
Press Release · Health Policy Podcast
Dr. Valerie Fuller: How a proposed federal student loan rule could impact availability of healthcare in the U.S. — Health Policy Podcast
Published · Featuring Dr. Valerie Fuller of American Association of Nurse Practitioners
WASHINGTON — May 25, 2026 — Dr. Valerie Fuller, president of the American Association of Nurse Practitioners, discussed the implications of a proposed federal student loan rule on healthcare availability in the United States during a recent episode of the Health Policy Podcast. The proposed rule could significantly affect the education and workforce of nurse practitioners and other advanced practice nurses.
Dr. Fuller explained that the new guidelines, part of the HR 1 legislation, categorize graduate students into "professional" and "graduate" categories, with nurse practitioners falling into the latter. This change limits federal loan amounts available to nursing students, potentially exacerbating the existing healthcare provider shortage.
The proposed rule matters because it could hinder the education of future nurse practitioners, leading to longer wait times for patients and reduced access to care, particularly in rural areas. A shortage of healthcare providers could negatively impact patient outcomes and overall community health.
Dr. Fuller stated, "Without the ability for nurses who are interested in furthering their education to become a nurse practitioner or other type of advanced practice nurses, we're gonna really kink the pipeline." She also noted, "Nurse practitioners are the backbone of healthcare in many communities, particularly in our rural communities."
The discussion emphasizes the critical role of nurse practitioners in the healthcare system and the potential consequences of limiting their educational funding. As the healthcare landscape continues to evolve, ensuring adequate support for nursing education remains paramount.
About American Association of Nurse Practitioners
The American Association of Nurse Practitioners is a national professional organization representing nurse practitioners, providing advocacy, continuing education, research support, and policy engagement related to advanced nursing practice and patient care.
About the Guest

Dr. Valerie Fuller — President
Dr. Valerie Fuller is the President of the American Association of Nurse Practitioners® (AANP) and a nationally recognized nurse leader with over three decades of experience in health care, including 27 years as a nurse practitioner (NP). She is dual certified as an Adult Gerontology Acute Care and Family Nurse Practitioner and holds both a PhD and a DNP in nursing. Clinically, she practices in the Department of Surgery at Maine Medical Center in Portland, Maine, and serves as an Assistant Professor of Surgery at Tufts University School of Medicine. Dr. Fuller brings extensive expertise in clinical practice, regulation and leadership, with a strong commitment to advancing NP roles and improving access to high-quality care. She is a past president of the Maine Nurse Practitioner Association (MNPA) and served more than 14 years on the Maine State Board of Nursing as the Chair and APRN board member. At the national level, she has held multiple leadership roles with the National Council of State Boards of Nursing (NCSBN), including service on their Board of Directors from 2017 to 2021. Prior to her role as President, she also served as the AANP Maine State Liaison, Region 1 Director and as a member of the AANP Fellows selection committee. She is the author of numerous peer-reviewed publications and an award-winning textbook for Acute Care Nurse Practitioners. She serves on the editorial board of The Journal for Nurse Practitioners and is the recipient of several honors, including the AANP Advocate State Award for Excellence and the NCSBN Elaine Ellibee Leadership Award. Dr. Fuller is a Fellow of the American Association of Nurse Practitioners (FAANP), the American Academy of Nursing (FAAN) and the National Academies of Practice (FNAP), reflecting her enduring contributions to the nursing profession.
About the Health Policy Podcast
The Health Policy Podcast hosts conversations on energy, infrastructure, policy and economic growth — interviewing the operators, regulators, and innovators powering America's grid, gas, nuclear, and industrial future. Subscribe on Apple Podcasts and Spotify.
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