Title 42 › Chapter CHAPTER 6A— - PUBLIC HEALTH SERVICE › Subchapter SUBCHAPTER V— - HEALTH PROFESSIONS EDUCATION › Part Part A— - Student Loans › Subpart subpart ii— - federally-supported student loan funds › § 292r
A school may lend a student no more than the school’s own figured cost of attendance for the year (tuition, school costs, and living expenses). For third- or fourth-year medical or osteopathic students, the loan can be increased to pay off other loan balances from other sources if the student and school agree the extra money will be used that way. Loans are for students who need the money to study full time for certain health‑care degrees (medicine, osteopathy, dentistry, pharmacy, veterinary medicine, optometry, podiatry, and similar degrees), and the school sets the loan terms (following the rules in section 292s). Repayment normally starts one year after the student stops full-time study and runs for 10 to 25 years as the school decides, with equal or graduated payments and the borrower allowed to pay early. Time that does not count toward repayment includes up to 3 years of active military duty, up to 3 years of Peace Corps service, periods of internships/residencies or more full-time study, and up to 2 years for certain related educational activities or fellowships if the Secretary allows. Death or permanent total disability cancels what is left of the loan. Interest is 5% per year and is charged only while the loan is being repaid. Loans are usually unsecured; notes cannot be sold except if a borrower moves to another participating school. Schools may charge for cancellation insurance and may assess a late fee (no charge if paid or proof filed within 60 days); late fees may be up to 6% of the missed installment and can be added to the loan or billed with the next payment after notice. Schools may set a minimum repayment rate of at least $40 per month. The Secretary may repay all or part of a loan, without holding the applicant responsible, if the person did not finish the first professional degree, is in exceptionally needy circumstances, is from a low‑income or disadvantaged family, and has not resumed and cannot reasonably be expected to resume studies within two years of leaving. The Secretary can also try to collect defaulted loans for schools that follow the rules, return collections to the school’s loan fund, refer lawsuits to the Attorney General, and enforcement is not barred by time limits on debt actions.
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The Public Health and Welfare — Source: USLM XML via OLRC
Legislative History
Reference
Citation
42 U.S.C. § 292r
Title 42 — The Public Health and Welfare
Last Updated
Apr 6, 2026
Release point: 119-73