Merkley, Wicker, Kiggans, Bonamici Lead Bipartisan, Bicameral Effort to Oppose New Limits on Student Loans for Nurses

Washington, D.C. – Today, Oregon’s U.S. Senator Jeff Merkley and Mississippi’s U.S. Senator Roger Wicker, along with U.S. Representatives Jen Kiggans (R-VA-02) and Suzanne Bonamici (D-OR-01), led over 140 bipartisan lawmakers to sound the alarm over a proposed framework by the U.S. Department of Education to declassify nursing degrees as “professional” and undermining the entire future of the nursing workforce.

Their letter follows a recently released proposed framework from the Education Department’s Reimagining and Improving Student Education (RISE) Committee that omits post-baccalaureate nursing degrees from the regulatory definition of “professional degree,” meaning they would be classified as a “graduate degree.” If this framework is adopted during the upcoming rulemaking, the proposed definition threatens more debt for post-baccalaureate nursing students, as student loans are currently capped for new borrowers at $20,500 annually and $100,000 in the aggregate for “graduate” programs and $50,000 annually and $200,000 in the aggregate for “professional” programs.

“At a time when our nation is facing a health care shortage, especially in primary care, now is not the time to cut off the student pipeline to these programs,” the bipartisan group of over 140 lawmakers wrote to the Education Department. “According to the Medicare Payment Advisory Commission (MedPAC), fifty-seven percent of Medicare beneficiaries received a primary care service from an NP or physician associate (PA), and sixty-six percent of rural Medicare patients received a primary care service from an NP or PA. Consequently, we believe that post-baccalaureate nursing degrees should be included in the department’s definition of a ‘professional degree.’”

“Nurses and nurse faculty make up the backbone of our health system, and post-baccalaureate nursing degrees lead to demonstrated outcomes, with a recent study from the Foundation for Research on Equal Opportunity showing that nursing was one of the top three master’s degrees for return on investment. As such, post-baccalaureate nursing degrees should be treated equally to other accredited post-baccalaureate health profession degrees,” the lawmakers stressed.

As leaders of the Senate and House Nursing Caucuses, Merkley, Wicker, Kiggans, and Bonamici have long championed legislation to support the more than 5 million registered nurses across the United States and address the challenges facing the nursing workforce. Merkley is the husband of a nurse, and Kiggans is one of three nurses currently serving in Congress.

The bipartisan letter is supported by over 65 organizations including, the American Association of Colleges of Nursing; American Association of Nurse Practitioners; American Nurses Association; American College of Nurse-Midwives; Association of Women's Health, Obstetric and Neonatal Nurses; National Association of Pediatric Nurse Practitioners; National Council of State Boards of Nursing; and the National League of Nursing. A full list of supporting organizations can be found by clicking here.

In addition to Merkley, Wicker, Kiggans, and Bonamici, the letter was signed by U.S. Senators Angela D. Alsobrooks (D-MD), Richard Blumenthal (D-CT), Lisa Blunt Rochester (D-DE), Cory Booker (D-NJ), Maria Cantwell (D-WA), Susan Collins (R-ME), Christopher Coons (D-DE), Kirsten Gillibrand (D-NY), Mazie Hirono (D-HI), Mark Kelly (D-AZ), Amy Klobuchar (D-MN), Ben Ray Luján (D-NM), Edward J. Markey (D-MA), Lisa Murkowski (R-AK), Patty Murray (D-WA), Jon Ossoff (D-GA), Alex Padilla (D-CA), Gary Peters (D-MI), Jack Reed (D-RI), Adam B. Schiff (D-CA), Jeanne Shaheen (D-NH), Elissa Slotkin (D-MI), Tina Smith (D-MN), Chris Van Hollen (D-MD), Mark R. Warner (D-VA), Elizabeth Warren (D-MA), Peter Welch (D-VT), Sheldon Whitehouse (D-RI), and Ron Wyden (D-OR) and U.S. Representatives Don Bacon (R-NE-02), Nanette Barragán (D-CA-44), Ami Bera (D-CA-06), Donald Beyer (D-VA-08), Brendan Boyle (D-PA-02), Robert Bresnahan (R-PA-08), Shontel Brown (D-OH-11), Julia Brownley (D-CA-26), Janelle Bynum (D-OR-05), Salud Carbajal (D-CA-24), André Carson (D-IN-07), Greg Casar (D-TX-35), Kathy Castor (D-FL-14), Joaquin Castro (D-TX-20), Judy Chu (D-CA-28), Gilbert Cisneros (D-CA-31), Yvette Clarke (D-NY-09), J. Luis Correa (D-CA-46), Joe Courtney (D-CT-02), Angie Craig (D-MN-02), Jason Crow (D-CO-06), Danny Davis (D-IL-07), Donald Davis (D-NC-01), Madeleine Dean (D-PA-04), Suzan DelBene (D-WA-01), Christopher Deluzio (D-PA-17), Maxine Dexter (D-OR-03), Lloyd Doggett (D-TX-37), Adriano Espaillat (D-NY-13), Dwight Evans (D-PA-03), Cleo Fields (D-LA-06), Brian Fitzpatrick (R-PA-01), Bill Foster (D-IL-11), Valerie Foushee (D-NC-04), Laura Friedman (D-CA-30), John Garamendi (D-CA-08), Daniel Goldman (D-NY-10), Maggie Goodlander (D-NH-02), Adelita Grijalva (D-AZ-07), Jahana Hayes (D-CT-05), Val Hoyle (D-OR-04), Jared Huffman (D-CA-02), Pramila Jayapal (D-WA-07), David Joyce (R-OH-14), Robin Kelly (D-IL-02), Raja Krishnamoorthi (D-IL-08), Greg Landsman (D-OH-01), Rick Larsen (D-WA-02), George Latimer (D-NY-16), Michael Lawler (R-NY-17), Summer Lee (D-PA-12), Teresa Leger Fernandez (D-NM-03), Mike Levin (D-CA-49), Ted Lieu (D-CA-36), Zoe Lofgren (D-CA-18), Stephen Lynch (D-MA-08), Ryan Mackenzie (R-PA-07), Sarah McBride (D-DE-AL), Jennifer McClellan (D-VA-04), Kristen McDonald Rivet (D-MI-08), James McGovern (D-MA-02), Grace Meng (D-NY-06), Kweisi Mfume (D-MD-07), Dave Min (D-CA-47), Joseph Morelle (D-NY-25), Kelly Morrison (D-MN-03), James Moylan (R-GU-AL), Kevin Mullin (D-CA-15), Eleanor Holmes Norton (D-DC-AL), Chris Pappas (D-NH-01), Marie Gluesenkamp Perez (D-WA-03), Scott Peters (D-CA-50), Brittany Pettersen (D-CO-07), Chellie Pingree (D-ME-01), Mark Pocan (D-WI-02), Nellie Pou (D-NJ-09), Ayanna Pressley (D-MA-07), Delia Ramirez (D-IL-03), Emily Randall (D-WA-06), Jamie Raskin (D-MD-08), Josh Riley (D-NY-19), Deborah Ross (D-NC-02), Raul Ruiz (D-CA-25), Andrea Salinas (D-OR-06), Mary Gay Scanlon (D-PA-05), Janice Schakowsky (D-IL-09), Hillary Scholten (D-MI-03), Kim Schrier (D-WA-08), Terri Sewell (D-AL-07), Brad Sherman (D-CA-32), Lateefah Simon (D-CA-12), Adam Smith (D-WA-09), Eric Sorensen (D-IL-17), Melanie Stansbury (D-NM-01), Greg Stanton (D-AZ-04), Haley Stevens (D-MI-11), Marilyn Strickland (D-WA-10), Thomas Suozzi (D-NY-03), Eric Swalwell (D-CA-14), Mike Thompson (D-CA-04), Dina Titus (D-NV-01), Rashida Tlaib (D-MI-12), Jill Tokuda (D-HI-02), Paul Tonko (D-NY-20), Ritchie Torres (D-NY-15), Lori Trahan (D-MA-03), Derek Tran (D-CA-45), Lauren Underwood (D-IL-14), Jefferson Van Drew (R-NJ-02), Juan Vargas (D-CA-52), Gabe Vasquez (D-NM-02), Nydia Velázquez (D-NY-07), Bonnie Watson Coleman (D-NJ-12), George Whitesides (D-CA-27), and Frederica Wilson (D-FL-24).

Full text of their bipartisan letter can be found by clicking here and follows below:

Dear Under Secretary Kent:  

We write regarding the Department of Education’s Reimagining and Improving Student Education (RISE) Committee’s ongoing rulemaking to implement the student financial aid provisions under Public Law 119–21. As Members of Congress who have championed legislation to strengthen the nursing workforce, we write with concerns over the RISE Committee’s decision to omit post-baccalaureate nursing degrees from the regulatory definition of “professional degree” in its recently released proposed framework.  

Nurses are central to our health care system. They comprise the largest health care workforce in the United States, with more than 5 million registered nurses nationwide. Nurses provide high-quality care to patients in all communities, including rural and urban areas, yet we are in the midst of a nursing workforce crisis in this country. According to the 2024 National Nursing Workforce Study, more than 138,000 nurses have left the workforce since 2022 due to stress, burnout, and retirement. This study also outlined predictions that by 2029, almost 40 percent of nurses intend to leave the workforce. Given this trend, we have a strong interest in bolstering the nursing workforce and supporting legislation that will make it easier for nurses to enter the field. 

The RISE Committee’s proposed definition will make it more difficult for nurses to join the health care workforce because post-baccalaureate nursing degrees are excluded from the list of health care degrees in the definition of a “professional degree.” This list includes Pharmacy (PharmD), Dentistry (DDS or DMD), Medicine (MD), and Clinical Psychology (PsyD or PhD), but it omits post-baccalaureate nursing degrees such as a Master of Science in Nursing (MSN), Doctor of Nursing Practice (DNP), and a PhD in nursing. However, the proposed definition describes a professional degree as a degree that “signifies both completion of the academic requirements for beginning practice in a given profession and a level of professional skill beyond that normally required for a bachelor’s degree.” The definition also states that a professional degree “generally requires professional licensure to begin practice.” Post-baccalaureate nursing degrees satisfy these criteria, as all registered nurses must pass the National Council Licensure Examination to enter the profession. Similarly, all Advanced Practice Registered Nurses (APRNs) must have a graduate degree, such as an MSN or a DNP, and require national certification and state licensure to practice. 

Post-baccalaureate nursing students also have a demonstrated need to access the higher borrowing limits for professional degrees set in Public Law 119–21. The law states that students earning professional degrees may borrow up to $50,000 annually and $200,000 aggregate, in contrast to students earning graduate degrees, whose borrowing limits are capped at $20,500 annually and $100,000 aggregate. The current graduate level loan cap would not meet the need of most Certified Registered Nurse Anesthetist (CRNA) programs, which can cost over $200,000, thereby restricting the pipeline of CRNAs and further limiting an anesthesia workforce that is suffering from shortages across all provider types. CRNA programs have shown to be a critical return on investment, with default rates near zero percent, and a workforce that overwhelmingly provides anesthesia to rural and underserved communities where higher cost physicians do not practice. 

In addition, many post-baccalaureate nursing programs hit the annual limit of $20,500, including some programs that may be under the aggregate limit. For instance, many nurse practitioner and other APRN academic programs operate year-round across three full-time semesters, as opposed to the traditional two-semester academic calendar, and thus cost more than $20,500 per year. Classifying these programs as graduate programs would result in these students having to take out additional student loans to cover the remainder of their tuition, which will limit the ability for students to complete their advanced degree. 

At a time when our nation is facing a health care shortage, especially in primary care, now is not the time to cut off the student pipeline to these programs. According to the Medicare Payment Advisory Commission (MedPAC), fifty-seven percent of Medicare beneficiaries received a primary care service from an NP or physician associate (PA), and sixty-six percent of rural Medicare patients received a primary care service from an NP or PA. Consequently, we believe that post-baccalaureate nursing degrees should be included in the department’s definition of a “professional degree.”

Nurses and nurse faculty make up the backbone of our health system, and post-baccalaureate nursing degrees lead to demonstrated outcomes, with a recent study from the Foundation for Research on Equal Opportunity showing that nursing was one of the top three master’s degrees for return on investment. As such, post-baccalaureate nursing degrees should be treated equally to other accredited post-baccalaureate health profession degrees. 

Thank you for your attention to this matter, and we hope to work with you to improve and expand the nursing workforce across the country. 

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