Title 42 › Chapter CHAPTER 6A— - PUBLIC HEALTH SERVICE › Subchapter SUBCHAPTER V— - HEALTH PROFESSIONS EDUCATION › Part Part A— - Student Loans › Subpart subpart i— - insured health education assistance loans to graduate students › § 292f
When a borrower falls behind on a federally insured loan, the loan holder must try hard to collect. After big collection efforts and, usually, filing a lawsuit, the holder tells the Secretary about the default. If the loan is still insured, the Secretary can pay the holder the loss. If the holder or its servicer is not labeled an "exceptional performer," the Secretary pays 98% of the loss. Lenders, holders, or servicers get "exceptional performer" status if they score at least 97% on yearly compliance ratings based on independent audits. Those who want the status must pay for annual audits and then do quarterly audits to keep it. The Secretary can remove the status for late or bad audits, poor performance, or suspected fraud. If the Secretary pays the loss, the United States takes the loan rights and can collect what it can. Any money recovered above the paid loss goes back to the insured. The Secretary may sell assigned loans without recourse. The law also lets the Secretary reduce federal health payments to borrowers who default, up to the loan balance, after notice and a hearing; recovered money goes into the loan insurance fund. A bankruptcy discharge can only free a loan after seven years from when repayment first began (not counting suspended periods), if a Bankruptcy Court says it would be unfair not to discharge the debt, and if the Secretary hasn’t waived the right to use the payment-reduction rule. Lenders usually must sue to collect unless they can’t find the borrower, suing would be useless, or the loan is small ($5,000 limit for loans made before November 4, 1988; $2,500 for loans made after that date). The Secretary must decide on payment of a claim within 60 days after finding the lender made reasonable collection efforts. State court judgments the Secretary gets can be enforced in federal court. Schools and training programs may help collect delinquent loans and are allowed to give borrower info and withhold services as rules allow; those actions are not subject to 15 U.S.C. 1692g. Key one-line definitions: insurance beneficiary = the insured or its authorized assignee; amount of the loss = unpaid principal and interest minus any judgments collected; default = when the loan is 120 days past due; servicer = an agency acting for the insurance beneficiary.
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The Public Health and Welfare — Source: USLM XML via OLRC
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Citation
42 U.S.C. § 292f
Title 42 — The Public Health and Welfare
Last Updated
Apr 6, 2026
Release point: 119-73