Alabama's Medicaid program says it will need an additional $157-million to maintain services next year. It's a request that caused lawmakers to lash out at the expense of the healthcare program and its recipients. Medicaid Commissioner Stephanie Azar told lawmakers today that the agency will have to cut services if it doesn't get close to that amount. She says the state might also have to abandon an ongoing switch to managed care without enough additional funds. Lawmakers expressed frustration about the cost of the healthcare program for the poor and disabled. Republican Representative Lynn Greer said Medicaid costs will be the "downfall" of the state. One million Alabamians receive Medicaid. A little more than half of those are children. Azar said there are few abled-bodied adults who receive Medicaid in Alabama.