Meal Pattern Updates

2. Meal Pattern Updates Whole Grain Rich Products Sodium Restrictions Fluid Milk Afterschool Snack Program Pre-K Meal Pattern Accommodating Children with Disabilities

3. Whole Grain Rich Requirements All grains must be whole grain rich unless you have an approved waiver on file • Current waivers may be extended • New waivers may be requested SP 32 -2017 – School Meals Flexibility for School Year 2017-2018

4. Enriched Grains Served as extras Enriched grains may be served as an extra • Must meet weekly nutrient targets • Does not count as a component for menu planning or offer versus serve

5. Sodium Requirements Lunch • K-5 –≤ 1230 mg • 6-8 – ≤1360 mg • 9-12 – ≤1420 mg Breakfast • K-5 – ≤540 mg • 6-8 – ≤600 mg • 9-12 – ≤640 mg SP 32 -2017 – School Meals Flexibility for School Year 2017-2018

6. Fluid Milk 1% flavored milk may be offered with an approved waiver Waivers must document: • a reduction in student milk consumption or • an increase in school milk waste SP 32 -2017 – School Meals Flexibility for School Year 2017-2018

7. Milk, Water and Other Beverages Water or other beverages cannot be promoted as an alternative selection to fluid milk on the meal service line.

8. Afterschool Snack Program Milk must be low fat unflavored or fat free flavored or unflavored No whole grain rich requirement Grain-based desserts may not be served more than twice a week CNP Meal Pattern Requirements Comparison Chart

9. Afterschool Snack Program Fruit and vegetable are one component 100% juice may count toward the whole fruit/vegetable component Juice may not be served when milk is the only other component CNP Meal Pattern Requirements Comparison Chart

10. After School Snack Meal Pattern • Offer 2 components Students must take2components

11. Meal pattern for pre-k students CNP Meal Pattern Requirements Comparison Chart

12. Meal pattern for pre-k students • Pre-K students served in elementary schools must follow the revised pre-K meal pattern, unless students are co-mingled during service

13. Co-mingled Meal Service • Definition: pre-K and K-5 students are in the service area at the same time This Photo by Unknown Author is licensed under CC BY-NC-SA SP37-2017 Flexibility for Co-Mingled Preschool Meals: Questions & Answers This Photo by Unknown Author is licensed under CC BY

14. Pre-K Breakfast Meal Pattern • Must serve all three components for a reimbursable meal • Offer versus serve is not allowable • Beginning October 1, 2019, grain crediting is based on ounce equivalents

15. Pre-K Breakfast Considerations • Milk must be unflavored low-fat (1 percent) or fat-free • Juice may only be served onceper day • Must serve at least one whole grain-rich food per day • Cereal – no more than 6 grams of total sugar per ounce equivalent • Meat and meat alternates may be used to meet the grains requirement  three times a week

16. Pre-K Lunch Meal Pattern Must serve all five components for a reimbursable meal. Offer versus serve is not allowable. Beginning October 1, 2019, grain crediting is based on ounce equivalents

17. Pre-K LUNCH pattern Considerations • Milk must beunflavored low-fat (1 %) or fat-free • Yogurt - no more than 23 grams of total sugar per 6 ounces • Juice may only be served once per day • Vegetable may be served in place of fruit • Must serve at least one whole grain-rich food per day • Grain-based desserts do notcount

18. Modifications to accommodate disabilities in school meal programs

19. Civil rights • Section 504 of the Rehabilitation Act of 1973 • Americans with Disabilities Act (ADA ) of 1990 • ADA Amendments Act of 2008

20. Memos • SP 59-2016: Modifications to Accommodate Disabilities in the School Meal Programs • September 27, 2016 • SP 26-2017: Accommodating Disabilities in the School Meal Programs: Guidance and Questionsand Answers (Q&As) • April 25, 2017

21. Ada amendments act of 2008 • Expanded and clarified the definition of disability • Most physical and mental impairments will constitute a disability • Focus on equal opportunity and access to programs • Provide a reasonable modification

22. disability • “A person with a physical or mental impairment that substantially limits one or more major life activities, has a record of such an impairment, or is regarded as having such impairment.”

23. Expanded definition of disability • Revises “substantially limits” – need not prevent or severely restrict a major life activity • Major life activities • Major Bodily Functions • Digestive • Immune • Respiratory • Neurologic • Endocrine

24. Reasonable modifications • A change or alteration in policies, practices, and/or procedures to accommodate a disability • Requested modification should be related to the disability or limitations • Case-by-case basis

25. Reasonable modifications • May consider expense, resources, age of child • Modification requested does not have to be modification provided Offer a reasonable modification to effectively accommodate the disability • Meal accommodations do not need to mirror the meal or meal item

26. Medical statement • Required to support modifications that do not meet the Program meal pattern • Signed by a State licensed healthcare professional • Medical statement may be requested, but not required, for accommodations within the meal pattern

27. Medical statement • Three essential components: • Description of the physical or mental impairment to understand how it restricts the diet • How to accommodate the disability • Food(s) to be omitted and recommended alternatives

28. Implementation and compliance • Develop procedures for requesting reasonable modifications • Train staff • Collaborate with the 504 Coordinator • Team approach

29. Common situations – Q&A • Q. Can OVS be used to accommodate a meal modification? • No. Schools must ensure children with disabilities have the opportunity to select all required food components for the meal. SP 26-2017

30. Common situations – Q&A Q. • Are SFAs required to accommodate a meal modification request for a child who does not have a disability but has a food preference? • No. However, SFAs may make meal modifications for children who do not have disabilities provided the meal is consistent with the meal pattern requirements. A. SP 26-2017

31. Common situations – Q&A • Is a medical statement required to accommodate a student that has a milk and soy allergy? • Yes, SFAs must obtain a written medical statement from a State licensed healthcare professional in order to receive reimbursement for meal modifications when the modified meal does not meet the Program meal pattern requirements. SP 26-2017

32. Common situations – Q&A • Is a medical statement required to accommodate a student that is ‘allergic’ to whole grains? • Yes, SFAs must obtain a written medical statement from a State licensed healthcare professional in order to receive reimbursement for meal modifications when the modified meal does not meet the Program meal pattern requirements. SP 26-2017

33. Common situations – Q&A • Is a medical statement required to accommodate a student that is lactose and/or gluten intolerant? • No, accommodations can be made within the meal pattern. SP 26-2017

34. USDA Nondiscrimination Statement In accordance with Federal civil rights law and U.S. Department of Agriculture (USDA) civil rights regulations and policies, the USDA, its Agencies, offices, and employees, and institutions participating in or administering USDA programs are prohibited from discriminating based on race, color, national origin, sex, disability, age, or reprisal or retaliation for prior civil rights activity in any program or activity conducted or funded by USDA. Persons with disabilities who require alternative means of communication for program information (e.g. Braille, large print, audiotape, American Sign Language, etc.), should contact the Agency (State or local) where they applied for benefits. Individuals who are deaf, hard of hearing or have speech disabilities may contact USDA through the Federal Relay Service at (800) 877-8339. Additionally, program information may be made available in languages other than English. To file a program complaint of discrimination, complete the USDA Program Discrimination Complaint Form, (AD-3027) found online at: http://www.ascr.usda.gov/complaint_filing_cust.html, and at any USDA office, or write a letter addressed to USDA and provide in the letter all of the information requested in the form. To request a copy of the complaint form, call (866) 632-9992. Submit your completed form or letter to USDA by: mail: U.S. Department of Agriculture, Office of the Assistant Secretary for Civil Rights 1400 Independence Avenue, SW, Washington, D.C. 20250-9410; (2) fax: (202) 690-7442; or   (3) email: program.intake@usda.gov. This institution is an equal opportunity provider.