthcare counsel licensed in Indiana.