IA HSB591

Establishes the "Medical Spa Oversight Act" requiring businesses providing wellness services to be licensed by the Iowa Board of Medicine before operating, providing services, or handling prescription drugs.

Defines "wellness services" as medical services enhancing health or physical appearance (not treating underlying conditions), including Botox injections, laser hair removal, skin pigmentation treatment, microneedling, and IV nutrient therapy.

Requires each medical spa to designate a "responsible person" licensed under chapter 148 (physicians) or 155A (pharmacists) for each location where prescription drugs or wellness services are provided.

Mandates the Board of Medicine maintain a public online database of licensed medical spas, including business names, addresses, license numbers, and responsible person information.

Classifies medical spas as "dispensers" under the federal Drug Supply Chain Security Act, requiring compliance with federal drug tracking requirements and proper storage/security controls for prescription drugs and devices.