; (2) Medicaid work requirements legislation could include 30 hours per week of work, of which 20 of those hours should be spent in the core activities of: public or private sector employment, work experience, on-the-job training, job-search or job-readiness assistance program participation, community service, or vocational training and education; (3) States should be given flexibility to determine the parameters of qualifying program participation and work-equivalent experience; (4) States should perform regular case checks to ensure taxpayer dollars are appropriately spent; and (5) the Government Accountability Office or the Department of Health and Human Services Inspector General should conduct annual audits of State Medicaid programs to ensure proper reporting and prevent waste, fraud, and abuse. 518. Policy statement on welfare reform and Supplemental Nutrition Assistance Program work requirements (a) Findings The House finds the following: (1) Participation in the Supplemental Nutrition Assistance Program (SNAP) has grown from 17 million Americans in 2001 to 44 million in 2016. (2) The work support role of SNAP has declined, and the program increasingly serves as a replacement to work. (3) Work requirements were key to the success of the Personal Responsibility and Work Opportunity Act ( Public Law 104–193 ), which led to a two-thirds reduction in welfare caseloads, a reduction in child poverty, and an increase in work participation. The successful 1996 welfare reform law provides a model for improving work requirements in other anti-poverty programs. (b) Policy on Welfare reform and SNAP Work Requirements It is the policy of this concurrent resolution that— (1) the welfare system should reward work, provide tools to escape poverty, and expect work-capable adults to work or prepare for work in exchange for welfare benefits