🚀 Texas Launch — Spring 2026

Know before
they knock.

Regulatory agencies change rules constantly — and none of them send useful alerts when they do. RegulatorPulse monitors every agency covering your industry and delivers what changed, in plain English, every Tuesday morning — before an inspector walks in.

30-day free trial. Cancel anytime. No long-term commitment required.

Covering: Medical Spas · Salons & Barbershops · Bars & Restaurants · Childcare Centers · Home Health Agencies · Auto Repair · Dry Cleaners · Food Trucks · Churches & Nonprofits · Event Venues · Physical Therapy Clinics · Veterinary Clinics

You're operating blind — and inspectors know it.

Most small business owners find out about rule changes the hard way — at an inspection, not before it.

Multiple agencies. Zero alerts.

A small business can face active compliance obligations from 4–8 agencies simultaneously — state licensing boards, environmental regulators, federal safety agencies, and more. None of them send useful plain-English notifications when rules change.

Regulators don't warn you.

Agencies publish rule changes in state registers and on agency websites — in legal language, without notification. You are presumed to know. The inspector cites what the rule says today, not what it said at your last inspection.

The cost of missing one change.

State licensing citationup to $5,000
Liquor license violationsuspension or cancellation
Environmental enforcementup to $25,000/day
OSHA serious violationup to $16,550/violation

One missed rule change pays for years of RegulatorPulse.

Bad reviews trigger inspections.

RegulatorPulse monitors review patterns across your entire industry — flagging language that correlates with regulatory complaints before inspectors arrive. And when your own profiles receive flagged reviews, we deliver suggested responses ready to approve and post. Two signals, one system. Research confirms the link.

Your current options aren't working.

Word of mouth. Trade newsletters. Occasionally reading raw regulatory text. Compliance attorneys at $300–$500/hour — used reactively, after something goes wrong. None of this is systematic. RegulatorPulse is.

Continuous monitoring. Weekly delivery.
Plain English. Every time.

RegulatorPulse watches every relevant regulatory source — so you don't have to. Here's how it works in Texas, our first launch state.

1

Tell us about your business

Tell us your industry, your state, and your services. Your briefings are filtered to what actually applies to your specific business — nothing irrelevant.

2

We monitor everything

Every night, RegulatorPulse scans your relevant state and federal agencies and flags what changed. In Texas: TMB, TDLR, TABC, TCEQ, HHSC, OSHA, FDA, and more. Primary source links included in every item.

3

Tuesday briefing arrives

Every Tuesday morning, your briefing arrives. Action Required items at the top. Watch items next. Informational context last. Each item links directly to the original regulatory document.

4

Review intelligence included

Every week we scan thousands of Google, Yelp, and Healthgrades reviews across your industry — flagging patterns that precede regulatory action, and alerting you when your own profiles contain violation-language before an inspector does.

5

Reply with questions

Have a question about a briefing item? Reply to the email. We respond within 24 hours explaining what the rule says and where to find it. Not legal advice — clear regulatory intelligence.

This is what lands in your inbox.

Actual briefing format. Content is illustrative. Sample shown for Medical Spas — your industry follows the same format with its specific agencies.

Sorted by urgency. Linked to primary sources. Specific to your business type.

RegulatorPulse — MedSpa Edition Week of March 4, 2026 · Austin, TX
Action Required

TMB: Medical Director Agreement Must Be On-Site During All Operating Hours

The Texas Medical Board clarified on February 28 that medical director agreements must be physically present at the facility during all operating hours — not merely held off-site or in a management office. Two Austin practices received deficiency letters last month over this issue.

Action: Print and place your medical director agreement in your on-site compliance binder. Confirm your medical director has signed the current version. Deadline: before your next operating day.

Source: Texas Medical Board Guidance Bulletin, Feb 28, 2026 ↗


Watch

BON Proposed Rule: NP Supervision Ratio in Aesthetic Settings Under Review

The Texas Board of Nursing has opened a comment period on proposed amendments to NP supervision ratios in aesthetic practice settings. If adopted, the change would affect NP-led practices statewide. Comment period closes April 15, 2026.

Source: Texas Register, Vol. 51, No. 9 ↗


Informational

FDA: Dermal Filler Adverse Event Reports Up 18% in Q4 2025

FDA's MedWatch database shows an 18% increase in adverse events related to hyaluronic acid fillers. No rule change — informational only. Full report linked.

Source: FDA MedWatch Quarterly Summary ↗


Rule of the Week

Medical Director Oversight Requirements — 22 TAC §193.17

Texas law requires a physician medical director to provide active, ongoing supervision of all delegated medical procedures at a MedSpa — not merely sign a contract. "Active supervision" means the physician must be available for consultation, review adverse events, and maintain documented oversight protocols.

What to check: Does your medical director have a written protocol for each delegated procedure? Has it been reviewed in the past 12 months? Is your adverse event log current? These are the three items inspectors look for when evaluating delegation compliance.

Source: 22 TAC §193.17 — Delegation of Medical Acts ↗


Enforcement Spotlight

Austin MedSpa — $4,500 Fine for Unsupervised Injectable Administration

A Travis County medical spa was fined $4,500 and placed on probation after a TMB investigation found that a licensed esthetician had administered neurotoxin injections without physician supervision present or immediately available. The medical director had signed delegation documents but had no documented supervision protocol and had not visited the facility in over 90 days.

Takeaway: Delegation paperwork alone is not sufficient. TMB requires evidence of active, ongoing supervision — documented site visits, consultation logs, and signed protocol reviews.

Source: TMB Enforcement Action Database (identifying details modified) ↗


Regulatory Calendar

Next 30 Days — MedSpa

March 19: TMB March 26–27 board meeting agenda posts — watch for supervision and delegation rule items.

March 26–27: Texas Medical Board quarterly meeting, Austin.

April 10: Texas Physician Assistant Board meeting — scope of practice items may affect PA-supervised practices.

April 15: BON comment period closes on proposed NP supervision ratio amendments (see Watch item above).


⭐ Review Intelligence

Part 1: Industry Pattern — statewide spike in TMB supervision language  |  Part 2: Your Profile — 3 reviews flagged

Industry Pattern: RegulatorPulse scanned 2,400+ Texas MedSpa reviews this week. Reviews mentioning "no doctor present" and "no consultation" spiked 34% — language that has preceded elevated TMB complaint filings in 3 of the last 4 quarters. This is the early warning signal. The complaint wave typically follows 4–6 weeks later.

Your Profile: Three of your recent reviews contain matching language. Here's what your customers said — and a ready-to-post response for each:

  • "I never saw a doctor the whole time I was there." — posted Feb 24
  • "The person doing my injections seemed unsure of what she was doing." — posted Feb 22
  • "No one checked my medical history before starting." — posted Feb 19

This language maps directly to TMB Rule 22 TAC §193.17 — physician supervision and pre-procedure patient evaluation requirements. Research shows Google and Yelp reviews predict regulatory complaints with near-perfect statistical significance. Customers who write reviews like these file TMB complaints at elevated rates.

Self-audit checklist before your next patient:
☐ Is your medical director on-site or immediately reachable during all procedures?
☐ Is a physician, PA, or NP conducting pre-procedure evaluations for every injectable patient?
☐ Is your medical history intake form current and signed before treatment begins?
☐ Are delegation protocols documented and signed within the last 12 months?

AI-DRAFTED RESPONSE — Review posted Feb 24 · 1 star

"Thank you for sharing your experience. We take every concern seriously. At [Practice Name], every patient receives a consultation with our licensed medical provider before any treatment begins — this is both our standard and a requirement we hold ourselves to without exception. We'd welcome the opportunity to speak with you directly to understand what fell short of that standard. Please contact us at [phone/email]."

Approve & Copy Response →

Industry pattern data is drawn from all businesses in your industry — thousands of reviews per week, not just yours. The more subscribers in an industry, the sharper the signal.


Industry News

AmSpa 2026 State of the Industry Report Expected This Quarter

The American Med Spa Association's annual benchmark report — the most comprehensive data on MedSpa revenue, staffing, services, and compliance trends — is expected to publish in Q1 2026. We'll summarize the compliance-relevant findings when it releases.

Texas legislature in session through June 2026. No active bills targeting MedSpa supervision have advanced out of committee this week. Monitoring continues.

Source: AmSpa Industry Resources ↗ · Texas Legislature Online ↗

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Twelve industries.
One compliance system.

Every industry gets a briefing built for its specific regulatory environment — not a generic newsletter. Launching in Texas first, with more states to follow.

Medical Spas

One of the most complex small-business regulatory environments in any state. Multiple agencies. Constantly evolving rules. A single medical board disciplinary action creates a permanent public record that follows your practice.

  • State Medical Board
  • State Board of Nursing
  • State cosmetology / esthetics licensing board
  • OSHA — bloodborne pathogens, sharps
  • FDA — Botox, fillers, energy devices
  • DEA — if handling controlled substances
  • State Board of Pharmacy — if dispensing medications
Get Started →

Salons & Barbershops

State cosmetology boards inspect aggressively and cite frequently — and most owners don't know the rules changed until they fail an inspection. Sanitation standards, chemical use rules, and licensing requirements are updated regularly.

  • State cosmetology / barbering licensing board
  • OSHA — HazCom, formaldehyde (keratin treatments)
  • FDA — cosmetic ingredient alerts
  • State environmental agency — chemical disposal (nail salons)
Get Started →

Bars & Restaurants

Food service operators face overlapping jurisdiction from state alcohol regulators, health departments, and local agencies — with rules changing at the city, county, and state level simultaneously. Most operators find out about new requirements at their next inspection.

  • State alcoholic beverage commission
  • State dept. of health services / food safety
  • Local health departments — city/county standards
  • OSHA — kitchen safety, chemical handling
Get Started →

Childcare Centers

Childcare operators face some of the most consequential compliance stakes of any small business category. A single high-weight deficiency can trigger an emergency license suspension that closes the facility overnight.

  • State child care licensing / health & human services
  • State child protective services — abuse/neglect investigations
  • Local fire marshal — facility safety standards
  • OSHA — employee health & safety
Get Started →

Home Health Agencies

Home health operators face continuous state oversight plus federal CMS Conditions of Participation that are actively updated — where a single compliance failure can trigger a deficiency citation or loss of Medicare certification.

  • State health & human services commission
  • CMS — Medicare/Medicaid Conditions of Participation
  • OIG — fraud and abuse compliance updates
  • OSHA — home health worker safety
Get Started →

Auto Repair Shops

Auto repair operators navigate overlapping obligations from state motor vehicle regulators, environmental agencies, and consumer protection offices — with hazardous waste standards and repair fraud rules that carry per-violation fines.

  • State automotive licensing / inspection board
  • State environmental agency — used oil, hazardous waste
  • State attorney general consumer protection
  • OSHA — shop safety, chemical exposure
Get Started →

Dry Cleaners

Dry cleaners using PERC face some of the most stringent environmental compliance requirements of any small business — with state air permits, EPA MACT standards, and hazardous waste rules that are actively enforced with significant daily fines.

  • State environmental agency — PERC air permits, remediation
  • EPA — 40 CFR Part 63 MACT standards
  • OSHA — chemical exposure, ventilation
  • Local fire marshal — chemical storage
Get Started →

Food Trucks & Catering

Mobile food operators navigate overlapping jurisdiction from state health departments, local agencies, and alcohol regulators — with requirements that vary by county and change without notice. Most operators learn about new rules at permit renewal, not before.

  • State dept. of health services / food safety
  • Local health departments — city/county permits
  • State alcoholic beverage commission
  • Local fire marshal — propane, hood suppression
Get Started →

Churches & Nonprofits

Churches and nonprofits face a distinct and often overlooked set of regulatory obligations — from building and fire code compliance to food service permits, childcare licensing, and employment law requirements that apply even to religious organizations.

  • State fire marshal — building and fire code compliance
  • State health dept. — food service (kitchens, fundraiser meals)
  • State child care licensing — if operating childcare programs
  • State workforce commission — employment law updates
  • IRS — nonprofit compliance, UBIT updates
Get Started →

Event Venues

Event venues juggle permits and inspections from multiple agencies simultaneously — fire marshal occupancy limits, alcohol service rules, food handler requirements, and ADA compliance standards that can change at the city, county, and state level independently.

  • State & local fire marshal — occupancy, egress, suppression
  • State alcoholic beverage commission
  • State health dept. — food service, temporary event permits
  • Local building & zoning — use permits, ADA compliance
Get Started →

Physical Therapy Clinics

PT clinics face overlapping oversight from state licensing boards, CMS, and OSHA — with Medicare billing rules, direct access documentation requirements, and aide supervision standards that update regularly and carry serious enforcement consequences.

  • State physical & occupational therapy board
  • CMS / Medicare — billing, CoP compliance
  • State health & human services — if licensed as rehab facility
  • OSHA — bloodborne pathogens, workplace safety
Get Started →

Veterinary Clinics

Vet practices navigate state veterinary licensing boards, DEA controlled substance registration, OSHA hazard communication standards, and radiation machine inspections — often without a dedicated compliance function tracking what's changed.

  • State board of veterinary medical examiners
  • DEA — controlled substance registration & logs
  • OSHA — bloodborne pathogens, hazard communication
  • State health dept. — radiation machine registration
Get Started →

"Can't I just ask ChatGPT?"

Fair question. Here's the honest answer.

Asking an AI chatbot

ChatGPT and similar tools have a training cutoff — they don't know what your state licensing board issued last Tuesday. They can't monitor agency rulemaking feeds. They don't know your specific license structure, services, or location. You'd need to re-explain your situation every session — and you'd have to remember to ask in the first place. Compliance doesn't work on demand. It works on schedule.

RegulatorPulse

RegulatorPulse monitors your agencies every night — automatically. Your profile is on file. We flag what applies to your specific business based on your industry, state, and services. You don't have to remember to check anything. Every Tuesday, a briefing arrives whether you thought to ask or not. That's the difference between a chatbot and a compliance system.

What you're probably wondering.

Is this legal advice?

No — and we're clear about that in every communication. RegulatorPulse provides informational summaries of publicly available regulatory developments. We describe what rules say and when they changed. We do not assess whether your specific establishment is in compliance, and we do not advise you on your specific situation. That's the job of your compliance attorney. We make sure you know what the rule says — you and your counsel decide what to do about it.

How is this different from my trade association membership?

Association newsletters cover regulatory topics occasionally, in general terms, filtered through the association's priorities. RegulatorPulse monitors regulatory sources directly and continuously — every night — and delivers personalized briefings based on your specific services, license type, and city. It's the difference between a monthly newsletter and a dedicated monitoring system.

What if nothing changes in a given week?

You still receive a briefing. It will note there were no new regulatory developments to report — and include a rules refresh item and compliance tip relevant to your industry. Knowing nothing changed is itself valuable confirmation. And the standing sections ensure every briefing is substantive regardless of regulatory activity that week.

Do you cover my city's local rules?

Yes. For state agencies we cover every business in your state. For local health department inspections (food trucks, restaurants, food service at venues and churches), we monitor the local health department for your city as specified in your intake form. Major metro areas are fully covered.

Do churches and nonprofits really have compliance obligations?

Yes — and many are unaware of the full scope. Religious organizations are not exempt from fire code, food safety, building code, or employment law requirements. Churches operating childcare programs face full state licensing obligations. Those serving food at fundraisers or events need state or local health department permits. Changes to IRS nonprofit compliance rules can also affect tax-exempt status. RegulatorPulse tracks all of it.

Can I have multiple locations covered?

Yes. Multi-location plans are available for every industry. Contact us for quotes on larger groups (5+ locations).

How do I cancel?

Any time, from your customer portal with one click. Cancellation takes effect at the end of your current billing period. No fees, no questions required — though we appreciate feedback if you have it.

Get early access — launching Spring 2026.

Tell us about your business and we'll set up your briefings.

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