For California business owners and medical providers, the cost of an “unpaid invoice” has never been higher—not just in lost revenue, but in potential legal liability. As of July 1, 2025, the regulatory ground shifted under the feet of every creditor in the state.
With the expansion of the Rosenthal Fair Debt Collection Practices Act (SB 1286) and the groundbreaking Medical Debt Reporting Ban (SB 1061), the “leverage” most agencies relied on for decades has vanished. In 2026, an aggressive, “old-school” collection agency isn’t just a reputation risk—it is a lawsuit waiting to happen.
At NexaCollect, we act as your Compliance Shield. We move beyond “debt collection” into Revenue Lifecycle Management, ensuring every dollar recovered is compliant with the latest DFPI (Department of Financial Protection and Innovation) mandates.
Nexa provides 100% reputation-safe, equipped with all 50-state collections license, offering free credit reporting, free litigation/bankruptcy scrubs, and zero onboarding fees. Secure – SOC 2 Type II & HIPAA compliant.
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California Compliance Landscape
To rank as a top-tier provider in California, an agency must navigate three critical legislative pillars:
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SB 1286 (Commercial Debt Expansion):
As of July 2025, the Rosenthal Act now covers commercial debts under $500,000 where the debtor is a “natural person” (guarantors or sole proprietors). Your B2B collectors must now follow the same “civility and honesty” rules as consumer collectors. -
SB 1061 (The Medical Credit Ban):
Effective January 1, 2025, medical debt can no longer be reported to credit bureaus in California. Furthermore, starting July 1, 2025, any contract creating medical debt must include specific “Void and Unenforceable” disclosure language, or the entire debt is legally nullified. -
Licensing Mandates:
NexaCollect is fully licensed under the California Debt Collection Licensing Act, a requirement that many smaller “consultants” bypass at your peril.
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The Nexa “Waterfall” Strategy: Precision Recovery
California’s high cost of labor and rent means you cannot afford high contingency fees on “easy” accounts. Our 4-step model is built to maximize your ROI while minimizing your legal exposure. We can speak in Spanish too.
Free credit reporting, litigation and bankruptcy scrubs, and zero hidden or onboarding fees.
Step 1 & 2: The Diplomatic Nudge (Fixed Fee ~$15)
Most California medical practices and small businesses don’t need a “hammer”; they need a reminder that respects the Rosenthal Act’s new communication limits.
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The Approach: Professional demands sent in your name (Step 1) or NexaCollect’s name (Step 2).
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The Advantage: You keep 100% of the money recovered. For a medical office in Irvine or a law firm in San Francisco, this resolves “procrastinator” balances without the 40% commission bite.
Step 3: Assertive Contingency Recovery (No Recovery = No Fee)
When diplomacy fails, our specialists initiate phone-based negotiations. In 2026, this requires “Diplomatic Intensity.”
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Medical Specialization: Since we can no longer use “credit reporting” as leverage, we use Insurance Advocacy and FAFSA Guidance to find the money the patient actually has.
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B2B Specialization: We handle the complex “stall tactics” common in California’s manufacturing and tech sectors, ensuring a Collector Effective Index (CEI) that beats the industry average.
Step 4: California Legal Escalation
For high-value defaults, we offer attorney-vetted litigation. We navigate the San Diego and Los Angeles Superior Court systems, ensuring every action complies with SB 261 (judgment interest rules).
Real Results: California Case Studies
Case Study 1: Medical (Specialized Clinic, Sacramento)
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The Problem: A clinic was carrying $120,000 in aging receivables. They were paralyzed by SB 1061, fearing they had no leverage left since they couldn’t report to credit bureaus.
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The Nexa Solution: We updated their financial agreements with the July 2025 mandatory language and implemented Step 1 (Fixed Fee).
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The Result: Recovered $48,000 in 60 days purely through diplomatic patient-resolution messaging. The clinic saved over $16,000 in commissions.
Case Study 2: Business (Logistics & Distribution, Ontario)
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The Problem: A logistics firm was owed $65,000 by a partner who claimed “cash flow issues.” Under SB 1286, the old “aggressive” calls to the owner’s home were now a legal liability.
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The Nexa Solution: We used Step 3 (Contingency) to engage the debtor’s CFO directly using Rosenthal-compliant scripts.
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The Result: Negotiated a full payout within 18 days, avoiding a costly San Bernardino County court filing.
Mandatory 2026 Compliance Checklist
If your patient or client contracts do not include the following language as of July 1, 2025, they are void and unenforceable in the state of California:
“A holder of this medical debt contract is prohibited by Section 1785.27 of the Civil Code from furnishing any information related to this debt to a consumer credit reporting agency. In addition to any other penalties allowed by law, if a person knowingly violates that section by furnishing information regarding this debt to a consumer credit reporting agency, the debt shall be void and unenforceable.”
California Debt Collection: Frequently Asked Questions
Q: Can I still report unpaid medical bills to credit bureaus if I use an out-of-state agency?
A: No. Under SB 1061, the ban applies to any “person” or “entity” furnishing information regarding California medical debt, regardless of where the agency is headquartered. Knowingly reporting medical debt renders the debt legally void, meaning you can no longer collect it through any means.
Q: Does the “Rosenthal Act” expansion apply to my B2B invoices?
A: Yes, if the debt is $500,000 or less and was entered into or assigned after July 1, 2025. If the debtor is a “natural person” (such as a sole proprietor or a partner who personally guaranteed the business loan), you must now follow strict harassment and disclosure rules once reserved only for consumer debts.
Q: What is the “Fixed Fee” advantage for California firms?
A: California businesses face high overhead. Traditional agencies take 33%–40% of every dollar. Our Step 1 & 2 services cost approximately $15 per account. This allows you to resolve high-volume, low-balance accounts (like $50 co-pays or $500 service fees) while keeping 100% of the principal.
Industries We Serve in California
Nexa provides specialized, CCPA-compliant recovery solutions across the Golden State:
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Dental Practices: Patient-friendly collections focusing on retention and reputation.
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Healthcare, Dental & Medical: 100% HIPAA-compliant. We manage the SB 1061 reporting ban, helping practices in the Kaiser and Cedars-Sinai footprints recover funds via judicial remediation rather than risky credit threats.
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Manufacturing & Logistics: B2B recovery for automotive and tech suppliers. We handle high-value freight brokerage and warehousing disputes for the Port of LA and Silicon Valley.
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Colleges & Universities: From the UC System to private institutions, we manage tuition recovery with a student-first mediation approach that preserves institutional reputation.
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K-12 Private & Charter Schools: Diplomatic recovery for unpaid enrollment fees, tailored for California’s diverse and competitive independent school landscape.
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Accountants & CPA Firms: Recovery of professional service fees. We understand the “net-30” billing cycle and use professional mediation to ensure you get paid without damaging client rapport.
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Banks & Credit Unions: Expert handling of delinquent consumer loans and deficiency balances using California’s 10-year judgment renewal window.
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Construction & Trades: Revenue recovery for HVAC and general contractors (Experts in CCP § 337.15 and 20-day preliminary notices).
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B2B Commercial, Restoration & Waste Management: High-speed recovery for service providers in SF, LA, and San Diego who need cash flow restored immediately.
Contact Nexa Today for a California-Specific AR Audit
Cities we have covered:Burbank
- Petaluma
- Burbank
- San Diego
- Santa Clarita
- San Luis Obispo
- Irvine
- Carmichael
- Bakersfield
- Fresno
- Escondido
- Anaheim
- Beverly Hills
- Rancho Cucamonga
- Calabasas
- Woodland Hills
- Carlsbad
- Chatsworth
- Chico
- Hanford
- Fountain Valley
- Cypress
- Glendale
- Agoura Hills
- Grover Beach
- Hayward
- Huntington Beach
- Oceanside
- La Mesa
- Lodi
- Long Beach
- Los Alamitos
- West Covina
- Los Angeles
- Campbell
- Vacaville
- Modesto
- Sacramento
- Monrovia
- Newport Beach
- North Hollywood
- Novato
- Oakland
- Oakley
- Orange
- Palm Springs
- Indio
- Pasadena
- Pleasant Hill
- Rancho Cordova
- Redding
- Salinas
- San Jose
- San Francisco
- San Leandro
- Gardena
- Santa Barbara
- Visalia
- Santa Rosa
- Camarillo
- Simi Valley
- South Pasadena
- Stockton
- Tarzana
- Murrieta
- Thousand Oaks
- Van Nuys
- La Mirada
- Vista
- Folsom
- Sherman Oaks
- Fairfield
- Oxnard
- Elk Grove
- Garden Grove
- Lancaster
- Palmdale
- Corona
- Roseville
- Fontana
- Moreno Valley

