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This will protect the Agency from liability and minimize misunderstandings with households.Under no circumstance is an Agency to revise or change a recognized medical authority’s diet prescription or medical order.Either medical statement must clearly identify the child’s: The Agency is required to make dietary accommodations, including texture modifications (such as preparing chopped, ground, or pureed foods), when a recognized medical authority provides a medical statement to the Agency for children whose disability restricts their diet.As defined in 7 Section 210.10(m), an individual who does not have a disability, but is unable to consume a particular food because of a medical or other special dietary condition, is considered to have a special dietary need.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.
This will safeguard program integrity while allowing appropriate flexibility for those families that do not have access to a licensed physician.
The Americans with Disabilities Act Amendments Act has amended the definition of the term “disability,” broadening it to cover additional individuals.
The list of major life activities has also been expanded to add a new category called major bodily functions.
This MB contains updated information regarding the definition of a recognized medical professional.
The CDE recommends that sponsors read this MB in its entirety.