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Untitled-design-33-300x199Our healthcare law firm works with many providers and healthcare practices to assist them in complying with federal, state, and local laws. Several of our clients have asked if they can administer stem cell treatments as part of their practice. This blog post discusses a bill in the Georgia General Assembly that proposes to regulate stem cell treatments. As of April 29, 2026, the bill has passed both the Georgia House and Senate, has been sent to the Governor, but has not yet become law. If you are planning to administer stem cell treatments as part of your practice or would like to discuss this blog post, you may contact our healthcare law firm at (404) 685-1662 (Atlanta) or (706) 722-7886 (Augusta), or by email, info@littlehealthlaw.com. You may also learn more about our law firm by visiting www.littlehealthlaw.com.

House Bill 1275 (HB 1275) proposes to regulate stem cell treatments that are intended for regenerative treatments, not for human research purposes. The bill states that physicians, physician assistants, or nurse practitioners can perform non-FDA-approved stem cell therapies if the therapies are Continue reading ›

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compoundedweightloss-1317062702-1000x595-1-300x179Our healthcare law firm works with many providers and healthcare practices to assist them in complying with federal, state, and local laws. Several of our clients have asked if they can administer ketamine for off-label use, especially for treatment-resistant depression. Ketamine has started being administered in psychiatric practices and ketamine clinics, and states are starting to respond to the proliferation of these ketamine clinics.

On March 31, 2026, our firm wrote a blog post about a bill in the Georgia General Assembly that proposed to regulate ketamine clinics. On May 12, 2026, Georgia Governor Brian Kemp signed this bill, meaning the bill is set to become law on July 1, 2026, unless the bill gives another effective date for certain portions of it. This updated blog post discusses the new law that will regulate ketamine clinics. If you are planning to administer ketamine in your practice, would like to set up a ketamine clinic, or would like to discuss this blog post, you may contact our healthcare law firm at (404) 685-1662 (Atlanta) or (706) 722-7886 (Augusta), or by email, info@littlehealthlaw.com. You may also learn more about our law firm by visiting www.littlehealthlaw.com.

The new law, House Bill 717 (HB 717), will regulate facilities that administer “psychedelic-assisted treatment and therapy,” which includes ketamine that is administered intravenously. “Psychedelic-assisted treatment and therapy” is defined as any treatment or therapy using psychedelic, dissociative, or other related substances that can produce hallucinations or other similar feelings. The new law will also cover other treatments similar Continue reading ›

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pexels-klaus-nielsen-6303598-scaled-e1780345423169-300x194Our healthcare law firm works with many providers and healthcare practices to assist them in complying with federal, state, and local laws. In particular, our med spa clients often ask whether they can hire medical assistants to perform certain procedures within their med spa. Medical assistants have a defined scope of practice under state law, and having medical assistants perform procedures outside their scope of practice carries legal risk. This blog covers some main points about a medical assistant’s scope of practice, particularly in Georgia. If you are a medical assistant considering to open up a med spa, planning to hire a medical assistant as part of your med spa, or would like to discuss this blog post, you may contact our healthcare law firm at (404) 685-1662 (Atlanta) or (706) 722-7886 (Augusta), or by email, info@littlehealthlaw.com. You may also learn more about our law firm by visiting www.littlehealthlaw.com.

Medical Assistants Are Able to Perform a Very Limited Amount of Medical Tasks Under Georgia Law, and Most Med Spa Services Are Not Within This Limited Amount of Medical Tasks.

The Georgia Medical Board’s regulations outline what medical tasks medical assistants can do. Under the regulations, physicians can delegate the following tasks to medical assistants: Continue reading ›

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Orange-Simple-Floral-Border-A2-Landscape-1-300x212Our healthcare and business law firm advises many physicians, advanced practice registered nurses (APRNs), physician assistants (PAs), and medical practices on Georgia regulatory compliance. On May 7, 2026, the Georgia Composite Medical Board (“GCMB”) issued its IV Hydration/Therapy Position Statement, that was emailed on May 19, 2026 addressing many important areas, including: the delegating physician role in APRN practice, whether an APRN or APRN-owned entity may employ the delegating physician, critically, whether a third-party company changes that analysis, and the PA–supervising physician relationship. If you would like to discuss this position statement or its implications for your practice, you may contact our healthcare and business law firm at (404) 685-1662 (Atlanta) or (706) 722-7886 (Augusta), or by email, info@littlehealthlaw.com. You may also learn more about our law firm by visiting www.littlehealthlaw.com.

(1) The APRN–Delegating Physician Relationship

The position statement reaffirms Georgia’s nurse protocol framework under O.C.G.A. § 43-34-25 and Ga. Comp. R. & Regs. 360-32-.04 and 360-32-.05. A physician may delegate to an APRN only where the physician’s specialty area is comparable to the APRN’s specialty—meaning services the physician regularly provides in his or her own practice—and the parties maintain a compliant nurse protocol agreement. The delegating physician must conduct direct onsite observation at least Continue reading ›

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d-koi-5nI9N2wNcBU-unsplash-scaled-e1779120105637-300x200Our healthcare law firm works with many providers and healthcare practices to assist them in complying with federal, state, and local laws. In particular, our med spa clients often ask whether they can offer peptides as part of their practice. Peptides have garnered recent popularity among med spas, but offering peptides also carries legal risk. On April 15, 2026, the Food and Drug Administration (FDA) announced that it will reconsider certain peptides for inclusion on the 503A Bulks List. This blog post discusses the significance of this announcement as it relates to peptides. If you need assistance setting up a med spa to offer peptides or would like to discuss this blog post, you may contact our healthcare law firm at (404) 685-1662 (Atlanta) or (706) 722-7886 (Augusta), or by email, info@littlehealthlaw.com. You may also learn more about our law firm by visiting www.littlehealthlaw.com.

Background

Peptides are smaller versions of proteins that may provide pro-aging support, anti-inflammatory, or muscle-building properties. Although popular peptides include weight loss drugs such as semaglutide or tirzepatide, certain peptides such as BPC-157 and Sermorelin are currently being used at med spas for therapeutic purposes. Peptides that are used for therapeutic purposes are not FDA-approved, so they are considered off-label use.

Section 503A of the Food, Drug & Cosmetic Act allows licensed compounding pharmacies to compound drugs for patients who have a valid prescription. The FDA has Continue reading ›

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istockphoto-934679414-612x612-1-300x200Our healthcare law firm works with many physicians and other providers who receive a notice of peer review action or investigation from their employer. Peer review actions can arise when employers reasonably believe that a physician or other provider has engaged in detrimental conduct or in conduct that may put someone in harm’s way, such as a patient. Our clients in these situations ask what they can do initially to respond to the peer review action. This blog covers several initial steps that physicians and other providers can take when they receive notice of investigation or a peer review action. If you need assistance responding to a peer review action from your employer or would like to discuss this blog post, you may contact our healthcare law firm at (404) 685-1662 (Atlanta) or (706) 722-7886 (Augusta), or by email, info@littlehealthlaw.com. You may also learn more about our law firm by visiting www.littlehealthlaw.com.

First Step: Request and Review Your Employer’s Bylaws or Other Policies to Determine What Your Rights Are in Response to a Peer Review Action.

Employers normally have due process policies related to peer review actions, and these policies are usually Continue reading ›

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woman-with-hands-together-talking-with-counselor-300x200Our healthcare and business law firm advises many mental health practices, telehealth providers, and licensed clinicians on regulatory compliance and practice structuring.  An increasingly common question we receive is whether a mental health practice can offer both licensed clinical services—such as psychotherapy or medication management—and non-clinical coaching services under the same roof.  The answer is generally, yes, but only if the two services are carefully and consistently distinguished in practice documents, communications, and clinical workflows.  This blog post explains why the coaching-therapy distinction matters and what practices must do to maintain it.  If you would like to discuss practice structuring for your mental health practice or would like to discuss this blog post, you may contact our healthcare and business law firm at (404) 685-1662 (Atlanta) or (706) 722-7886 (Augusta), or by email, info@littlehealthlaw.com.  You may also learn more about our law firm by visiting www.littlehealthlaw.com.

(1) What Is the Difference Between Coaching and Therapy?

Psychotherapy and other licensed clinical mental health services are regulated services.  In Florida, for example, psychotherapy may be provided by a licensed clinical social worker, licensed mental health counselor, licensed marriage and family therapist, or a licensed physician or physician assistant operating within their authorized scope of practice.  These services are governed by professional licensing statutes, including Chapter 491 and Continue reading ›

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HIPAA-Breaches-Healthcare-Students-e1615468812558-300x199Our healthcare and business law firm advises many medical practices, including telemedicine and cash-only practices, on regulatory compliance.  A question we frequently receive is whether the No Surprises Act applies to a practice that does not participate in any insurance network.  The answer is not always straightforward—the No Surprises Act has several distinct components, and whether a particular requirement applies depends on what type of entity or provider is involved.  This post explains the structure of the Act, discusses the Good Faith Estimate (“GFE”) requirement and which providers it reaches, and outlines practical compliance steps.  If you would like to discuss No Surprises Act compliance for your practice or would like to discuss this blog post, you may contact our healthcare and business law firm at (404) 685-1662 (Atlanta) or (706) 722-7886 (Augusta), or by email, info@littlehealthlaw.com.  You may also learn more about our law firm by visiting www.littlehealthlaw.com.

(1) The No Surprises Act Has Multiple Components

The No Surprises Act was enacted as part of the Consolidated Appropriations Act of 2021 and created a suite of consumer protections against unexpected medical bills.  It is important to understand that not all of those protections apply to the same entities.  Some provisions—particularly those addressing surprise billing for emergency services and certain non-emergency services—are tied specifically to “health care facilities,” a defined term that encompasses hospitals, hospital outpatient departments, critical access hospitals, and ambulatory surgical centers.  Those facility-specific provisions are primarily designed for the insured-patient context, where a patient receives care at an in-network facility but is Continue reading ›

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Our healthcare law firm works with many providers and healthcare practices to assist them in complying with federal, state, and local laws. This blog post discuses which licensed professionals can draw blood in Georgia depending on the particular circumstance and the professional’s particular license. If you are planning to draw blood as part of your scope of practice, respond to a licensing dispute about drawing blood, or would like to discuss this blog post, you may contact our healthcare law firm at (404) 685-1662 (Atlanta) or (706) 722-7886 (Augusta), or by email, info@littlehealthlaw.com. You may also learn more about our law firm by visiting www.littlehealthlaw.com.

Georgia law and regulations do not have clear rules on who can or cannot draw blood. Regarding blood donation centers, for example, phlebotomists must have the Continue reading ›

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pexels-shvetsa-4586711-scaled-e1776955487514-300x200Our healthcare law firm works with many providers and healthcare practices to assist them in complying with federal, state, and local laws. Our med spa clients in South Carolina ask what services they can legally provide at their med spa, especially Botox. This blog post discuses who can administer Botox in South Carolina. If you are planning to start a med spa in South Carolina, administer Botox in your practice, or would like to discuss this blog post, you may contact our healthcare law firm at (404) 685-1662 (Atlanta) or (706) 722-7886 (Augusta), or by email, info@littlehealthlaw.com. You may also learn more about our law firm by visiting www.littlehealthlaw.com.

Who Can Administer Botox Depends on Whether Botox Is Being Administered for Cosmetic or Non-Cosmetic Purposes.

The South Carolina State Boards of Dentistry, Medical Examiners, and Nursing issued a joint advisory opinion about administering neuromodulators, including Botox, for cosmetic and non-cosmetic purposes. The opinion discusses certain requirements to administer Botox. A practitioner must Continue reading ›

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