Judicial Nomination and Confirmation Reform Act of 1991 - Amends the Federal judicial code to require the President to submit a nomination to the Senate to fill a vacancy in the office of a justice or judge within 180 calendar days after the vacancy occurs.

Sets forth conditions and procedures for obtaining an extension of such time limitation.

Requires the Senate Judiciary Committee, within 90 calendar days after receiving such a nomination, to review the nomination and report it to the Senate for advice and consent. Directs that: (1) a nomination not reported to the Senate within such time limit be discharged from the Committee, without recommendation, for a vote by the Senate on confirmation; and (2) the Senate vote on such confirmation no later than 30 calendar days after receiving it.