Accommodating children special dietary needs school nutrition programs
A written medical statement or Medical Statement form must be signed by a recognized medical authority.
It is important that Agencies reiterate to the child’s family that the written medical statement needs to contain the most current diet order from the child’s recognized medical authority.
These include: functions of the immune system, normal cell growth, along with digestive, bowel, bladder, neurological, brain, respiratory, circulatory, cardiovascular, endocrine, and reproductive functions.
The Agency must provide food substitutions to a child with a disability when the need for a substitution is supported by a written medical statement or completed CDE Medical Statement form that is signed by a licensed physician, a physician assistant, or a nurse practitioner.
The United Stated Department of Agriculture's (USDA's) nondiscrimination regulation (7 CFR 15d) applies to any site participating in a federally-funded meal program, including the National School Lunch Program (NSLP), School Breakfast Program (SBP), Special Milk Program (SMP), Child and Adult Care Food Program (CACFP), and Summer Food Service Program (SFSP).
Child Nutrition Program Sponsors can receive reimbursement for meals without milk if they operate Offer versus Serve (OVS), under which milk or other meal component(s) could be declined by a student.
This MB applies to agencies and sponsors of School Nutrition Programs (SNP), the Child and Adult Care Food Program (CACFP), and the Summer Food Service Program (SFSP).
For the purpose of this MB, these entities will be collectively referred to as Agencies. Department of Agriculture (USDA) regulations under Title 7, Code of Federal Regulations (7 CFR), sections 15.3(b) and 210.10(m), require substitutions or modifications in the National School Lunch Program and School Breakfast Program for children whose disabilities restrict their diets.
The CDE permits the following state licensed healthcare professionals to complete and sign a written medical statement for a disability determination: licensed physicians, physician assistants, or nurse practitioners.
California does not recognize other medical authorities as authorized to sign a written medical statement to determine a child’s diet.
Federal legislation and regulations are in place to ensure that children with disabilities have the same opportunities as other children.