---
kind: "section"
citation: "42 C.F.R. § 66.111"
title: "42"
number: "66.111"
heading: "Suspension, waiver, and cancellation."
url: "https://uscodex.org/cfr/42/66.111"
---

# §66.111. Suspension, waiver, and cancellation.

- (a) The Secretary may extend the period for undertaking service described in [§ 66.110(c)](/cfr/42/66.110.md?p=c), permit breaks in the continuous service required under [§ 66.110(c)](/cfr/42/66.110.md?p=c), or extend the period of repayment under [§ 66.110(e)](/cfr/42/66.110.md?p=e) if the Secretary determines that:
  - (1) An extension or break in service is necessary so the individual may complete his or her research training;
  - (2) Completion during the period would be impossible because the individual is temporarily disabled; or
  - (3) Completion during the period would involve a substantial hardship to the individual and failure to extend to the period would be against equity and good conscience.
- (b) The Secretary may waive, in whole or in part, the obligation of the individual to repay pursuant to [§ 66.110(d)](/cfr/42/66.110.md?p=d) if the Secretary determines that:
  - (1) Fulfillment would be impossible because the individual is permanently and totally disabled; or
  - (2) Fulfillment would involve a substantial hardship to the individual and enforcement of the obligation would be against equity and good conscience.
- (c) In making determinations under § [66.111 (a)(3)](#a-3) and [(b)(2)](#b-2), the Secretary will take into consideration such factors as:
  - (1) The individual's present financial resources and obligations;
  - (2) The individual's estimated future financial resources and obligations;
  - (3) The reasons for the individual's failure to complete the requirements within the prescribed period, such as problems of a personal nature;
  - (4) The extent to which the individual has been engaged in activities encompassed by § [66.110(a)](/cfr/42/66.110.md?p=a) and [(b)](/cfr/42/66.110.md?p=b);
  - (5) Whether the individual has received sufficient training to be qualified to perform any such activities;
  - (6) The unavailability of employment opportunities appropriate to the individual's education and training; and
  - (7) **Any other extenuating circumstances.**
- (d) Any obligations of any individual under this subpart will be cancelled upon the death of that individual.

## Notes

### Amendments

[48 FR 24880, June 3, 1983; 48 FR 33710, July 25, 1983, as amended at 66 FR 29500, May 31, 2001]

### Authority

Authority: 42 U.S.C. 216, 288.

### Source

Source: 48 FR 24880, June 3, 1983, unless otherwise noted.

### Amendments

[48 FR 24880, June 3, 1983; 48 FR 33710, July 25, 1983, as amended at 66 FR 29500, May 31, 2001]