March 30, 2026, New Jersey Governor Mikie Sherrill signed legislation (Senate Bill 2996/Assembly Bill 4052). The Med Spa Exception: The law includes a "carve-out" that explicitly excludes nurses who provide elective aesthetic or cosmetic services—such as Botox, fillers, and wellness IV therapies—from independent practice authority. Be careful with med spas, ensure that there is a collaborating physician, and that they are actually reviewing your medical record.