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---
type: "Bill"
title: "Provide requirements for the Department of Health and Human Services for long-term care clients with special needs under the medical assistance program"
description: "Provide requirements for the Department of Health and Human Services for long-term care clients with special needs under the medical assistance program"
jurisdiction: "us/states/ne"
legislature: "Nebraska Legislature"
session: "109"
identifier: "LB 1091"
citation: "Nebraska LB 1091 (109)"
classification: ["bill"]
subjects: []
status: "enacted"
primary_sponsors: ["Bostar"]
version_count: 4
action_count: 17
vote_count: 3
first_action: "2026-01-15"
last_action: "2026-04-17"
source: "openstates"
source_identifier: "ocd-bill/96eb3a02-3185-4b24-907c-2dc322be099a"
source_url: "https://nebraskalegislature.gov/bills/search_by_date.php?SessionDay=2026"
source_hash: "c1c49734228586b93a45cb1e375b9d13110d5d06dbd62cf31e12cbc793ee943e"
vintage: "2026-07-01"
source_snapshot: "https://data.openstates.org/daily/2026-07-01/public.pgdump"
retrieved_at: "2026-07-06"
confidence: "reported"
tags: ["legislation", "bill", "us-ne"]
---
# Nebraska LB 1091 (109) — Provide requirements for the Department of Health and Human Services for long-term care clients with special needs under the medical assistance program
## Version chain
The bill's text revisions, in order — the diff chain from filing to enrollment.
1. **Introduced** (filed) — [source](https://nebraskalegislature.gov/FloorDocs/109/PDF/Intro/LB1091.pdf)
2. **Final Reading** (committee substitute) — [source](https://nebraskalegislature.gov/FloorDocs/109/PDF/Final/LB1091.pdf)
3. **Health and Human Services AM2381** (committee substitute) — [source](https://nebraskalegislature.gov/FloorDocs/109/PDF/AM/AM2381.pdf)
4. **Slip Law** (committee substitute) — [source](https://nebraskalegislature.gov/FloorDocs/109/PDF/Slip/LB1091.pdf)
## Votes
- Health and Human Services AM2381 adopted — **460** (fail) · legislature
- Advanced to Enrollment and Review Initial — **460** (pass) · legislature
- Passed on Final Reading 49-0-0 — **490** (pass) · legislature
## Sponsors
- Bostar — primary (person)
## Timeline
The legislative action history — every referral, reading, and vote.
- **2026-04-17** Approved by Governor on April 14, 2026 `executive-signature`
- **2026-04-17** Presented to Governor on April 10, 2026 `executive-receipt`
- **2026-04-10** President/Speaker signed `passage`
- **2026-04-10** Passed on Final Reading 49-0-0 `passage`
- **2026-04-07** Placed on Final Reading `reading-3`
- **2026-04-01** Advanced to Enrollment and Review for Engrossment
- **2026-04-01** Kauth FA750 withdrawn
- **2026-03-30** Placed on Select File `filing`
- **2026-03-25** Advanced to Enrollment and Review Initial
- **2026-03-25** Health and Human Services AM2381 adopted
- **2026-03-05** Health and Human Services AM2381 filed `filing`
- **2026-03-05** Placed on General File with AM2381 `committee-passage`
- **2026-02-19** Prokop priority bill
- **2026-02-10** Notice of hearing for February 18, 2026
- **2026-01-20** Referred to Health and Human Services Committee `referral-committee`
- **2026-01-16** Kauth FA750 filed `filing`
- **2026-01-15** Date of introduction `introduction`
## Source
OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/96eb3a02-3185-4b24-907c-2dc322be099a`. Confidence: reported (aggregated from official Nebraska legislature records).