Are schools required to make menu subsitutions for children who cannot eat the regular lunch or breakfast?
Federal law and the regulations for the National School Lunch Program and the School Breakfast Program require schools to make accommodations for children who are unable to eat the school meal as prepared because of a disability. Accommodation generally involves substituting food items, but in some cases schools may need to make more far reaching accommodations to meet the needs of children. For example, some children may need to have the texture modified. In order to make substitutions for items in reimbursable meals, the school must have on file a written statement signed by a licensed physician indicating what the child’s disability is, what foods must be omitted from the child’s diet, and what foods must be substituted.