Health-care associations have formed a coalition to oppose newly proposed federal loan caps that would limit support for some clinician training programs, mobilizing professional societies and education programs to lobby Congress and the Department of Education. Coalition leaders warned caps could choke clinical pipeline programs that rely on federal aid, especially in occupational therapy and allied health fields. At the same time, Congress is moving to set an earnings test that could end federal funding for programs tied to persistently low graduate earnings. Indiana legislators are already considering steps to sunset low-earning degrees at the state level, raising the possibility of program eliminations rather than only funding reallocation. These moves mark a coordinated federal-state shift toward performance-based funding tied to postgraduation wages. University leaders in health and professional programs face a quickening policy environment: expect coalition lobbying, accreditation questions, and potential program redesigns to preserve federal eligibility and clinical workforce pipelines.