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We are in TX also w/bio 16 & 19 yr olds. Spent three years in the maze of interstate placement then adoption with my 8 & 11 yr old niece and nephew. We have experienced exactly the same frustrations as you have w/medicaid, uneducated attorney, etc. We finally gave in, finalized the adoption and insured privately.
Both your teens should be determined as Title IV on your adoption subsidy agreement. It is designated to children that are adopted as special needs (older, sibling placement, documented RAD etc.) This is a "federal" program that is supposed to help advocate for your children's rights. Both NE and TX participate in this and legally must abide by the Interstate Compact Act. If your attorney isn't familiar w/interstate adoptions (ours wasn't) they won't see the importance of this classification. In a perfect world NE should give your children the "same" medical benefits (mentally and physically) in TX that he would receive in NE. Contact the ICAMA rep for TX and they may be able to help you navigate your way. Also under Title IV they should qualify for free college tuition in Texas.
I admire your commitment and dedication. We now have a blended family of six that keeps me constantly on my toes.
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