Maine regulators are reviewing comments on a proposed joint rule governing IV therapy businesses, Med Spa operations, and medical aesthetic businesses. In a March 24, 2026, newsletter, the Maine Board of Licensure in Medicine said the proposal would apply existing scope-of-practice and clinical standards in these settings
Proposed Chapter 15 Rule Defines Standards for IV Therapy and Med Spa Services
Maine regulators are reviewing public comments on a proposed joint rule governing IV therapy businesses, Med Spa operations, and medical aesthetic services. The proposal, issued February 11, 2026, would apply existing clinical practice standards to these settings. The rule is currently under review following the close of the public comment period on March 13. The rule addresses how IV therapy and aesthetic services are delivered within defined clinical practice standards.
Maine Proposal Outlines Scope and Standards for IV Therapy and Med Spa Services
The Maine Board of Licensure in Medicine reported in its March 24, 2026, newsletter that proposed Chapter 15 was issued in coordination with the Maine Board of Osteopathic Licensure and the State Board of Nursing.
The proposal, titled “Joint Rule Regarding Standards of Practice for Intravenous (IV) Therapy Businesses, Medical Spas, and Medical Aesthetic Businesses,” outlines how healthcare services provided in these settings are governed.
Key provisions outlined in the proposal include:
- Applying the same scope and standards of practice required in other healthcare settings
- Defining terms relevant to IV therapy businesses, Med Spa operations, and medical aesthetic businesses
- Setting scope and standard-of-practice guidelines for any individual or licensee providing healthcare services
- Including standards for compounding medications, which apply to the mixing of IV solutions
The Maine State Board of Nursing’s 2025–2026 regulatory agenda also identified a joint rule addressing IV therapy and Med Spa standards of practice.
For Med Spa operators, particularly those offering IV therapy, the proposal clarifies that these services are considered healthcare services, subject to the same scope of practice and clinical standards that apply in other care settings, including requirements tied to clinical evaluation and oversight.
As of the March 24th newsletter, the participating boards were reviewing submitted comments and had not yet indicated whether the rule would be adopted or modified.
Source Attribution
According to a March 24, 2026, newsletter from the Maine Board of Licensure in Medicine, proposed Chapter 15 was released for public comment and remains under review following the close of the comment period.
Proposed Rule Applies Existing Practice Standards to IV Therapy and Med Spa Services
The proposed Chapter 15 rule states that healthcare services delivered in IV therapy businesses, Med Spa operations, and medical aesthetic businesses remain subject to the existing scope of practice and standards of care.
Under Maine law, licensed healthcare professionals must provide services within their defined scope of practice under 32 M.R.S. § 2102, with oversight from the Maine Board of Licensure in Medicine, the State Board of Nursing, and the Board of Osteopathic Licensure.
The proposal defines terms and sets scope and standard-of-practice guidelines for any individual or licensee providing healthcare services in these settings. It also includes provisions addressing medication-related activities, including standards applicable to the mixing of IV solutions.
This reflects how compliance is evaluated in enforcement actions and regulatory reviews. A December 11, 2025, New York City Council investigation identified violations across all 15 inspected Med Spas, including unlicensed practice, lack of supervision, and improper handling of medical services, illustrating how existing requirements are enforced in these settings. A Connecticut nursing board case involving supervision and infection control in Med Spa services reflects board-level oversight of clinical standards in these settings.
For Med Spa operators, the proposal clarifies how current requirements apply to specific services, including IV therapy, where preparation and administration must align with established clinical standards and medication-handling requirements.
Operational Implications for Med Spa Providers
- Define provider oversight structures for IV therapy and other medically regulated services.
- Evaluate how IV therapy services are positioned within clinical operations alongside aesthetic treatments.
- Assess how IV solutions are prepared and handled in relation to applicable compounding standards.
- Review how responsibilities are assigned among licensed staff delivering IV and aesthetic services.
- Standardize protocols across locations where IV therapy and Med Spa services are offered under the same model.
What to Watch
The participating boards are reviewing comments submitted during the public comment period, which closed March 13, 2026. Further action will depend on that review, including whether the proposed rule is revised before a final decision. The outcome will determine how these standards are formally applied to IV therapy businesses and Med Spa service models.
About Spakinect
Spakinect provides compliance infrastructure and telehealth-supported supervision solutions for medical aesthetic practices. For additional information, see our website.
Image Attribution: “Cumberland County Courthouse, Portland, Maine” by Kenneth C. Zirkel, via Wikimedia Commons, licensed under CC BY 4.0.
