Three programmatic accreditors—Midwifery Education Accreditation Council, Council on Education for Public Health, and Council on Chiropractic Education—have withdrawn from federal recognition. Education Under Secretary Nicholas Kent characterized the moves as responses to higher standards for accreditors under the Trump administration, while at least one agency disputed that rationale. At the same time, the National Advisory Committee on Institutional Quality and Integrity (NACIQI) recommended denying renewed federal recognition to NACCAS, citing student-outcome, transparency, and tuition-and-debt concerns. The final decision sits with Education’s under secretary, signaling tighter scrutiny of accreditation gatekeeping. Legislators are also moving. Sen. Elizabeth Warren reintroduced the Accreditation Reform and Enhanced Accountability Act of 2026, proposing expanded oversight tied to student outcomes, loan repayment, and institutional financial instability and fraud. For institutions relying on programmatic accreditors tied to federal student aid eligibility, these actions increase compliance risk and could affect program continuity, audit timelines, and planning for accreditation renewals.