Title 42 › CHAPTER 6A — PUBLIC HEALTH SERVICE › SUBCHAPTER V — HEALTH PROFESSIONS EDUCATION › Part A — Student Loans › subpart i — insured health education assistance loans to graduate students › § 292d
Federal-insured student loans must follow specific rules about who can borrow and how the loan works. The borrower must be a student accepted at or in good standing at an eligible school, must be or will be a full-time student, and must promise to use the money for school costs and living expenses. A former borrower who is in an approved break can get a loan only to pay interest on earlier loans. Loans are normally unsecured (no collateral) and may need an endorsement if the borrower is a minor. Repayment must be written down and spread over at least 10 years and at most 25 years, with payments starting no sooner than 9 months and no later than 12 months after certain school, internship, residency, fellowship, or other training stops. The total loan term cannot exceed 33 years from when the loan agreement is signed. Many kinds of deferments let interest build up without monthly payments, including full-time study, internships/residencies (up to 4 years), military service, Peace Corps, National Health Service Corps, certain volunteer programs, some primary-care practice after specific training (up to 3 years), chiropractic graduates (1 year), certain fellowships (up to 2 years), and serving American Indian health programs (3 years). Time spent in forbearance does not count toward the 25-year repayment limit. Interest is set by the Secretary but cannot be more than the average 91-day Treasury bill rate for the previous quarter plus 3 percentage points, rounded up to the next 1/8 of 1 percent. Borrowers may prepay without penalty. Loan checks must be payable to both the borrower and the school. With the student’s consent, lenders may collect basic demographic information. “Active duty” and “Persian Gulf conflict” are defined as noted in federal law.
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The Public Health and Welfare, Source: USLM XML via OLRC
Legislative History
Reference
Citation
42 U.S.C. § 292d
Title 42, The Public Health and Welfare
Last Updated
Sep 23, 2026
Release point: 119-110