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Government Affairs Home > Education > Higher Education Act

FASHP Letter on Reauthorization of the Higher Education Act

Federation of Associations of Schools of the Health Professions
1400 Sixteenth Street, NW, Suite 410
Washington, DC 20036
(202) 265-9600

December 22, 2002

The Honorable John A. Boehner
Chairman
Committee on Education and the Workforce
U.S. House of Representatives
2181 Rayburn House Office Building
Washington, DC 20515-6100

The Honorable George Miller
Ranking Member
Committee on Education and the Workforce

The Honorable Howard P. "Buck" McKeon
Chairman, Subcommittee on 21st Century Competitiveness

Dear Mr. Chairman, Ranking Member, Subcommittee Chairman

In response to the September 20, 2002 request from the House Committee on Education and the Workforce leadership, the undersigned members of the Federation of Associations of Schools of the Health Professions (FASHP) submit for your consideration a summary of our priorities for the reauthorization of the Higher Education Act of 1965. We will provide more details in the coming weeks and months and look forward to working with you as the legislation moves forward.

FASHP provides a forum for representatives of health professions education institutions to address education's role in organizational patterns of health care, to encourage effective collaboration among the professions in education and practice, to prepare health professions education for the future and to serve as liaison with other organizations sharing an interest in health professions education.

Some FASHP member will join American Council on Education when it submits recommendations on behalf of the higher education community, and this letter is intended to highlight some of the issues specific to the education of health professionals. Additionally, some of the undersigned organizations will submit letters with recommendations specific to our individual discipline's priorities and goals.

The following priorities have been developed through a consensus-building process of FASHP members and, consequently, represent the collective recommendations of our organizations. They include:

1) Increase Loan Limits for Stafford Loans

Congress should increase annual and aggregate loan limits for both subsidized and unsubsidized Stafford Loans for all student borrowers from freshmen through professional education. Loan limits have not increased since 1992, and if they are not increased during this reauthorization it is likely to be several more years before they can be adjusted. The cost of education, as for nearly everything else, has increased. We urge the Congress to consider increasing the subsidized Stafford Loan limits to at least keep pace with inflation.

2) Economic hardship deferment (EHD) throughout residency training

Because of their high debt-to-income ratio, many health professions borrowers are eligible to defer repayment of their federal student loans during their residency training programs through the economic hardship deferment. However, many residency training programs are longer than the three years for which the economic hardship deferment is available.

While lenders are required to offer forbearance to medical, dental and veterinary medical residents throughout their required training, this can be a very expensive option for the borrower as interest may be capitalized. We support extending the economic hardship deferment to the length of a medical, dental or veterinary medical internship or residency that must be successfully completed before the borrower may begin professional practice or service, or for the length of time they are in a medical, dental or veterinary medical internship or residency leading to a degree or certificate awarded by a hospital or health care facility which offers postgraduate training. This extends the economic hardship deferment for the same time that medical, dental and veterinary medical residents are currently eligible for mandatory forbearance.

FASHP urges Congress to include all educational loans, including private or alternative loans, in the calculation for determining eligibility for the economic hardship deferment.

Additionally, we support clarification that lenders may use the maximum interest rate in the calculation to determine eligibility for the economic hardship deferment. This will not only increase the number of borrowers eligible for the deferment but also improve parity and consistency within and between the FFEL and DL programs.

3) Consolidation of Student Loans

Lenders should be discouraged through federal regulation from predatory harvesting of cohorts of borrowers; particularly while a student borrower is in school or residency training and therefore has the most to lose in terms of borrower benefits. Also, FASHP strongly urges Congress to establish parity between federal and private consolidation programs.

4) Preserve the Perkins Loan Program, Increase Loan Limits

FASHP recommends that the Federal Perkins Loan Program be preserved and the annual limits for graduate/professional students raised to $10,000, with the aggregate limit raised accordingly to $67,500, a level supported by the American Council on Education and the National Association Student Financial Aid Administrators. The Perkins program is unique in that only student borrowers that demonstrate financial need are eligible to borrow under this program. Because the program traditionally offers a lower interest rate, the total repayment amount on identical principal borrowed is less than under the Federal Family Education Loan Program (FFELP) or the Federal Direct Student Loan Program (Direct Loans). The Perkins program has more liberal repayment terms, deferment and cancellation provisions which are important for needy student borrowers.

5) Increase flexibility for financial aid officers to adjust a student's aid award package for costs associated with dependent children beyond day care outside the home.

The Higher Education Act of 1965 was written with traditional students in mind, 18 years old, single, and primarily financially dependent upon their parents. Today's students come from a multitude of backgrounds and a myriad of life experiences. Very often, at the graduate and professional levels and increasingly at the undergraduate level, students have significant family obligations that they must meet while undertaking their educations. Student aid regulations must embrace family values and better recognize the needs of students with children. Certainly students with dependents, other than a spouse, ought to be able to borrow more resources to assist with living expenses associated with having a family.

We look forward to working with you and others to reduce and remove barriers students face in fulfilling the American dream of obtaining an affordable and high quality education whether at the undergraduate or graduate-professional levels.

On behalf of the following associations:
American Association of Colleges of Nursing
American Association of Colleges of Osteopathic Medicine
American Association of Colleges of Pharmacy
American Association of Colleges of Podiatric Medicine
American Dental Education Association
American Podiatric Medical Association
Association of Academic Health Centers
Association of American Medical Colleges
Association of American Veterinary Medical Colleges
Association of Chiropractic Colleges
Association of Physician Assistant Programs
Association of Schools and Colleges of Optometry
Association of Schools of Allied Health Professions
National League of Nursing

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