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Trump’s Big Ugly Bill Strips Nursing of Professional Status

December 4, 2025

The Trump administration has reclassified nursing and several other healthcare professions, removing their professional degree status under the One Big Beautiful Bill Act, which significantly reduces student borrowing limits for these fields. While students in medicine, law, and dentistry can borrow up to $50,000 annually with a $200,000 total cap, nursing students are now limited to $20,500 per year with a $100,000 maximum, amounts that fall far short of actual program costs. This policy change disproportionately impacts Black women, who comprise nearly 13 percent of healthcare workers and rely heavily on student loans, potentially blocking their pathway to advanced nursing roles.

Who is affected

  • Black women (who represent nearly 13% of national healthcare workforce and almost 10% of registered nurses)
  • Nursing students across all degree levels (ADN to BSN and beyond)
  • Students in physical therapy, physician assistant programs, and other frontline health professions
  • Patients in underserved rural and urban communities
  • Advanced practice registered nurses and those pursuing graduate nursing degrees
  • Kim Brundidge (doctoral nursing student and practicing nurse cited in article)

What action is being taken

  • Local and national nursing groups are preparing challenges to the reclassification
  • The American Association of Colleges of Nursing has issued warnings about the policy
  • The American Nurses Association is speaking out against the limitations

Why it matters

  • This policy threatens America's ability to address an existing shortage of hundreds of thousands of nurses by creating financial barriers to nursing education. The decision disproportionately impacts Black women who rely on student loans at higher rates than white students, blocking their path to financial mobility and advanced practice roles. Since Black nurses predominantly serve underserved communities that already face healthcare access challenges, reducing the pipeline of qualified nurses will worsen health disparities. The reclassification undermines the professional status of nursing despite its rigorous education requirements, licensure standards, and critical role in direct patient care, potentially reducing both the quantity and quality of future healthcare providers.

What's next

  • No explicit next steps stated in the article

Read full article from source: The San Diego Voice & Viewpoint