Department of Education Says Nurses Are Not Professionals

Department of Education Says Nurses Are Not Professionals

The U.S. Department of Education’s implementation of President Trump’s One Big Beautiful Bill Act (OBBBA) has triggered one of the most consequential – and controversial – reclassifications of federal student lending in recent memory: graduate nursing programs are no longer counted as “professional degrees.”

That bureaucratic change reshapes how much nursing students can borrow, and which federal forgiveness benefits they can access.

Under the OBBBA, advanced academic programs fall into two buckets:

  • Graduate Programs; and
  • Professional Programs.

Beginning July 1, 2026, new federal borrowing rules apply:

  • Graduate programs (where nursing is now assigned):
    • $20,500 annual limit;
    • $100,000 lifetime cap.
  • Professional programs:
    • $50,000 annual limit;
    • $200,000 lifetime cap.

Nursing had historically been treated like other clinical preparation programs for borrowing purposes, because students relied heavily on federal direct unsubsidized and graduation plus loans to fund high-cost training. But OBBBA uses a strict federal definition tied to 11 specific professional fields, linked by shared Classification of Instructional Programs (CIP) codes. Nursing does not match any of these codes, so the Department placed it exclusively in the lower “graduate” category.

Multiple education and workforce organizations have confirmed the implications:

  • Newsweek reported that nursing programs are “no longer considered professional degrees” under the restructured federal loan system.
  • The American Association of Colleges of Nursing (AACN) stated that the new definition “explicitly excludes nursing,” reducing borrowing access for future APRNs, CRNAs, and nurse educators.
  • Nursing industry outlets noted that students “will lose access to higher federal loan limits previously available to professional degree pathways.”

So – are clergy still in the higher professional cap?

Yes. And this underscores one of the most pointed criticisms of the new rules.

Graduate theology and divinity programs – training clergy – remain classified as “professional degrees.”

Because their CIP codes align with one of the fields included in the federal professional-degree list, theology students keep access to the higher $50,000 annual and $200,000 lifetime borrowing caps.

This means:

  • A student studying for a Master of Divinity or doctoral studies in theology retains the higher professional-level borrowing allotment.
  • A student pursuing a nurse practitioner, clinical nurse specialist, or nurse anesthetist degree is limited to the lower graduate caps – despite far higher tuition and critical workforce shortages.

Critics argue that this sends a jarring message: clergy are treated as part of a protected “professional” track for student loan purposes, while a field central to national healthcare capacity – nursing – is downgraded.

The category shift affects more than borrowing limits. Several forgiveness-related provisions interact with the program type:

  • Income-driven repayment (IDR) outcomes are strongly tied to loan size; lower borrowing ceilings for nursing reduce forgiveness potential over 20–25 years.
  • New repayment-assistance programs introduced under the OBBBA restrict certain benefits to “professional degree” programs, excluding nursing automatically.
  • Profession-specific federal forgiveness programs (tied to the same professional list) now apply to clergy, physicians, dentists, attorneys, and pharmacists – but not to any advanced nursing role.

Public Service Loan Forgiveness (PSLF) still applies because it is employer-based, not program-based. But any new benefits tied to program classification will exclude nursing unless the Department updates its definitions.

The change is landing at a time of intense national need:

  • APRN and nursing-faculty training costs will far exceed the new loan caps.
  • Students from lower-income backgrounds will face financing gaps, pushing them into high-interest private loans or out of advanced practice nursing entirely.
  • Reductions in the pipeline of nurse practitioners, midwives, and nurse educators could worsen already severe provider shortages in primary care, rural health, and behavioral health.

Healthcare leaders argue that the move is “counterproductive to national workforce priorities,” while nursing organizations have called it “a direct threat to the future APRN supply.”

What happens next?

The rules take effect for new borrowers beginning July 1, 2026, though advocacy groups are urging:

  • Congressional clarification to explicitly recognize nursing as a professional degree;
  • Public comments and administrative challenges during the remaining regulatory process; and
  • Expansion of state and employer-based loan-assistance programs that operate outside the federal professional-degree list.

Contact the Author:

tpowell@tpowellcpa.com

Facebook
Twitter
LinkedIn

Timothy Powell, CPA, CHCP

Timothy Powell is a nationally recognized expert on regulatory matters, including the False Claims Act, Zone Program Integrity Contractor (ZPIC) audits, and U.S. Department of Health and Human Services (HHS) Office of Inspector General (OIG) compliance. He is a member of the RACmonitor editorial board and a national correspondent for Monitor Mondays.

Related Stories

Leave a Reply

Please log in to your account to comment on this article.

Featured Webcasts

Mastering Principal Diagnosis: Coding Precision, Medical Necessity, and Quality Impact

Mastering Principal Diagnosis: Coding Precision, Medical Necessity, and Quality Impact

Accurately determining the principal diagnosis is critical for compliant billing, appropriate reimbursement, and valid quality reporting — yet it remains one of the most subjective and error-prone areas in inpatient coding. In this expert-led session, Cheryl Ericson, RN, MS, CCDS, CDIP, demystifies the complexities of principal diagnosis assignment, bridging the gap between coding rules and clinical reality. Learn how to strengthen your organization’s coding accuracy, reduce denials, and ensure your documentation supports true medical necessity.

December 3, 2025

Proactive Denial Management: Data-Driven Strategies to Prevent Revenue Loss

Denials continue to delay reimbursement, increase administrative burden, and threaten financial stability across healthcare organizations. This essential webcast tackles the root causes—rising payer scrutiny, fragmented workflows, inconsistent documentation, and underused analytics—and offers proven, data-driven strategies to prevent and overturn denials. Attendees will gain practical tools to strengthen documentation and coding accuracy, engage clinicians effectively, and leverage predictive analytics and AI to identify risks before they impact revenue. Through real-world case examples and actionable guidance, this session empowers coding, CDI, and revenue cycle professionals to shift from reactive appeals to proactive denial prevention and revenue protection.

November 25, 2025
Sepsis: Bridging the Clinical Documentation and Coding Gap to Reduce Denials

Sepsis: Bridging the Clinical Documentation and Coding Gap to Reduce Denials

Sepsis remains one of the most frequently denied and contested diagnoses, creating costly revenue loss and compliance risks. In this webcast, Angela Comfort, DBA, MBA, RHIA, CDIP, CCS, CCS-P, provides practical, real-world strategies to align documentation with coding guidelines, reconcile Sepsis-2 and Sepsis-3 definitions, and apply compliant queries. You’ll learn how to identify and address documentation gaps, strengthen provider engagement, and defend diagnoses against payer scrutiny—equipping you to protect reimbursement, improve SOI/ROM capture, and reduce audit vulnerability in this high-risk area.

September 24, 2025

Trending News

Featured Webcasts

Surviving Federal Audits for Inpatient Rehab Facility Services

Surviving Federal Audits for Inpatient Rehab Facility Services

Federal auditors are zeroing in on Inpatient Rehabilitation Facility (IRF) and hospital rehab unit services, with OIG and CERT audits leading to millions in penalties—often due to documentation and administrative errors, not quality of care. Join compliance expert Michael Calahan, PA, MBA, to learn the five clinical “pillars” of IRF-PPS admissions, key documentation requirements, and real-life case lessons to help protect your revenue.

November 13, 2025
E/M Services Under Intensive Federal Scrutiny: Navigating Split/Shared, Incident-to & Critical Care Compliance in 2025-2026

E/M Services Under Intensive Federal Scrutiny: Navigating Split/Shared, Incident-to & Critical Care Compliance in 2025-2026

During this essential RACmonitor webcast Michael Calahan, PA, MBA Certified Compliance Officer, will clarify the rules, dispel common misconceptions, and equip you with practical strategies to code, document, and bill high-risk split/shared, incident-to & critical care E/M services with confidence. Don’t let audit risks or revenue losses catch your organization off guard — learn exactly what federal auditors are looking for and how to ensure your documentation and reporting stand up to scrutiny.

August 26, 2025

Trending News

Prepare for the 2025 CMS IPPS Final Rule with ICD10monitor’s IPPSPalooza! Click HERE to learn more

Get 15% OFF on all educational webcasts at ICD10monitor with code JULYFOURTH24 until July 4, 2024—start learning today!

CYBER WEEK IS HERE! Don’t miss your chance to get 20% off now until Dec. 1 with code CYBER25

CYBER WEEK IS HERE! Don’t miss your chance to get 20% off now until Dec. 2 with code CYBER24