MA H5087

Requires medical spas in Massachusetts to obtain a 2-year license from the Department of Public Health, with mandatory annual inspections and designation as Level II, Level III, or combined facilities based on procedure invasiveness

Mandates that Level II facilities have a clinical director (physician or nurse) present at least 10% of monthly operating hours, while Level III facilities require a medical director (physician) with the same presence requirement, plus a full-time site director at each location

Establishes penalties of up to $500 for first-time unlicensed operation and up to $1,000 or 2 years imprisonment for subsequent offenses, with daily fines of $1,000-$10,000 for compliance deficiencies

Creates a medical spa advisory committee with representatives from medical, nursing, electrology, and cosmetology boards to advise on procedure classifications and regulations

Expands the definition of electrolysis to include laser and intense pulse light hair removal devices, requiring electrologists licensed before this change to complete additional education and examination requirements