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Government Affairs Home > Education

Increased Unsubsidized Stafford Loan Limits for Health Professions Students

AAMC Documents

Current Status

The Department of Education issued a "Dear Colleague" letter (GEN-99-21) expanding the institutional eligibility to award increased unsubsidized loan amounts to all health professions schools in disciplines that were eligible for the HEAL program, regardless of the school's previous participation in HEAL. Health professions students may now borrow up to $38,500 per year in federal Stafford Loans ($8,500 subsidized, $30,000 unsubsidized). The new guidance is effective for any loan period that begins after May 1, 1999.

Background

The Omnibus Consolidated Rescissions and Appropriations Act of 1996 authorized the Secretary of Education to provide increased loan limits for unsubsidized loans made under the Federal Family Education Loan (FFEL) Program and William D. Ford Direct Loan (Direct Loan) Program to students engaged in specialized training requiring exceptionally high costs of education. In an August 1996 "Dear Colleague" letter (GEN-96-14), the Department of Education interpreted this provision to apply to health professions students that would otherwise borrow under the Health Education Assistance Loan (HEAL) program, but were unable because the program was targeted for phaseout. Instead of the normal $18,500 ($8,500 subsidized, $10,000 unsubsidized), eligible borrowers at eligible institutions can receive up to an additional $20,000 in unsubsidized federal loans, for a total of $38,500 per year.

The increased unsubsidized loan limits were intended to assist health professions students who became ineligible for the HEAL program solely because of budgetary restraints placed on the program due to the phaseout. Therefore, only students enrolled at schools that actively participated in the HEAL program (i.e., made at least one HEAL disbursement) in FY 1995 were eligible for the increased amounts. Subsequent guidance in the form of a Direct Loan Bulletin (DLB-97-1) from the Department of Education also required that schools must not have officially withdrawn, or been terminated, from the HEAL program after October 1, 1995, in order to certify loans at the increased limits. Eligibility was limited to these schools because, the Department argued, students at these schools were unable to receive HEAL loans solely because of the phaseout, rather than because their schools chose not to participate in the program.

Originally, the authorization for the increased unsubsidized loan limits was limited to loans for the 1996-97 academic year. This authority was subsequently extended to the 1997-98 (DLB-97-1) and 1998-99 (GEN-98-18) academic years. In February 1999, the Department released a "Dear Colleague" (GEN-99-7) letter extending the eligibility requirements indefinitely.

In December 1997, that the Department issued guidance (GEN-97-14) allowing for a corresponding increase in aggregate unsubsidized loan limits to a total of $189,125 minus the aggregate amount of the borrower's subsidized loans.

Further guidance from the Department in August 1998 (GEN-98-18) allowed eligible schools to certify loans at the increased limits for former HEAL borrowers because the insurance authority for the HEAL program was rapidly being depleted. Former HEAL borrowers may not also accept a HEAL disbursement during the same loan period.

In July 1999, the Department issued a "Dear Colleague" (GEN-99-21) letter expanding the institutional eligibility to award increased unsubsidized loan amounts to all health professions schools in disciplines that were previously eligible for the HEAL program regardless of the school's actual participation in the HEAL program. In its analysis, the Department concluded that "it is not fair to health professions students to base their maximum loan amount on their school's former participation in a program which no longer provides any loans." The increased authority is effective for any loan period beginning after May 1, 1999 and is limited to accredited programs in the 11 disciplines (allopathic medicine, osteopathic medicine, dentistry, veterinary medicine, optometry, podiatric medicine, pharmacy, public health, chiropractic medicine, health administration graduate programs, and clinical psychology) included under the HEAL program.

AAMC Action

At a regional hearing on the reauthorization of the Higher Education Act in Boston in December 1996, the AAMC advocated for all allopathic medical schools to have access to the increased loan limits regardless of previous institutional HEAL participation. On August 7, 1998, AAMC President Jordan J. Cohen, M.D., sent a letter to Secretary of Education Richard Riley requesting that eligibility for the increased unsubsidized loan limits be expanded to include all medical students, including those at more than 20 AAMC member institutions that are currently not eligible under the Department's temporary provisions. In an October 21, 1998, response, Secretary Riley restated the Department's reasons for the limited eligibility and argued that "this limitation was appropriate because of the high cost of a broadening of the eligibility requirements."

In the wake of the reauthorization of loan programs under Title VII of the Public Health Service Act, which included the deauthorization of the HEAL program, Dr. Cohen reiterated his concerns to Secretary Riley in a June 1, 1999, letter. Dr. Cohen again asked the Department to reconsider the institutional eligibility standards for the additional unsubsidized Stafford loan program and offered the AAMC's assistance in exploring possible options.

Contacts

Jonathan Fishburn, Director, Research, Education and Veterans' Legislative Affairs
AAMC Office of Governmental Relations
jfishburn@aamc.org
(202) 828-0525

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