Indiana.
Indiana's distinctive signal is fresh, peptide-relevant legislation. Senate Bill 282, signed by the Governor on March 5, 2026 as Public Law 136 (2026), sets drug-compounding requirements and — beginning January 1, 2027 — requires med spas to register with the Medical Licensing Board of Indiana, designate a responsible practitioner, report serious adverse events, and submit to board investigation. Telehealth practice runs under IC 25-1-9.5, which holds telehealth to the in-person standard of care and lets a prescriber issue a prescription without a prior in-person exam if that standard is met. Compounding otherwise tracks the baseline USP framework under 856 IAC (the Board's interim rule to adopt updated USP chapters was postponed, not tightened).