NACIQI rejected renewal of recognition for the Council on Naturopathic Medical Education (CNME), citing student-outcome concerns and questioning the accreditor’s oversight and integrity. In a 12-to-0 vote, the committee recommended denial after hearing that CNME’s member institutions enroll primarily working adults with an average age around 33, and that outcomes did not meet required expectations. NACIQI’s motion described a key integrity problem: CNME reportedly cited student demographics as justification for substandard program outcomes, which members said “fundamentally compromised” CNME’s reliability as an education quality authority. Speakers urged denial over concerns about limited faculty expertise at member institutions, inadequate oversight, and debt burdens for students. Supporters of CNME countered that programs are academically rigorous and that debt concerns are systemic across healthcare education rather than unique to CNME. The committee’s decision does not immediately eliminate CNME’s status, however: ED must issue a final determination. Possible ED outcomes include denial as recommended, recognition over a shorter timeline, or overriding NACIQI. Until that final ED action, CNME’s six member institutions remain in an uncertain compliance period with potential implications for student access to aid and program viability.