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I don’t believe that is the case. While medical research helps a lot with the AAU metrics, it is generally about receiving competitive grants. The university of Maryland College Park does not have or count a medical school as part of its university, but is AAU, and in no danger of losing its status. Rutgers was admitted to the AAU well before they acquired two medical schools, and was not in danger of losing AAU status before they acquired them.AAU is based on MEDICAL research dollars. Syracuse (a Tier 1 research university) was AAU but left when the rules changed. SU's research is not medical-centric.
A big rule change was when the AAU de-emphasized agricultural related grants, which are non-competitive. That is what hurt Nebraska. They could have elected to acquire the NU med school, which probably would have kept them in, but they chose not to. In this case, it was not so much that it was a med school, but they did receive grants that were competitive.