In general— Section 437(d) of the Higher Education Act of 1965 (
20 U.S.C. 1087(d)) is amended by inserting “or becomes permanently and totally disabled (as determined in accordance with regulations of the Secretary), or if the student is unable to engage in any substantial gainful activity by reason of any medically determinable physical or mental impairment that can be expected to result in death, has lasted for a continuous period of not less than 60 months, or can be expected to last for a continuous period of not less than 60 months,” after “dies,”.