Our doctor has recommended that my daughter, on an IEP, be gluten and dairy free. The school is giving me a hard time, though I know they are providing a special lunch for at least one other student.
You’ll need to do some research (and so did we).
The U.S. Department of Agriculture’s (USDA) nondiscrimination regulation (7 CFR 15b), as well as the regulations governing the National School Lunch Program and School Breakfast Program, make it clear that substitutions to the regular school meal must be made for children who are unable to eat school meals because of their disabilities.
These regulations require substitutions or modifications in school meals for children whose disabilities restrict their diets.
USDA has a Guidance Manual “Accommodating Children with Special Dietary Needs in the School Nutrition Programs”. It explains the school food service role in providing meals to students with special dietary needs. The Guidance Manual can be found at http://www.fns.usda.gov/school-meals/guidance-and-resources.
Note from USDA: Accommodating Children with Special Dietary Needs -This guidance document was created in 1995 and minor revisions were made in 2001. Since that time, significant changes have occurred in relevant laws that affect this document. The guidance is currently under revision to incorporate current versions of the Americans with Disabilities Act, Section 504 of the Rehabilitation Act of 1973, and the Individuals with Disabilities Education Act (IDEA). This will allow schools to understand fully the current requirements for accommodating students with disabilities in school nutrition programs. We will post the revision as soon as it is available.
Nutrition Services under an IEP
The guidance addresses IDEA 2004 and the ADA and makes it clear that if a student has a documented disability that restricts their diet, the school food service department must make the substitutions as listed by a licensed physician on a medical statement form.
The physician’s statement must identify:
- the child’s disability
- an explanation of why the disability restricts the child’s diet
- the major life activity affected by the disability
- the food or foods to be omitted from the child’s diet, and the food or choice of foods that must be substituted
If your child’s IEP includes a nutrition component, the school is required to offer special meals, at no additional cost, if your child’s disability restricts her diet. When nutrition services are required under a child’s IEP, school officials need to make sure that school food service staff is involved early on in decisions regarding special meals. It would be wise to include food service staff on the IEP Team.
Nutrition Services under a Health Care Plan
Some states supplement the IEP with a written statement specifically designed to address a student’s nutritional needs. Other states employ a “Health Care Plan” to address the nutritional needs of their students.
Nutrition Services in Cases of Food Allergies
If you request food substitutions for your child who does not have a documented disability (as defined under either Section 504 or IDEA), the school food service department may make the substitutions listed on the medical statement, but is not required to, make food substitutions for her.
However, when a doctor states that food allergies may result in severe, life-threatening (anaphylactic) reactions, the child’s condition would meet the definition of “disability,” then the substitutions prescribed by the licensed physician must be made.
Under no circumstances are school food service staff to revise or change a diet prescription or medical order.
If your child has “life threatening” food allergies that are part of his disability you should read When a School Refuses to Protect a Child with Life Threatening Allergies at http://www.wrightslaw.com/blog/?p=58
Allergies and Anaphylaxis
Your school should have an appropriate Food Allergy Management and Prevention Plan in place to promote the health and well-being of children with food allergies.
School plans should establish priorities for reducing the risk of exposure to food allergens and establish practices for responding to food allergies.
For information, articles, caselaw, legal reference files, resources, and free publications relating to allergy, anaphylaxis go to Allergies and Anayphylaxis.
Other Special Dietary Needs
USDA Guidelines define a person with special dietary needs as someone who” may have a food allergy or intolerance (for example, lactose intolerance) but does not have life-threatening (anaphylactic) reactions when exposed to food(s) to which he/she is allergic.”
At the very least, the Guidelines strongly encourage “food substitutions or modifications for children without disabilities with medically certified special dietary needs who are unable to eat regular meals as prepared.”
Be sure to check your state regulations as well as your local district policy regarding school nutrition programs.
USDA Guidance and Resources
Food Allergies in Schools – Centers for Disease Control and Prevention