In early November, following extensive debate by the RISE negotiated rule-making committee, the U.S. Department of Education proposed a definition of “professional degree” for federal student aid that could deter talented students from pursuing health-care careers. The proposed rule, stemming from the One Big Beautiful Bill Act, would leave students in many fields critical for our future health-care workforce subject to a $20,500-per-year federal student loan cap.
Physician assistant/associate programs stand to be strongly affected. These programs are intensive, highly structured and clinically immersive. Students complete rigorous professional-level coursework while rotating through multiple clinical sites to gain hands-on experience. Unlike in many graduate programs, PA students cannot work during their studies, as clinical rotations are full-time and often require travel across multiple locations. Within this context, federal student aid is not optional; it is the lifeline that allows students to stay in their programs and complete the training they have worked for years to achieve. Without it, some students will have no choice but to abandon the profession entirely.
The financial gap under the department’s proposal is striking. Tuition alone —not including expenses like housing, food and other needs—for PA programs often exceeds $90,000 for the duration of the program due to the unique costs associated with health professional education, such as simulation technology and clinical placement expenses. Under the department’s proposal, federal student aid would only cover a fraction of this amount. For students without access to private resources, the gap will likely be insurmountable.
These challenges are not hypothetical. A student accepted into a PA program may face a choice to take on crippling private debt or leave the career track entirely. Students in nurse practitioner, physical therapy and occupational therapy programs face the same reality. Each of these programs combines intense academic and clinical requirements, preparing graduates for immediate entry into practice. Federal policy must recognize this reality if it hopes to support the next generation of health-care professionals.
The consequences extend far beyond individual students. PA students, along with other health professions students, are essential to addressing workforce shortages, especially in rural and underserved areas. Every student forced to forgo pursuing a PA program due to financial barriers represents a future provider absent from the health-care system. At a time when demand for care is rising, federal policy that fails to recognize these students risks worsening shortages and limiting access to care for patients who need it most.
The Department of Education has the opportunity to correct this in the final rule. Explicitly including PA students, along with nurse practitioners, physical therapists, occupational therapists and other professions that meet the statutory criteria for professional degrees would ensure that aid reaches students fully committed to intensive, licensure-preparing programs. Recognition will reduce financial stress, allow students to focus on becoming high-quality health-care providers and maintain the pipeline of skilled professionals critical to patient care.
Including PA and other health professions students in the department’s final rule is both necessary and prudent. It allows students to complete programs they cannot otherwise afford, protects the future health-care workforce and ensures that communities continue to have access to vital services. The Department of Education can achieve clarity, fairness and meaningful impact by explicitly recognizing these professional students.