`
`UNITED STATES COURT OF APPEALS
`FOR THE NINTH CIRCUIT
`
`
`
`
`
`No. 22-15352
`
`D.C. No.
`2:21-cv-01202-
`RFB-BNW
`
`
`OPINION
`
`
`
`
`
`AARGON AGENCY, INC., Nevada
`corporation; ALLIED COLLECTION
`SERVICES, INC., a Nevada
`corporation; ASSETCARE, LLC, a
`Texas limited liability company;
`CAPIO PARTNERS, LLC, a Texas
`limited liability company; CF
`MEDICAL, LLC, a Nevada limited
`liability company; CLARK COUNTY
`COLLECTION SERVICE, LLC, a
`Nevada limited-liability company;
`COLLECTION SERVICE OF
`NEVADA, a Nevada corporation;
`NEVADA COLLECTORS
`ASSOCIATION, a Nevada non-profit
`corporation; PLUSFOUR, INC., a
`Nevada corporation; RM GALICIA,
`INC., doing business as Progressive
`Management, LLC; THE LAW
`OFFICES OF MITCHELL D.
`BLUHM & ASSOCIATES, LLC, a
`Georgia limited liability company,
`
`
`
` v.
`
`
`
`
`Plaintiffs-Appellants,
`
`
`
`2
`
`AARGON AGENCY, INC. V. O’LAUGHLIN
`
`SANDY O'LAUGHLIN, in her
`capacity as Commissioner of State Of
`Nevada Department Of Business And
`Industry Financial Institutions
`Division,
`
`
`
` Defendant-Appellee.
`
`
`
`
`
`
`
`
`
`Appeal from the United States District Court
`for the District of Nevada
`Richard F. Boulware II, District Judge, Presiding
`
`Argued and Submitted September 2, 2022
`San Francisco, California
`
`Filed June 15, 2023
`
`Before: William A. Fletcher, Jay S. Bybee, and Lawrence
`VanDyke, Circuit Judges.
`
`Opinion by Judge W. Fletcher;
`Dissent by Judge VanDyke
`
`
`
`
`
`
`
`
`
`
`AARGON AGENCY, INC. V. O’LAUGHLIN
`
`
`
`3
`
`SUMMARY**
`
`Consumer Rights
`
`The panel affirmed the district court’s order denying
`preliminary injunctive relief to entities engaged in consumer
`debt collection in their action asserting a facial challenge to
`Nevada Senate Bill 248 (“S.B. 248”), which requires debt
`collectors to provide written notification to debtors 60 days
`before taking any action to collect a medical debt.
`
`Plaintiffs alleged that S.B. 248 is unconstitutionally
`vague, constitutes a prior restraint in violation of the First
`Amendment, and is preempted by the Fair Credit Reporting
`Act (“FCRA”) and the Fair Debt Collection Practices Act
`(“FDCPA”).
`
`The panel affirmed the district court on the grounds that
`plaintiffs failed to show a likelihood of success on the merits
`of their claims. The panel first rejected plaintiffs’ claim that
`the term “action to collect a medical debt” in S.B. 248 was
`unconstitutionally vague, noting that the implementing
`regulations set forth examples of actions that do, and do not,
`constitute actions to collect a medical debt.
`
`Addressing the First Amendment claim that S.B. 248
`impermissibly burdens plaintiffs’ speech, the panel held
`that: S.B. 248 regulates commercial speech and therefore is
`not subject to strict scrutiny; communications to collect a
`medical debt “concerned lawful activity” and were not
`“inherently misleading;” Nevada’s asserted interest in
`
`
`** This summary constitutes no part of the opinion of the court. It has
`been prepared by court staff for the convenience of the reader.
`
`
`
`4
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`AARGON AGENCY, INC. V. O’LAUGHLIN
`
`protecting medical debtors in Nevada from financial ruin in
`the wake of the Covid-19 pandemic was substantial; S.B.
`248 directly advanced the government interest asserted; and
`S.B. 248 was not a more extensive regulation than necessary
`to serve the State’s interest.
`
`The panel next rejected plaintiffs’ argument that the
`FCRA, which regulates the creation and the use of consumer
`reports by consumer reporting agencies for certain specific
`purposes, expressly preempts S.B. 248 under 15 U.S.C. §
`1681t(b)(1)(F) because that provision broadly preempts any
`state law “relating” to the duties of persons or debt collection
`agencies who furnish information to credit reporting
`agencies. The panel declined to read § 1681t(b)(1)(F) this
`broadly, determining rather that its presumptive effect was
`limited by the specific reporting requirements imposed by 15
`U.S.C. § 1681s-2. The panel concluded that S.B. 248’s 60-
`day notification period in no way interferes with the
`reporting obligations as spelled out in § 1681s-2. The panel
`further held that S.B. 248 was not impliedly preempted by
`the FCRA because it does not interfere with debt collectors’
`responsibilities to furnish fair and accurate information to
`credit reporting agencies.
`
`The panel also rejected plaintiffs’ contention that the
`FDCPA, whose purpose is to “protect vulnerable and
`unsophisticated debtors from abuse, harassment, and
`deceptive collection practices” impliedly preempts S.B. 248
`because S.B. 248 prohibits debt collectors from sending
`debtors required notifications pertaining to debt collection,
`as set forth in 15 U.S.C. §§ 1692e and 1692g. The panel
`stated that the notification contemplated in § 7 of S.B. 248 is
`not an attempt to collect a debt. Instead, S.B. 248 provides
`consumers with the protection of a 60-day notification
`period before any action is taken to collect a medical debt,
`
`
`
`
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`AARGON AGENCY, INC. V. O’LAUGHLIN
`
`
`
`5
`
`while the requirements of FDCPA’s § 1692e and § 1692g
`apply once debt collectors attempt to collect a debt. The
`panel determined that S.B. 248 removes no protection under
`the FDCPA, but rather, protects consumers for an additional
`period of 60 days. The state law provides more protection
`than the FDCPA provides standing alone. For that reason, it
`is not inconsistent with the FDCPA.
`
`the
`Dissenting, Judge VanDyke disagreed with
`majority’s conclusion that plaintiffs were unlikely to
`succeed
`on
`the merits
`of
`their
`preemption
`claims. Addressing the FDCPA, Judge VanDyke stated that
`two provisions in S.B. 248 were inconsistent with the
`FDCPA and as such were preempted. First, a debt collector
`cannot both comply with timely providing the FDCPA’s
`required notices in its initial communication with a debtor
`while also complying with S.B. 248’s 60-day prohibition
`against debt collectors taking any action to collect a
`debt. Second, because S.B. 248 obligates debt collectors to
`include confusing information in communications to a
`debtor, it requires debt collectors to violate the FDCPA’s
`prohibition against using confusing or misleading
`representations in their communications with debtors.
`
`the FCRA preemption claim, Judge
`Addressing
`VanDyke stated that the FCRA expressly preempts the
`entirety of S.B. 248 because the text of the FCRA explicitly
`manifests Congress’s intent to displace state laws regulating
`how debt collectors report credit information to reporting
`agencies. S.B. 248 further undermines Congress’s purposes
`in enacting the FCRA by decreasing the accuracy of credit
`reporting and thus is impliedly preempted.
`
`Finally, with respect to the remaining factors for a
`preliminary
`injunction, Judge VanDyke would have
`
`
`
`6
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`AARGON AGENCY, INC. V. O’LAUGHLIN
`
`concluded that Aargon Agency will suffer irreparable harm
`absent a preliminary injunction, and that the balance of
`equities and the public interest weigh in favor of enjoining
`S.B. 248.
`
`
`
`
`COUNSEL
`
`Patrick J. Reilly (argued), Brownstein Hyatt Farber Schreck
`LLP, Las Vegas, Nevada; James K. Schultz, Sessions Israel
`& Shartle LLC, San Diego, California; David Israel,
`Sessions Fishman Nathan & Israel LLC, Metairie,
`Louisiana; for Plaintiffs-Appellants.
`
`Kiel Ireland (argued), Deputy Attorney General; Office of
`the Nevada Attorney General; Carson City, Nevada; Akke
`Levin, Deputy Attorney General; Steven Shevorski, Chief
`Litigation Counsel; Aaron D. Ford, Attorney General of
`Nevada; Office of the Nevada Attorney General; Las Vegas,
`Nevada; for Defendant-Appellee.
`
`Rusty Graf, Black & LoBello, Las Vegas, Nevada; James
`Wadhams, Black & Wadhams PLLC, Las Vegas, Nevada,
`for Amicus Curiae Nevada Hospital Association.
`
`
`
`
`
`
`
`
`
`
`
`
`
`AARGON AGENCY, INC. V. O’LAUGHLIN
`
`
`
`7
`
`OPINION
`
`
`W. FLETCHER, Circuit Judge:
`
`In June 2021, Nevada enacted Senate Bill 248 (“S.B.
`248”), Act of June 2, 2021, ch. 291, 2021 Nev. Stat. 1668, in
`response to the COVID-19 pandemic. S.B. 248 requires debt
`collectors to provide written notification to debtors 60 days
`before taking any action to collect a medical debt. Plaintiffs
`are entities engaged in consumer debt collection. They filed
`suit in district court against defendant, Commissioner of the
`Financial Institutions Division of Nevada’s Department of
`Business and Industry, bringing a facial challenge to the law.
`They moved for a temporary restraining order and a
`preliminary
`injunction, contending
`that S.B. 248
`is
`unconstitutionally vague, violates the First Amendment, and
`is preempted by both the federal Fair Credit Reporting Act
`(“FCRA”) and the Fair Debt Collection Practices Act
`(“FDCPA”).
`
`The district court denied plaintiffs’ motion for a
`temporary restraining order and a preliminary injunction.
`Plaintiffs timely appealed the denial of the preliminary
`injunction. We have jurisdiction under 28 U.S.C. § 1291 and
`we affirm.
`
`I. Background
`
`Plaintiffs-appellants Aargon Agency, Inc. and others
`(“plaintiffs”)
`are
`corporations
`and
`limited-liability
`companies that engage in the collection of consumer debt
`(including medical debt) and in credit reporting. Plaintiffs
`generally work on a contingency basis, getting paid only if
`they succeed in collecting debt. Defendant-appellee Sandy
`O’Laughlin
`(“defendant”
`or
`“Commissioner”)
`is
`
`
`
`8
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`AARGON AGENCY, INC. V. O’LAUGHLIN
`
`Commissioner of the Financial Institutions Division of
`Nevada’s Department of Business and Industry.
`
`Nevada enacted S.B. 248 in response to the COVID-19
`pandemic. See Minutes of the Sen. Comm. on Com. and
`Lab.: Hearing on S.B. 247 and 248, 2021 Leg., 81st Sess. 11
`(Nev. Mar. 2021) [hereinafter Minutes]. The governor
`signed the bill into law on June 2, 2021, and it went into
`effect on July 1, 2021.
`
`S.B. 248 amends Chapter 649 of the Nevada Revised
`Statutes, which governs debt collection agencies. S.B. 248
`§ 1 (Nev. 2021). Section 7 of S.B. 248 requires debt
`collection agencies to send a written notification to medical
`debtors 60 days before taking any action to collect a medical
`debt. It provides:
`
`Not less than 60 days before taking any action
`to collect a medical debt, a collection agency
`shall send by registered or certified mail to
`the medical debtor written notification that
`sets forth:
`
`(a) The name of the medical facility,
`provider of health care or provider of
`emergency medical services
`that
`provided the goods or services for
`which the medical debt is owed;
`
`(b) The date on which those goods or
`services were provided; and
`
`(c) The principal amount of the medical
`debt.
`
`Id. § 7(1). The notification must provide the name of the
`collection agency and must inform the debtor that, as
`
`
`
`
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`AARGON AGENCY, INC. V. O’LAUGHLIN
`
`
`
`9
`
`applicable, either the “medical debt has been assigned to the
`collection agency for collection” or that the “collection
`agency has otherwise obtained the medical debt for
`collection.” Id. § 7(2).
`
`Section 7.5 permits a collection agency to accept a
`voluntary payment from the debtor, so long as certain
`conditions are met. An agency may accept voluntary
`payment only if the medical debtor initiates contact with the
`agency. Id. § 7.5(1)(a). To accept voluntary payment, the
`agency must disclose to the debtor that “payment is not
`demanded or due,” and that the “medical debt will not be
`reported to any credit reporting agency during the 60-day
`notification period specified in [§ 7(1)].” Id. § 7.5(1)(b).
`“No action by a medical debtor to initiate contact with a
`collection agency may be construed to allow the collection
`agency to take action to collect the medical debt before the
`expiration of the 60-day notification period . . . .” Id.
`§ 7.5(2).
`
`After briefing to this court but before oral argument,
`defendant promulgated regulations implementing S.B. 248.
`See Nev. Admin. Code R055-21 (adopted March 23, 2022;
`filed June 13, 2022). The regulations define “action to
`collect a medical debt” for purposes of § 7 and § 7.5 of S.B.
`248 as “any attempt by a collection agency or its manager,
`agents or employees to collect a medical debt from a medical
`debtor.” Id. § 3(1). The regulations provide six examples of
`actions that are, and four examples that are not, “action[s] to
`collect a medical debt.” Examples of actions to collect a
`medical debt are “[p]lacing telephone calls to the medical
`debtor”; “[s]ending letters and notices, other than a 60-day
`notification, to the medical debtor”; “[c]ontacting the
`medical debtor by any electronic means”; “[r]eporting the
`medical debt to any credit reporting agency”; [d]emanding
`
`
`
`10
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`AARGON AGENCY, INC. V. O’LAUGHLIN
`
`payment of the medical debt”; and “[c]ommencing any civil
`action against the medical debtor.” Id. Examples of actions
`that are not actions to collect a medical debt are “[a]ny action
`initiated by a medical debtor”; [t]he provision to a medical
`debtor of clarification relating to the content of a 60-day
`notification by a collection agency or its manager, agents or
`employees if the contact is initiated by the medical debtor”;
`“[s]ending verification of a medical debt to the medical
`debtor if requested by the medical debtor”; and “[s]ending a
`receipt to a medical debtor for a voluntary payment.” Id.
`
`After S.B. 248 became law but before it went into effect,
`plaintiffs filed suit in the district court. Plaintiffs argued,
`inter alia, that S.B. 248 is unconstitutionally vague,
`constitutes a prior restraint in violation of the First
`Amendment, and is preempted by the FCRA and the
`FDCPA. Plaintiffs requested prospective injunctive relief,
`including a temporary restraining order and a preliminary
`injunction.
`
`The district court denied plaintiffs’ motion for a
`temporary restraining order and a preliminary injunction,
`holding that plaintiffs are unlikely to succeed on the merits
`of their claims.
`
`Plaintiffs timely appealed the denial of their motion for
`a preliminary injunction.
`
`II. Standard of Review
`
`We review a denial of a preliminary injunction for abuse
`of discretion. CTIA - The Wireless Ass’n v. City of Berkeley,
`928 F.3d 832, 838 (9th Cir. 2019). “An abuse of discretion
`occurs when the district court based its ruling on an
`erroneous view of the law or on a clearly erroneous
`
`
`
`
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`AARGON AGENCY, INC. V. O’LAUGHLIN
`
`
`
`11
`
`assessment of the evidence.” Id. (quoting Friends of the
`Wild Swan v. Weber, 767 F.3d 936, 942 (9th Cir. 2014)).
`
`III. Discussion
`
`“A plaintiff seeking a preliminary injunction must
`establish [1] that he is likely to succeed on the merits, [2]
`that he is likely to suffer irreparable harm in the absence of
`preliminary relief, [3] that the balance of equities tips in his
`favor, and [4] that an injunction is in the public interest.”
`Winter v. NRDC, Inc., 555 U.S. 7, 20 (2008) (brackets
`added). We use a “sliding scale” approach according to
`which “a stronger showing of one element may offset a
`weaker showing of another.” All. for the Wild Rockies v.
`Cottrell, 632 F.3d 1127, 1131 (9th Cir. 2011). For example,
`“a preliminary injunction could issue where the likelihood of
`success is such that serious questions going to the merits
`were raised and the balance of hardships tips sharply in
`[plaintiff’s] favor.” Id. (alteration in original) (internal
`quotation marks omitted).
`
`A. Likelihood of Success
`
`On appeal, plaintiffs make three arguments directed to
`the merits. They argue that S.B. 248 is unconstitutionally
`vague; that S.B. 248 violates the First Amendment; and that
`the FCRA and the FDCPA preempt S.B. 248. We agree with
`the district court that none of these arguments is likely to
`succeed. We address each in turn.
`
`1. Vagueness
`
`Plaintiffs argue that S.B. 248 is unconstitutionally vague
`because it fails to define the term “any action to collect a
`medical debt” contained in § 7(1), and thereby allows for
`arbitrary enforcement by the State. Plaintiffs argue that debt
`collectors are “left to guess” whether they are allowed, for
`
`
`
`12
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`AARGON AGENCY, INC. V. O’LAUGHLIN
`
`example, to verify an incoming caller’s identity, to answer a
`debtor’s questions about their debt, or to assist with
`processing insurance claims.
`
`“A law is unconstitutionally vague if it fails to provide a
`reasonable opportunity to know what conduct is prohibited,
`or is so indefinite as to allow arbitrary and discriminatory
`enforcement.” Hum. Life of Wash. Inc. v. Brumsickle, 624
`F.3d 990, 1019 (9th Cir. 2010) (quoting Tucson Woman’s
`Clinic v. Eden, 379 F.3d 531, 555 (9th Cir. 2004)).
`“Nevertheless, perfect clarity is not required even when a
`law regulates protected speech” because “we can never
`expect mathematical certainty from our language.” Id. (first
`quoting Cal. Tchrs. Ass’n v. State Bd. of Educ., 271 F.3d
`1141, 1150 (9th Cir. 2001); then quoting Grayned v. City of
`Rockford, 408 U.S. 104, 110 (1972)). “When a statute
`clearly implicates free speech rights, it will survive a facial
`challenge so long as it is clear what the statute proscribes in
`the vast majority of
`its
`intended
`applications.”
`Humanitarian L. Project v. U.S. Treasury Dep’t, 578 F.3d
`1133, 1146 (9th Cir. 2009) (internal quotation marks
`omitted). An economic regulation “is subject to a less strict
`vagueness test,” both because “its subject matter is often
`more narrow, and because businesses, which face economic
`demands to plan behavior carefully, can be expected to
`consult relevant legislation in advance of action.” Vill. of
`Hoffman Ests. v. Flipside, Hoffman Ests., Inc., 455 U.S. 489,
`498 (1982) (footnotes omitted).
`
`The district court concluded, even without the assistance
`of the regulations quoted above, that the term “action to
`collect a medical debt” is not unconstitutionally vague. If
`there were any doubt about the correctness of the district
`court’s holding, that doubt was removed when the defendant
`adopted the regulations, quoted above, giving examples of
`
`
`
`
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`AARGON AGENCY, INC. V. O’LAUGHLIN
`
`
`
`13
`
`actions that do, and do not, constitute actions to collect a
`medical debt.
`
`2. First Amendment
`
`Plaintiffs argue that S.B. 248 impermissibly burdens
`their speech in violation of the First Amendment. They first
`argue
`that debt-collection communications are not
`commercial speech and that S.B. 248 is therefore subject to
`strict scrutiny. They then argue that even if debt-collection
`communications are commercial speech, the district court
`erred in its commercial speech analysis. We disagree with
`both arguments.
`
`We may dispose of plaintiffs’ first argument quickly.
`Commercial speech is “usually defined as speech that does
`no more than propose a commercial transaction.” United
`States v. United Foods, Inc., 533 U.S. 405, 409 (2001). This
`definition is just a “starting point,” and courts “try to give
`effect to a common-sense distinction between commercial
`speech and other varieties of speech.” Ariix, LLC v.
`NutriSearch Corp., 985 F.3d 1107, 1115 (9th Cir. 2021)
`(internal quotation marks omitted). We agree with the
`district court that S.B. 248 regulates commercial speech.
`When debt collection agencies communicate with a debtor
`in an attempt to collect medical debt, the communication
`proposes a commercial transaction in which the debtor
`would pay, in whole or in part, a past-due medical debt.
`
`Plaintiffs’ second argument requires a little more
`analysis. Because S.B. 248 regulates commercial speech, we
`analyze it under the four-part test of Central Hudson Gas &
`Electric Corp. v. Public Service Commission of New York,
`447 U.S. 557, 566 (1980). See Retail Digit. Network, LLC
`v. Prieto, 861 F.3d 839, 841 (9th Cir. 2017) (reaffirming that
`
`
`
`14
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`AARGON AGENCY, INC. V. O’LAUGHLIN
`
`we apply the Central Hudson test to restrictions on
`commercial speech). Central Hudson provides:
`
`At the outset, we must determine whether the
`expression
`is protected by
`the First
`Amendment. For commercial speech to
`come within that provision, it at least must
`concern
`lawful activity and not be
`misleading. Next, we ask whether the
`asserted governmental interest is substantial.
`If both inquiries yield positive answers, we
`must determine whether
`the regulation
`directly advances the governmental interest
`asserted, and whether it is not more extensive
`than is necessary to serve that interest.
`
`447 U.S. at 566. We take the four parts in turn.
`
`First, plaintiffs’ speech comes within the protection of
`the First Amendment because communications to collect a
`medical debt “concern lawful activity” and are not
`“inherently misleading.” See Am. Acad. of Pain Mgmt. v.
`Joseph, 353 F.3d 1099, 1106–07 (9th Cir. 2004) (explaining
`that while “inherently misleading” speech receives no First
`Amendment protection, regulations that target “potentially
`misleading” speech must satisfy the remaining Central
`Hudson factors).
`
`Second, Nevada’s asserted interest is “substantial.” S.B.
`248 seeks to protect medical debtors in Nevada from
`financial ruin in the wake of the COVID-19 pandemic.
`Minutes at 12, 15. During the pandemic, an unusually high
`number of Nevadans needed medical care, and many
`Nevadans lost employer-sponsored health insurance. Id. at
`11. Roughly twenty percent of Nevadans had medical debt
`
`
`
`
`
`AARGON AGENCY, INC. V. O’LAUGHLIN
`
`
`
`15
`
`that had gone to collection agencies, id., and an increased
`number of Nevadans had filed for bankruptcy, id. at 15.
`
`Third, S.B. 248 “directly advances the governmental
`interest asserted.” The 60-day notification period required
`by § 7 provides time for debtors to communicate with
`medical providers and insurance companies, allowing
`debtors to verify whether the debt actually exists and to seek
`available financial assistance before collection attempts
`begin. Minutes at 16.
`
`For the first time on appeal, Plaintiffs argue that S.B. 248
`fails to directly advance the state’s interest because it is
`constitutionally underinclusive. See Metro Lights, LLC v.
`City of Los Angeles, 551 F.3d 898, 904–05 (9th Cir. 2009).
`Relying on Greater New Orleans Broadcasting Ass’n v.
`United States, 527 U.S. 173 (1999), plaintiffs argue that S.B.
`248 is unconstitutional because it restricts debt-collection
`speech by debt collection agencies but not by medical
`providers.
`
`that
`that plaintiffs have not forfeited
`Assuming
`argument, see One Indus., LLC v. Jim O’Neal Distrib., Inc.,
`578 F.3d 1154, 1158 (9th Cir. 2009), it is in any event
`unpersuasive. We explained in Metro Lights:
`
`unconstitutionally
`are
`[R]egulations
`underinclusive when they contain exceptions
`that bar one source of a given harm while
`specifically exempting another in at least two
`situations. First, if the exception ensures that
`the [regulation] will fail to achieve [its] end,
`it does not materially advance its aim. This
`is the lesson of Greater New Orleans: self-
`defeating speech restrictions will violate the
`
`
`
`16
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`AARGON AGENCY, INC. V. O’LAUGHLIN
`
`First Amendment. Second, exceptions that
`make distinctions among different kinds of
`speech must relate
`to
`the
`interest
`the
`government seeks to advance.
`
`551 F.3d at 906 (alteration in original) (citations and internal
`quotation marks omitted).
`
`Neither of the situations we described in Metro Lights is
`present here. S.B. 248 is not “self-defeating.” Id. Rather,
`as evident from the face of S.B. 248, the law provides useful
`breathing room to a class of debtors who sorely need it. Nor
`is the distinction between medical debt collection agencies
`and medical providers unrelated to the governmental
`interest. Collection agencies seek payment of debts for
`which medical providers have already unsuccessfully sought
`payment. Once a medical provider passes debt on to a
`collector, collection costs and fees can drastically multiply
`the amount owed, forcing some debtors into bankruptcy.
`Minutes at 11, 13. Additionally, compared to medical
`providers, collection agencies have different incentives and
`employ different collection techniques. Collection agencies
`are often paid on a contingency basis, compete with one
`another based on how effective they are at obtaining
`recovery, and possess resources and expertise that medical
`providers lack. 85 Fed. Reg. 76735 (Nov. 30, 2020). In
`light of these differences, the State is justified in providing
`greater protection from the actions of collection agencies
`than from those of medical providers.
`
`Fourth, S.B. 248 is not a more extensive regulation than
`necessary to serve the State’s interest. “The fourth part of
`the [Central Hudson]
`test complements
`the direct-
`advancement inquiry of the third, asking whether the speech
`restriction is not more extensive than necessary to serve the
`
`
`
`
`
`AARGON AGENCY, INC. V. O’LAUGHLIN
`
`
`
`17
`
`interests that support it.” Greater New Orleans, 527 U.S. at
`188. This part of the test requires “a fit between the
`legislature’s ends and the means chosen to accomplish those
`ends—a fit that is not necessarily perfect, but reasonable;
`that represents not necessarily the single best disposition but
`one whose scope is in proportion to the interest served.” Bd.
`of Trs. of State Univ. of N.Y. v. Fox, 492 U.S. 469, 480 (1989)
`(internal citations and quotation marks omitted). The
`restriction need not be the “least restrictive means” of
`achieving the desired objective. Id.
`
`The fit between Nevada’s goal and the means to
`accomplish that goal is reasonable and proportionate. S.B.
`248 does not completely ban commercial speech by debt
`collection agencies. Instead, it prohibits speech constituting
`an “action to collect a medical debt,” and only within a 60-
`day notification period. This allows medical debtors time to
`do such things as ascertain whether the debt is actually owed
`or is owed in the amount claimed, contact relevant insurance
`carriers, or take other actions.
`
`3. Preemption
`
`Plaintiffs argue that S.B. 248 is preempted by two federal
`laws—the Fair Credit Reporting Act, and the Fair Debt
`Collection Practices Act.
`
`“The Supremacy Clause provides the constitutional
`foundation for federal authority to preempt state law.”
`Beaver v. Tarsadia Hotels, 816 F.3d 1170, 1178 (9th Cir.
`2016) (citing U.S. Const. art. VI, cl. 2; Kurns v. R.R. Friction
`Prods. Corp., 565 U.S. 625, 630 (2012)). “Preemption of
`state law, by operation of the Supremacy Clause, can occur
`in one of several ways: express, field, or conflict
`preemption.” Id. at 1178 (citing Kurns, 565 U.S. at 630–31).
`Express preemption occurs “when the text of a federal
`
`
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`AARGON AGENCY, INC. V. O’LAUGHLIN
`
`statute explicitly manifests Congress’s intent to displace
`state law.” Ass’n des Éleveurs de Canards et d’Oies du
`Quebec v. Bonta, 33 F.4th 1107, 1114 (9th Cir. 2022)
`(quoting Valle del Sol Inc. v. Whiting, 732 F.3d 1006, 1022
`(9th Cir. 2013)). Federal law may also impliedly preempt
`state law through either field or conflict preemption. Ass’n
`des Éleveurs, 33 F.4th at 1114. Conflict preemption,
`potentially relevant here, occurs when “compliance with
`both federal and state regulations is a physical impossibility”
`or when the state law “stands as an obstacle to the
`accomplishment and execution of the full purposes and
`objectives of Congress.” Arizona v. United States, 567 U.S.
`387, 399 (2012) (first quoting Florida Lime & Avocado
`Growers, Inc. v. Paul, 373 U.S. 132, 142–43 (1963); then
`quoting Hines v. Davidowitz, 312 U.S. 52, 67 (1941)).
`
`“When addressing questions of express or implied pre-
`emption, we begin our analysis with the assumption that the
`historic police powers of the States [are] not to be superseded
`by the Federal Act unless that was the clear and manifest
`purpose of Congress.” Altria Group, Inc. v. Good, 555 U.S.
`70, 77 (2008) (alteration in original) (internal quotation
`marks omitted). “[T]he purpose of Congress is the ultimate
`touchstone” of any preemption analysis. Medtronic, Inc. v.
`Lohr, 518 U.S. 470, 485 (1996).
`
`a. Fair Credit Reporting Act
`
`The Fair Credit Reporting Act (“FCRA”) “regulates the
`creation and the use of consumer report[s] by consumer
`reporting agenc[ies] for certain specified purposes, including
`credit transactions, insurance, licensing, consumer-initiated
`business transactions, and employment.” Spokeo, Inc. v.
`Robins, 578 U.S. 330, 334–35 (2016) (alterations in original)
`(internal quotation marks omitted). Plaintiffs argue that the
`
`
`
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`AARGON AGENCY, INC. V. O’LAUGHLIN
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`
`
`19
`
`FCRA expressly preempts S.B. 248 under 15 U.S.C.
`§ 1681t(b)(1)(F) to the extent that S.B. 248 prohibits a debt
`collector from reporting medical debt until 60 days after
`providing a notification pursuant to § 7. S.B. 248 §
`7.5(1)(b)(2). Plaintiffs argue further that the FCRA
`impliedly preempts S.B. 248, because the state law presents
`an obstacle to the accomplishment of the FCRA’s purpose.
`
`(1) Express Preemption
`
`Plaintiffs contend that S.B. 248 is expressly preempted
`because it is inconsistent with 15 U.S.C. § 1681t(b)(1)(F).
`We disagree.
`
`Section 1681t addresses the FCRA’s “[r]elation to State
`laws.” 15 U.S.C. § 1681t; see Gorman v. Wolpoff &
`Abramson, LLP, 584 F.3d 1147, 1166 (9th Cir. 2009). The
`statute provides that, in general:
`
`Except as provided in subsections (b) and (c),
`this subchapter does not annul, alter, affect or
`exempt any person subject to the provisions
`of this subchapter from complying with the
`laws of any State with respect to the
`collection, distribution, or use of any
`information on consumers . . . except to the
`extent that those laws are inconsistent with
`any provision of this subchapter, and then
`only to the extent of the inconsistency.
`
`15 U.S.C. § 1681t(a).
`
`Congress added § 1681t(b) to the FCRA so as to “avoid
`a patchwork system of conflicting regulations.” Ross v.
`F.D.I.C., 625 F.3d 808, 813 (4th Cir. 2010) (internal
`quotation marks and citation omitted).
` Section
`
`
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`AARGON AGENCY, INC. V. O’LAUGHLIN
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`1681t(b)(1)(F), upon which plaintiffs rely, provides in
`relevant part: “No requirement or prohibition may be
`imposed under the laws of any State . . . with respect to any
`subject matter regulated under . . . section 1681s-2 of this
`title, relating to the responsibilities of persons who furnish
`information to consumer reporting agencies . . . .” In turn,
`§ 1681s-2 imposes specific duties and responsibility on
`“furnishers,” including on debt collection agencies, which
`furnish information to credit reporting agencies (“CRAs”).
`Id. § 1681s-2. Section 1681s-2(a) requires that furnishers
`provide accurate information to CRAs by, for example: (1)
`refraining from reporting inaccurate information when
`furnishers have knowledge of errors or have received notice
`and confirmation of errors; (2) correcting and updating the
`CRAs if previously provided information is incomplete or
`inaccurate; (3) if the information furnished is disputed by the
`consumer, informing CRAs that such information is
`disputed; (4) providing notice to CRAs of voluntarily closed
`accounts; and (5) within 90 days after furnishing information
`to CRAs about delinquent accounts, notifying CRAs of the
`date of delinquency. Id. §§ 1681s-2(a)(1)-(5). Section
`1681s-2(b) requires furnishers, upon notice of consumer
`dispute of furnished information, to conduct an investigation
`and report results of the investigation to the CRA.
`
`that § 1681t(b)(1)(F) broadly
`Plaintiffs contend
`preempts any state law “relating to” a furnisher’s duties. We
`decline to read § 1681t(b)(1)(F) this broadly. The Supreme
`Court has told us that the use of the phrase “with respect to”
`“massively limits the scope of preemption” to only those
`state laws that “concern” the phrase’s referents. See Dan’s
`City Used Cars, Inc. v. Pelkey, 569 U.S. 251, 261 (2013)
`(interpreting
`the Federal Aviation Administration
`Authorization Act’s preemption provision).
` Section
`
`
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`AARGON AGENCY, INC. V. O’LAUGHLIN
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`21
`
`1681t(b)(1)(F) limits its preemptive effect to state laws “with
`respect to any subject matter regulated under . . . section
`1681s-2,” making clear that its preemptive effect is limited
`by the requirements imposed by § 1681s-2.
`
`We therefore agree with the Second Circuit that
`Ҥ 1681t(b)(1)(F) does not preempt state law claims against
`a defendant who happens to be a furnisher of information to
`a consumer reporting agency within the