Introduction to the Issue
A bipartisan group in Congress is urging the Education Department to add nursing to a list of college programs that are considered “professional,” adding to public outcry after nurses were omitted from a new agency definition.
Background on the Professional Programs List
The Trump administration’s list of professional programs includes medicine, law and theology but leaves out nursing and some other fields that industry groups had asked to be included. The “professional” label would allow students to borrow larger amounts of federal loans to pursue graduate degrees in those fields.
Implications of the New Rules
Under new rules proposed by the Trump administration, students in graduate programs deemed professional could borrow up to $200,000 for their degrees in total, and up to $50,000 a year. Loans for other graduate programs would be capped at $100,000 in total and $20,500 per year. In the past, graduate students had been able to borrow federal loans up to the full cost of their programs.
Concerns Raised by Lawmakers
In a Friday letter, lawmakers argue that a $100,000 cap on nursing graduate programs would make it harder for students to pay for expensive but high-demand programs, like those for nurse anesthetists. The annual cap would also pinch students in year-round nurse practitioner programs, which charge for three terms a year rather than just two and often cost more than $20,500 a year, they wrote.
Response from the Education Department
Asked for comment, the Education Department referred to a previous statement saying that 95% of nursing students are studying in programs that won’t be affected by the new caps.
Impact on Nursing Programs
Programs for certified nurse anesthetists can cost more than $200,000, lawmakers said, but the programs typically pay off and supply a workforce that “overwhelmingly provides anesthesia to rural and underserved communities where higher cost physicians do not practice."
Bipartisan Support for Inclusion of Nursing
The letter was signed by more than 140 lawmakers, including 12 Republicans. It was sent by Sen. Jeff Merkley, D-Ore., Sen. Roger Wicker, R-Miss., Rep. Suzanne Bonamici, D-Ore., and Rep. Jen Kiggans, R-Va., leaders of the Senate and House nursing caucuses.
Concerns About Accessibility and Equity
Another Democrat, Rep. Ritchie Torres of New York, sent a similar letter this week. Excluding nurses would require students to take out riskier private loans or put tuition out of reach entirely, said Torres, who represents the South Bronx. “A restrictive interpretation would undermine our healthcare and education systems, weaken our workforce, and close doors for low-income, first-generation, and immigrant students who make up much of my district,” Torres said.
Rationale Behind the Trump Administration’s Decision
The Trump administration has said new loan caps are needed to pressure colleges to reduce tuition prices. In deciding what would count as a professional degree, the department relied on a 1965 law governing student financial aid. The law lays out several examples of professional programs but says it is not an exhaustive list. The Trump administration adopted those examples as the only fields in its definition.
Current List of Professional Programs
Those deemed professional are: pharmacy, dentistry, veterinary medicine, chiropractic, law, medicine, optometry, osteopathic medicine, podiatry, theology and clinical psychology.
Conclusion
The exclusion of nursing from the list of professional programs has sparked significant concern among lawmakers and industry groups. The potential impact on nursing students and the healthcare workforce underscores the need for a reevaluation of the current list. As the Education Department moves forward with the rulemaking process, it is crucial that they consider the implications of their decisions on accessibility, equity, and the future of healthcare in the United States.
FAQs
- Q: What is the current list of professional programs according to the Trump administration?
A: The list includes pharmacy, dentistry, veterinary medicine, chiropractic, law, medicine, optometry, osteopathic medicine, podiatry, theology, and clinical psychology. - Q: Why are lawmakers urging the Education Department to add nursing to the list of professional programs?
A: Lawmakers argue that the current loan caps would make it harder for students to pay for expensive but high-demand nursing programs, potentially undermining the healthcare workforce. - Q: What are the proposed loan caps for graduate programs deemed professional versus those not on the list?
A: Students in professional programs could borrow up to $200,000 in total and $50,000 a year, while those in non-professional programs would be capped at $100,000 in total and $20,500 per year. - Q: How did the Trump administration determine which programs are considered professional?
A: The administration relied on a 1965 law governing student financial aid, adopting the examples provided in the law as the only fields in its definition.
