Economic Hardship Deferment - Senator Response

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AlaskaGrown

AlaskaGrown
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For those of you who are interested, but not wanting to be involved in the petition thread:

United States Senate
Lisa Murkowski
Alaska

Thank you for contacting me to express your concern about a provision in the College Cost Reduction and Access Act that recently was signed into law (Public Law 110-84) which eliminated the economic hardship loan repayment provision for medical students. I appreciate the opportunity to respond to your concerns.

As you know, prior to the enactment of the College Cost Reduction and Access Act, borrowers were eligible for an economic hardship deferment of their federal student loan payments if their income was below 100 percent of poverty for a family of two, or if their income was below 220 percent of poverty for a family of two and their debt exceeded 20 percent of their income. This provision was known as the 220-20 deferment formula. Some medical residents took advantage of the 220-20 deferment formula to defer their loans while in residency.

The College Cost Reduction and Access Act changed the definition of economic hardship to allow individuals to be eligible for deferment if their income is below 150 percent of poverty, based on family size. The Act also includes an Income-Based Repayment plan, under which repayment is limited to 15 percent of the borrower’s discretionary income. The Act also provides loan forgiveness for Direct Loan borrowers (or those who consolidate their loans under the Direct Loan Program) who work in a public service or non-profit job, such as the Indian Health Service or a public clinic, for ten years.

Given the high cost of the 220-20 deferment formula, it was eliminated from the Act in order to help pay for increasing the maximum Pell Grant award and other borrower benefits. Realizing, however, that this could have an unintended negative effect on medical residents and other similarly situated students, the Act allows borrowers repaying under the Income-Based Repayment plan to have three additional years (on top of 3 years of deferment) of interest paid on federal subsidized loans at any time the borrower elects. These additional three years of deferment cover the traditional residency period.

In addition, the U.S. Department of Education will delay finalizing the end of the 220-20 deferment formula until a point where the change cannot be implemented until July 1, 2009 – the same time the new Income-Based Repayment provision starts. This delay in finalizing the end of the 220-20 deferment formula will bridge the gap for medical students.

In sum, a medical resident or medical professional could stand to benefit in these ways from the College Cost Reduction and Access Act:

1. Having 3 years of loan deferment (if income is under 150% of poverty);

2. If they participate in the Income-Based Repayment plan—
  • Having an additional 3 years of interest paid off;
  • Having lower monthly payments For example, a medical resident with the average first year stipend of $43,266 would only be required to make monthly payments of $349; and
3. Having their entire outstanding loan balance forgiven after 10 years of repayment (if they work in a public or non-profit institution).

I hope this information addresses your concerns fully. Again, thank you for contacting me.

Sincerely,

Lisa Murkowski
United States Senator
 
Not sure how to feel about this. Most medical students probably won't fall under the 150% poverty plan, so the cost of having to repay loans during residency is really going to hurt. Imagine making a $3000 payment when your monthly stipend is only $4000 (or am I misunderstanding?-hopefully).

However, the loan forgiveness seems decent. If you are able to make 10 years worth of payments and then have the rest of your loans forgiven, that would be nice. Although I personally plan on paying them off before the 10 year mark if it's still financially feasible.
 
Not sure how to feel about this. Most medical students probably won't fall under the 150% poverty plan, so the cost of having to repay loans during residency is really going to hurt. Imagine making a $3000 payment when your monthly stipend is only $4000 (or am I misunderstanding?-hopefully).

However, the loan forgiveness seems decent. If you are able to make 10 years worth of payments and then have the rest of your loans forgiven, that would be nice. Although I personally plan on paying them off before the 10 year mark if it's still financially feasible.
there is a choice to only pay 15% of your income, you dont have to make 3k payments.
 
there is a choice to only pay 15% of your income, you dont have to make 3k payments.

Must have missed that part due to the 4 hours of sleep I've had in the last 3 days. Thanks for clearing that up.
 
Typical govt gobbledy gook...this will only help residents with families is my guess...if you are single, you are screwed on the poverty calculation...

There is a growing disconnect in the government between falling physician salaries, rising interest rates and less favorable repayment and deferment options, growing med school tuition and debt, and the political drumbeat for "reforms" to health care that will likely squeeze more blood from physician salaries...
 
Typical govt gobbledy gook...this will only help residents with families is my guess...if you are single, you are screwed on the poverty calculation...

There is a growing disconnect in the government between falling physician salaries, rising interest rates and less favorable repayment and deferment options, growing med school tuition and debt, and the political drumbeat for "reforms" to health care that will likely squeeze more blood from physician salaries...

According to the numbers, that is incorrect. See the following links explicating IBR and the federal poverty levels:

http://www.finaid.org/loans/ibr.phtml

http://aspe.hhs.gov/poverty/08poverty.shtml

After looking at the numbers, it's clear that married folks with families are the ones getting screwed with respect to the nominal monthly repayment amount. The problem is in the calculation of "discretionary income":

If you're married, you get a modicum boost ($4,000) respecting the poverty threshold amount. Therefore, given that your spouse makes more than $4,000 per year, your payments constitute a greater percentage of your family's take home pay.
 
wow, thanks for posting... so the 10 year forgiveness plan for "public service" work is something new, right? here's more details on it:

http://www.nasfaa.org/publications/2007/lnpublic101507.html

I doubt many physicians, even lower paid primary care physicians, work in jobs that meet that definition. I'm guessing "public health" means some sort of governmental type of work. Working for a hospital or a physician's group (what most of us will do) probably won't qualify.

This would be more beneficial to physicians if there were a specific repayment benefit for health care providers in underserved areas.
 
I would reply and mention this line --

"Having lower monthly payments For example, a medical resident with the average first year stipend of $43,266 would only be required to make monthly payments of $349; and"

Under the current plan, residents pay $0. Paying $349/month when you're making $43k is a pretty substantial hit.

I just get really mad when officials don't level with you. This change does hurt residents. That doesn't mean it's not necessarily the right or only feasible plan right now, but it's an insult to pretend like having to "only" pay $349/month is a benefit when you didn't have to pay at all under the prior plan. I don't know why any officials use this tactic because I'm guessing it makes lots of us see red.

I'd also mention what I said above that most physicians, even those who take pay cuts to work in underserved areas or in primary care, don't quality for the loan discharge. Ask this senator what she can do to address that. I'd also mention something about average indebtedness and primary care salaries.
 
According to the numbers, that is incorrect. See the following links explicating IBR and the federal poverty levels:

http://www.finaid.org/loans/ibr.phtml

http://aspe.hhs.gov/poverty/08poverty.shtml

After looking at the numbers, it's clear that married folks with families are the ones getting screwed with respect to the nominal monthly repayment amount. The problem is in the calculation of "discretionary income":

If you're married, you get a modicum boost ($4,000) respecting the poverty threshold amount. Therefore, given that your spouse makes more than $4,000 per year, your payments constitute a greater percentage of your family's take home pay.

Actually, everyone gets screwed under the new plan...my point was that it is typical govt double speak that "sounds good" until you actually run the numbers...

My greater point is that one area of the govt is reaching deeper into resident's pockets while another faction is planning to "reform" the health care system and cut physician salaries. What is needed is a comprehensive approach that reconciles falling physician incomes with the rising cost of medical training, but this is more of a death by a thousand cuts approach...
 
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I would reply and mention this line --

"Having lower monthly payments For example, a medical resident with the average first year stipend of $43,266 would only be required to make monthly payments of $349; and"

Under the current plan, residents pay $0. Paying $349/month when you're making $43k is a pretty substantial hit.

I just get really mad when officials don't level with you. This change does hurt residents. That doesn't mean it's not necessarily the right or only feasible plan right now, but it's an insult to pretend like having to "only" pay $349/month is a benefit when you didn't have to pay at all under the prior plan. I don't know why any officials use this tactic because I'm guessing it makes lots of us see red.

I'd also mention what I said above that most physicians, even those who take pay cuts to work in underserved areas or in primary care, don't quality for the loan discharge. Ask this senator what she can do to address that. I'd also mention something about average indebtedness and primary care salaries.

I went to private school for 6 years and already have substantial debt, and since I've been out of school for a year, I'm already paying on my loans. I've been paying about $700 minimum while only making about $2000. Yeah, it sucks, but it's do-able. I don't like the idea of being forced to pay them back immediately, but $350 on $4000 is not the end of the world.
 
I went to private school for 6 years and already have substantial debt, and since I've been out of school for a year, I'm already paying on my loans. I've been paying about $700 minimum while only making about $2000. Yeah, it sucks, but it's do-able. I don't like the idea of being forced to pay them back immediately, but $350 on $4000 is not the end of the world.

It's not the end of the world, but it's facetious to paint only paying $350/month as a benefit when residents previously had to pay nothing for 3 years. Couple that with the fact that lots of residents are at the point in their lives when they're starting families, buying homes and needing to start retirement savings, and that $350 doesn't look so paltry.
 
i dont know enough about economics or loans. heres my interpretation. traditional 3 year deferment on loan takes you into your 4th year of medical school. tack on that extra 3 years the senator mentions and that takes you through your 2nd year of residency. so would u have to start making payments your 3rd year residency??? someone smarter respond to this please
 
Ok, someone help me here. From the loan forgiveness page:

To qualify for public service loan forgiveness, a borrower must:

* Make 120 monthly payments on the eligible Federal Direct Loan on or after Oct. 1, 2007;
* Be employed in a public service job as defined in the CCRAA during the time he or she makes the qualifying monthly payments;
* Be employed in a public service job as defined in the CCRAA at the time the Secretary forgives the loan; and
* Make qualifying payments under one of (or some combination of) the following:
o Income contingent repayment plan;
o Income-based repayment plan (not available until 2009);
o Standard repayment plan with a 10 year repayment period; or
o One of the other Direct Loan repayment plans under which the borrower paid a monthly amount that is not less than what the borrower would pay under a 10 year repayment plan.

Now does this or does this not basically say - you must be paying at least the standard amount for a 10 year repayment plan. Then after 10 years - when you're done repaying - we'll forgive your loans!!!

Wtf?!
 
It's not the end of the world, but it's facetious to paint only paying $350/month as a benefit when residents previously had to pay nothing for 3 years. Couple that with the fact that lots of residents are at the point in their lives when they're starting families, buying homes and needing to start retirement savings, and that $350 doesn't look so paltry.

I'd say that paying $350 is a definite benefit over paying something between $800-1300 a month if there were no Income-Repayment plan at all. But I'm not at all saying this plan is better than the 220-20 legislation, which is why I sent the petition email.
 
I'd say that paying $350 is a definite benefit over paying something between $800-1300 a month if there were no Income-Repayment plan at all. But I'm not at all saying this plan is better than the 220-20 legislation, which is why I sent the petition email.

I agree, but it is hard not to be cynical about a situation where they rip the rug out from under residents, then offer to listen to a compromise position. From the politician's perspective, anything short of that high range should be viewed as a "victory" for their constituent MD residents...as I pointed out earlier in this thread, a more comprehensive government approach to financing medical education and residency training should be on the table...
 
i dont know enough about economics or loans. heres my interpretation. traditional 3 year deferment on loan takes you into your 4th year of medical school. tack on that extra 3 years the senator mentions and that takes you through your 2nd year of residency. so would u have to start making payments your 3rd year residency??? someone smarter respond to this please

Here's how I interpret it:

First, your loans will definitely be deferred during medical school, as all federal loans are.

The traditional deferment (if you are under 150% of poverty based on family size, you make no payment on your loans for 3 years) takes you to the third year of residency. Then the Income-Based repayment plan limits your payments to 15% of income during the next 3 years, while the government pays any interest that accrues during that period, which covers until the end of a traditional residency (6 yrs).

Or if you do not qualify for the traditional deferment, you have a period of 6 years during which you can be under the Income-Based repayment plan (making 15% payments, but haveing interest paid by the government) which also applies for the duration of a traditional residency (6 yrs).
 
Now does this or does this not basically say - you must be paying at least the standard amount for a 10 year repayment plan. Then after 10 years - when you're done repaying - we'll forgive your loans!!!

Wtf?!

Was thinking the exact same thing.
 
Ok, someone help me here. From the loan forgiveness page:



Now does this or does this not basically say - you must be paying at least the standard amount for a 10 year repayment plan. Then after 10 years - when you're done repaying - we'll forgive your loans!!!

Wtf?!

I'm reading it differently. I believe the little o's are examples of qualifying payments (and yes, they could have organized it better 🙂 ), so paying a reduced amount under the new economic hardship deferment would count. We'd have to look at the exact language to know for sure, though.

Editing to add that finaid has a better explanation. Check out the part under eligible repayment plans.

http://www.finaid.org/loans/publicservice.phtml