LB 1091 — Provide requirements for the Department of Health and Human Services for long-term care clients with special needs under the medical assistance program
Last action — Presented to Governor on April 10, 2026
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✓Introduced
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✓In Committee
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✓Passed Legislature
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✓To Executive
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5Enacted
This bill has been enacted into law. Introduced January 15, 2026. Enacted.
Signed by Governor Jim Pillen (Republican) on April 17, 2026.
Prognosis
Where this bill stands today.
Odds of enactment
HighHow often bills like it became law.
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Enacted
Current position in the legislative process.
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1 sponsor
1 primary, 0 co-sponsors signed on.
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Mixed recorded votes
2 passed, 1 failed in recorded votes so far.
Prognosis reads this bill's own signals — stage, sponsorship breadth, committee status, recorded votes and cross-state momentum. Odds come from a model trained on which bills have become law.
Bill Text
What changed in the latest version
46 added · 54 removedPlain-language change summary
The updated version of Bill LB 1091 includes added requirements for long-term care clients with special needs under the Medicaid program. Specifically, it emphasizes that these clients should receive care that ensures continuity and specialized oversight. Additionally, it clarifies that skilled nursing and nursing facility services for these clients will not be included in Medicaid managed care enrollment. These changes aim to better support individuals with complex medical needs, ensuring they receive appropriate and consistent care.
LB1091 LB1091 2026 LEGISLATURELEGISLATIVE OFBILL NEBRASKA1091 ONEApproved HUNDREDby NINTHthe LEGISLATUREGovernor SECONDApril SESSION14, LEGISLATIVE2026 BILL 1091 FINAL READING Introduced by Bostar, 29.
Read firstA timeBILL JanuaryFOR 15,AN 2026ACT Committee:relating to public assistance;
Health and Human Services A BILL FOR AN ACT relating to public assistance;
Be it enacted by the people of the State of Nebraska, -1- LB1091 LB1091 2026 Section 1.
68-99468-994 (1) (1) Until July 1, 2023, the department shall not add long-long-term term care services and supports to the medicaid managed care program.
(2) It is the intent of the Legislature that services provided to long-termlong- term care clients with special needs be administered in a manner that preserves continuity of care, program stability, and specialized oversight.
(b) For purposes of this section, (i) long-term care client with special needs means a medicaid recipient whose medical or nursing needs are complex or intensive and exceed the usual level of staff expertise and services ordinarily provided in a nursing facility and (ii) provider means a medicaid-approved provider of long-term care services for long-long-term term care clients with special needs.
(d) The department shall not require a provider to enroll with a managed care organization as a condition of eligibility to serve a long-long-term term care client with special needs.
(e) Nothing in this subsection shall prohibit the department from requiring a managed care organization to coordinate benefits other than skilled nursing facility or nursing facility services or provide -2- LB1091 LB1091 2026 wraparound services for a long-term care client with special needs if financial risk and utilization management for a provider is not administered by the managed care organizations.
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Action History
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Presented to Governor on April 10, 2026
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Approved by Governor on April 14, 2026
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Passed on Final Reading 49-0-0
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President/Speaker signed
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Placed on Final Reading
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Kauth FA750 withdrawn
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Advanced to Enrollment and Review for Engrossment
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Placed on Select File
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Health and Human Services AM2381 adopted
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Advanced to Enrollment and Review Initial
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Placed on General File with AM2381
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Health and Human Services AM2381 filed
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Prokop priority bill
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Notice of hearing for February 18, 2026
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Referred to Health and Human Services Committee
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Kauth FA750 filed
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Date of introduction
Sponsors
- Eliot Bostar · Primary
Sponsorship breakdown
Export CSV (upgrade) →1 sponsors · 0 co-sponsors · 48 not signed on
Sponsors (1)
Co-sponsors (0)
None.
Not signed on (48)
48 members have not signed on to this bill.
Show all 48 →"Not signed on" means a member has not sponsored or co-sponsored this bill — it does not imply opposition. Members flagged Voted No have a recorded No vote on this bill.
Votes
| Party | Yea | Nay | Present | Not Voting |
|---|---|---|---|---|
| Unaffiliated | 49 | 0 | 0 | 0 |
| Total | 49 | 0 | 0 | 0 |
| % of votes cast | 100% | 0% | 0% | 0% |
How each member voted (49)
| Member | Party | Vote |
|---|---|---|
| Ashlei Spivey | — | Yea |
| Barry DeKay | — | Yea |
| Beau Ballard | — | Yea |
| Ben Hansen | — | Yea |
| Bob Andersen | — | Yea |
| Bob Hallstrom | — | Yea |
| Brian Hardin | — | Yea |
| Carolyn Bosn | — | Yea |
| Christy Armendariz | — | Yea |
| Dan Lonowski | — | Yea |
| Dan Quick | — | Yea |
| Danielle Conrad | — | Yea |
| Dave Murman | — | Yea |
| Dave Wordekemper | — | Yea |
| Dunixi Guereca | — | Yea |
| Eliot Bostar | — | Yea |
| Fred Meyer | — | Yea |
| George Dungan | — | Yea |
| Glen Meyer | — | Yea |
| Jana Hughes | — | Yea |
| Jane Raybould | — | Yea |
| Jared Storm | — | Yea |
| Jason Prokop | — | Yea |
| John Arch | — | Yea |
| John Cavanaugh | — | Yea |
| John Fredrickson | — | Yea |
| Kathleen Kauth | — | Yea |
| Loren Lippincott | — | Yea |
| Machaela Cavanaugh | — | Yea |
| Margo Juarez | — | Yea |
| Megan Hunt | — | Yea |
| Merv Riepe | — | Yea |
| Mike Jacobson | — | Yea |
| Mike Moser | — | Yea |
| Myron Dorn | — | Yea |
| Paul Strommen | — | Yea |
| R. Brad von Gillern | — | Yea |
| Rick Holdcroft | — | Yea |
| Rita Sanders | — | Yea |
| Robert Clements | — | Yea |
| Robert Dover | — | Yea |
| Stan Clouse | — | Yea |
| Tanya Storer | — | Yea |
| Teresa Ibach | — | Yea |
| Terrell McKinney | — | Yea |
| Tom Brandt | — | Yea |
| Tony Sorrentino | — | Yea |
| Victor Rountree | — | Yea |
| Wendy DeBoer | — | Yea |
| Party | Yea | Nay | Present | Not Voting |
|---|---|---|---|---|
| Unaffiliated | 46 | 0 | 0 | 3 |
| Total | 46 | 0 | 0 | 3 |
| % of votes cast | 94% | 0% | 0% | 6% |
How each member voted (49)
| Party | Yea | Nay | Present | Not Voting |
|---|---|---|---|---|
| Unaffiliated | 46 | 0 | 0 | 3 |
| Total | 46 | 0 | 0 | 3 |
| % of votes cast | 94% | 0% | 0% | 6% |
How each member voted (49)
Subjects
Frequently asked questions
- Who sponsors LB 1091?
- LB 1091 is sponsored by Eliot Bostar.
- What is the current status of LB 1091?
- This bill has been enacted into law. Introduced January 15, 2026. Enacted.
- Where can I track LB 1091?
- Track LB 1091 free on One Click Politics — get push/email alerts when it moves.
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Last checked for changes 3 months ago · updated continuously
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