Provide requirements for the Department of Health and Human Services for long-term care clients with special needs under the medical assistance program

LB 1091 requires Nebraska's Department of Health and Human Services to provide long-term care services (like skilled nursing, nursing facility, and assisted living care) for Medicaid recipients with complex medical needs through fee-for-service Medicaid or other non-risk-based systems - instead of the state's Medicaid managed care program. It directly affects Medicaid recipients with intensive care needs and their healthcare providers, ensuring these services continue outside managed care enrollment. The bill mandates that providers serving these clients cannot be forced to join managed care organizations, while preserving care continuity and preventing increased state costs. Key provisions include defining "special needs" clients and requiring the department to update contracts and rules within six months of the law's effective date.