To expand the definition of institution of higher education in the Higher Education Act of 1965 with respect to certain graduate medical schools located outside of the United States.

(1) in the matter preceding clause (i), by striking graduate medical school, and inserting graduate medical school other than a graduate medical school described in clause (i)(I)(aa)(BB), a; and

(2) by amending item (aa) of clause (i)(I) to read as follows:

(AA) at least 60 percent of those enrolled in, and at least 60 percent of the graduates of, the graduate medical school outside the United States were not persons described in section 484(a)(5) in the year preceding the year for which a student is seeking a loan under part D of title IV; or

(BB) the school has or had a clinical training program that, as of January 31, 2021, was approved by a State with an approval process that required an on-site visit to the institution and its affiliated locations by that State or its authorized representatives, and that continues to operate a clinical training program in at least one State that is approved by that State; and