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The Rehabilitation Act of 1973, the Education of the Handicapped Act of 1975, and the Americans with Disabilities Act of 1990 state that persons with disabilities have the support of these laws that prohibit discrimination and require that children be provided with a free and appropriate public education. In 2015, the USDA permitted states to expand the list of recognized medical authorities to improve access to meal accommodations for children with special dietary needs and alleviate administrative burden for the CNPs.
For more information, please refer to USDA Policy Memorandum SP 32-2015, SFSP 15-2015, CACFP 13-2015: Statements Supporting Accommodations for Children with Disabilities in the CNPs on the USDA Food and Nutrition Service School Meals Policy Web page at
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.This includes education and education-related benefits, such as school meals.This MB contains updated information regarding the definition of a recognized medical professional.The CDE recommends that sponsors read this MB in its entirety.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).