{
 "domain": "data.cms.gov",
 "week": "2026-W24",
 "generatedAt": "2026-07-06T00:54:12.747Z",
 "reports": [
  {
   "instance_id": "VS-8b17d48b",
   "pattern_id": "VS-179ad9b3",
   "a11y_pattern_fingerprint": "791d99d9997e45927cca741ff04ef86c250099dc057f357c45be303c6f0db986",
   "a11y_pattern_display_id": "A11Y-PAT-791D99D9997E",
   "a11y_occurrence_fingerprint": "9c86e4a7042316609e1b007fd940ab9c631b692cc0f007e2712708886c7fe362",
   "a11y_occurrence_display_id": "A11Y-OCC-9C86E4A70423",
   "url": "https://data.cms.gov/resources/medicare-part-d-prescribers-by-provider-and-drug-data-dictionary",
   "xpath": "<button class=\"selected\" aria-label=\"card 1\">",
   "html_snippet": null,
   "wcag_sc": "2.5.8",
   "wcag_name": "Target Size (Minimum)",
   "wcag_level": "AA",
   "wcag_version": "2.2",
   "wcag_category": "WCAG 2.2 AA",
   "evidence_status": "automated-indicator",
   "rule_id": "sia-r113",
   "rule_label": "Target size is at least 24×24 CSS pixels or has spacing (Minimum)",
   "engine_key": "alfa",
   "tool": "Siteimprove Alfa",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r113",
   "severity": "Moderate",
   "frequency": {
    "instances": 117,
    "pages_affected": 39,
    "total_pages_scanned": 2500
   },
   "likely_source": "template",
   "summary": "Target size is at least 24×24 CSS pixels or has spacing (Minimum) (WCAG 2.5.8)",
   "description": "Target size is at least 24×24 CSS pixels or has spacing (Minimum). Detected by Siteimprove Alfa rule sia-r113 on 39 of 2500 scanned pages (117 instances).",
   "examples": [
    {
     "url": "https://data.cms.gov/resources/medicare-part-d-prescribers-by-provider-and-drug-data-dictionary",
     "xpath": "<button class=\"selected\" aria-label=\"card 1\">",
     "html_snippet": null
    },
    {
     "url": "https://data.cms.gov/resources/medicare-part-d-prescribers-by-provider-and-drug-data-dictionary",
     "xpath": "<button class=\"large\" aria-label=\"card 2\">",
     "html_snippet": null
    },
    {
     "url": "https://data.cms.gov/resources/medicaid-spending-by-drug-methodology",
     "xpath": "<button class=\"selected\" aria-label=\"card 1\">",
     "html_snippet": null
    },
    {
     "url": "https://data.cms.gov/resources/medicaid-spending-by-drug-methodology",
     "xpath": "<button class=\"large\" aria-label=\"card 2\">",
     "html_snippet": null
    },
    {
     "url": "https://data.cms.gov/resources/medicare-part-b-spending-by-drug-data-dictionary",
     "xpath": "<button class=\"selected\" aria-label=\"card 1\">",
     "html_snippet": null
    }
   ],
   "example_pages": [
    "https://data.cms.gov/resources/medicare-part-d-prescribers-by-provider-and-drug-data-dictionary",
    "https://data.cms.gov/resources/medicaid-spending-by-drug-methodology",
    "https://data.cms.gov/resources/medicare-part-b-spending-by-drug-data-dictionary"
   ],
   "affected_pages": [
    "https://data.cms.gov/resources/medicare-part-d-prescribers-by-provider-and-drug-data-dictionary",
    "https://data.cms.gov/resources/medicaid-spending-by-drug-methodology",
    "https://data.cms.gov/resources/medicare-part-b-spending-by-drug-data-dictionary",
    "https://data.cms.gov/resources/opt-out-affidavits-methodology",
    "https://data.cms.gov/resources/acos-aco-participants-and-snf-affiliates-methodology",
    "https://data.cms.gov/resources/market-saturation-utilization-state-county-methodology",
    "https://data.cms.gov/resources/opt-out-affidavits-data-dictionary",
    "https://data.cms.gov/resources/medicare-physician-other-practitioners-by-provider-and-service-data-dictionary",
    "https://data.cms.gov/resources/cms-program-statistics-glossary",
    "https://data.cms.gov/resources/medicare-part-d-spending-by-drug-data-dictionary",
    "https://data.cms.gov/provider-summary-by-type-of-service",
    "https://data.cms.gov/provider-characteristics",
    "https://data.cms.gov/summary-statistics-on-use-and-payments",
    "https://data.cms.gov/resources/medicare-monthly-enrollment-methodology",
    "https://data.cms.gov/resources/additional-information-on-revalidation",
    "https://data.cms.gov/tools/mapping-medicare-disparities-by-population",
    "https://data.cms.gov/resources/revalidation-due-date-list-data-dictionary",
    "https://data.cms.gov/resources/medicare-part-d-prescribers-methodology",
    "https://data.cms.gov/cms-innovation-center-programs",
    "https://data.cms.gov/resources/medicare-outpatient-hospitals-methodology",
    "https://data.cms.gov/tools/mapping-disparities-by-social-determinants-of-health",
    "https://data.cms.gov/resources/medicare-physician-other-practitioners-methodology",
    "https://data.cms.gov/resources/pending-initial-logging-and-tracking-physician-and-non-physicians-methodology",
    "https://data.cms.gov/resources/medicare-part-b-spending-by-drug-methodology",
    "https://data.cms.gov/resources/medicaid-spending-by-drug-data-dictionary"
   ],
   "impact": {
    "groups": [
     {
      "code": "LM",
      "group": "Limited manipulation/strength",
      "prevalence": 0.13,
      "percent": "13.0%",
      "estimatedExcluded": null
     },
     {
      "code": "LR",
      "group": "Limited reach",
      "prevalence": 0.02,
      "percent": "2.0%",
      "estimatedExcluded": null
     },
     {
      "code": "LV",
      "group": "Limited vision",
      "prevalence": 0.024,
      "percent": "2.4%",
      "estimatedExcluded": null
     }
    ],
    "summary": "Affects Limited manipulation/strength (13.0%), Limited reach (2.0%), Limited vision (2.4%)."
   },
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://data.cms.gov/resources/medicare-part-d-prescribers-by-provider-and-drug-data-dictionary.",
    "Locate the element: <button class=\"selected\" aria-label=\"card 1\">",
    "Confirm the Siteimprove Alfa finding for rule sia-r113 against WCAG 2.5.8 Target Size (Minimum)."
   ],
   "remediation_tip": null,
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r113",
   "obligation": "required",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W24",
   "last_seen": "2026-W24",
   "weeks_seen": 1,
   "affected_pages_csv": "csv/alfa__sia-r113.csv"
  },
  {
   "instance_id": "VS-05b01220",
   "pattern_id": "VS-f7dba940",
   "a11y_pattern_fingerprint": "1155cae11f468dcb0e3fb3942c824634ae5c3d9f34d3767e0aa004d56bbcc8b9",
   "a11y_pattern_display_id": "A11Y-PAT-1155CAE11F46",
   "a11y_occurrence_fingerprint": "1175582069b05aac66bfbe63a266d3493756724db8b37bd5ebc41476e7960211",
   "a11y_occurrence_display_id": "A11Y-OCC-1175582069B0",
   "url": "https://data.cms.gov/provider-data/dataset/ijh5-nb2v?page=2352",
   "xpath": "<a class=\"more\" aria-label=\"View all 50 what's new entries\" href=\"/provider-data/whats-new\">",
   "html_snippet": null,
   "wcag_sc": "2.5.3",
   "wcag_name": "Label in Name",
   "wcag_level": "A",
   "wcag_version": "2.1",
   "wcag_category": "WCAG 2.1 A",
   "evidence_status": "automated-indicator",
   "rule_id": "sia-r14",
   "rule_label": "Accessible name of link or button matches visible label",
   "engine_key": "alfa",
   "tool": "Siteimprove Alfa",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r14",
   "severity": "Moderate",
   "frequency": {
    "instances": 296,
    "pages_affected": 273,
    "total_pages_scanned": 2500
   },
   "likely_source": "template",
   "summary": "Accessible name of link or button matches visible label (WCAG 2.5.3)",
   "description": "Accessible name of link or button matches visible label. Detected by Siteimprove Alfa rule sia-r14 on 273 of 2500 scanned pages (296 instances).",
   "examples": [
    {
     "url": "https://data.cms.gov/provider-data/dataset/ijh5-nb2v?page=2352",
     "xpath": "<a class=\"more\" aria-label=\"View all 50 what's new entries\" href=\"/provider-data/whats-new\">",
     "html_snippet": null
    },
    {
     "url": "https://data.cms.gov/provider-data/datasets?theme%5B0%5D=Physician+office+visit+costs",
     "xpath": "<a class=\"more\" aria-label=\"View all 50 what's new entries\" href=\"/provider-data/whats-new\">",
     "html_snippet": null
    },
    {
     "url": "https://data.cms.gov/provider-data/datasets?keyword%5B%5D=Promoting+Interoperability",
     "xpath": "<a class=\"more\" aria-label=\"View all 50 what's new entries\" href=\"/provider-data/whats-new\">",
     "html_snippet": null
    },
    {
     "url": "https://data.cms.gov/provider-data/dataset/0b1a-da3f?page=5",
     "xpath": "<a class=\"more\" aria-label=\"View all 50 what's new entries\" href=\"/provider-data/whats-new\">",
     "html_snippet": null
    },
    {
     "url": "https://data.cms.gov/provider-data/dataset/dgck-syfz?page=3",
     "xpath": "<a class=\"more\" aria-label=\"View all 50 what's new entries\" href=\"/provider-data/whats-new\">",
     "html_snippet": null
    }
   ],
   "example_pages": [
    "https://data.cms.gov/provider-data/dataset/ijh5-nb2v?page=2352",
    "https://data.cms.gov/provider-data/datasets?theme%5B0%5D=Physician+office+visit+costs",
    "https://data.cms.gov/provider-data/datasets?keyword%5B%5D=Promoting+Interoperability"
   ],
   "affected_pages": [
    "https://data.cms.gov/provider-data/dataset/ijh5-nb2v?page=2352",
    "https://data.cms.gov/provider-data/datasets?theme%5B0%5D=Physician+office+visit+costs",
    "https://data.cms.gov/provider-data/datasets?keyword%5B%5D=Promoting+Interoperability",
    "https://data.cms.gov/provider-data/dataset/0b1a-da3f?page=5",
    "https://data.cms.gov/provider-data/dataset/dgck-syfz?page=3",
    "https://data.cms.gov/provider-data/dataset/4jcv-atw7?page=5",
    "https://data.cms.gov/provider-data/dataset/d2k3-k3ac",
    "https://data.cms.gov/provider-data/topics/hospitals/timely-effective-care",
    "https://data.cms.gov/provider-data/dataset/84jm-wiui?page=2",
    "https://data.cms.gov/provider-data/dataset/0938-3dfa?page=2",
    "https://data.cms.gov/provider-data/dataset/azum-44iv?page=5",
    "https://data.cms.gov/provider-data/archived-data/hospitals",
    "https://data.cms.gov/provider-data/topics/hospice-care/general-information-about-hospice-providers",
    "https://data.cms.gov/provider-data/dataset/k2ze-bqvw?page=5",
    "https://data.cms.gov/provider-data/dataset/hypercalcemia?page=3",
    "https://data.cms.gov/provider-data/topics/hospitals/linking-quality-to-payment",
    "https://data.cms.gov/provider-data/dataset/isrn-hqyy?page=2",
    "https://data.cms.gov/provider-data/dataset/0b1a-da3f?page=1719",
    "https://data.cms.gov/provider-data/dataset/f4ga-b9gx?page=3",
    "https://data.cms.gov/provider-data/dataset/029b-dd7e",
    "https://data.cms.gov/provider-data/dataset/27ea-46a8?page=5",
    "https://data.cms.gov/provider-data/dataset/nhsn_bsi?page=4",
    "https://data.cms.gov/provider-data/dataset/fykj-qjee?page=2",
    "https://data.cms.gov/provider-data/dataset/m5jg-jg7i",
    "https://data.cms.gov/provider-data/dataset/avtz-f2ge?page=3"
   ],
   "impact": {
    "groups": [
     {
      "code": "WV",
      "group": "Without vision",
      "prevalence": 0.01,
      "percent": "1.0%",
      "estimatedExcluded": null
     },
     {
      "code": "WS",
      "group": "Without speech",
      "prevalence": 0.005,
      "percent": "0.5%",
      "estimatedExcluded": null
     }
    ],
    "summary": "Affects Without vision (1.0%), Without speech (0.5%)."
   },
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://data.cms.gov/provider-data/dataset/ijh5-nb2v?page=2352.",
    "Locate the element: <a class=\"more\" aria-label=\"View all 50 what's new entries\" href=\"/provider-data/whats-new\">",
    "Confirm the Siteimprove Alfa finding for rule sia-r14 against WCAG 2.5.3 Label in Name."
   ],
   "remediation_tip": null,
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r14",
   "obligation": "required",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W24",
   "last_seen": "2026-W24",
   "weeks_seen": 1,
   "affected_pages_csv": "csv/alfa__sia-r14.csv"
  },
  {
   "instance_id": "VS-d631bd29",
   "pattern_id": "VS-ede1e565",
   "a11y_pattern_fingerprint": "f75e808873fa43c4aa8f85405e5fcdbd327cbfb510ae9c39136d6f52302e39aa",
   "a11y_pattern_display_id": "A11Y-PAT-F75E808873FA",
   "a11y_occurrence_fingerprint": "361468b540b310918214838af9b401f4e25693a329274aeda0598fe2016dc899",
   "a11y_occurrence_display_id": "A11Y-OCC-361468B540B3",
   "url": "https://data.cms.gov/summary-statistics-on-use-and-payments/medicare-medicaid-spending-by-drug/medicare-quarterly-part-d-spending-by-drug",
   "xpath": "canvas",
   "html_snippet": "<canvas role=\"img\" height=\"500\" width=\"768\" style=\"display: block; box-sizing: border-box; height: 500px; width: 768px;\"></canvas>",
   "wcag_sc": "1.1.1",
   "wcag_name": "Non-text Content",
   "wcag_level": "A",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.0 A",
   "evidence_status": "automated-indicator",
   "rule_id": "role-img-alt",
   "rule_label": "[role=\"img\"] elements must have alternative text",
   "engine_key": "axe-core",
   "tool": "axe-core",
   "rule_url": "https://dequeuniversity.com/rules/axe/4.12/role-img-alt?application=axeAPI",
   "severity": "Serious",
   "frequency": {
    "instances": 14,
    "pages_affected": 5,
    "total_pages_scanned": 2500
   },
   "likely_source": "unknown",
   "summary": "[role=\"img\"] elements must have alternative text (WCAG 1.1.1)",
   "description": "[role=\"img\"] elements must have alternative text. Detected by axe-core rule role-img-alt on 5 of 2500 scanned pages (14 instances).",
   "examples": [
    {
     "url": "https://data.cms.gov/summary-statistics-on-use-and-payments/medicare-medicaid-spending-by-drug/medicare-quarterly-part-d-spending-by-drug",
     "xpath": "canvas",
     "html_snippet": "<canvas role=\"img\" height=\"500\" width=\"768\" style=\"display: block; box-sizing: border-box; height: 500px; width: 768px;\"></canvas>"
    },
    {
     "url": "https://data.cms.gov/",
     "xpath": ".Charts__Chart:nth-child(1) > .Chart__wrapper > canvas[height=\"239\"][width=\"239\"]",
     "html_snippet": "<canvas role=\"img\" height=\"239\" width=\"239\" style=\"display: block; box-sizing: border-box; height: 239px; width: 239px;\"></canvas>"
    },
    {
     "url": "https://data.cms.gov/",
     "xpath": ".Charts__Chart:nth-child(2) > .Chart__wrapper > canvas[height=\"239\"][width=\"239\"]",
     "html_snippet": "<canvas role=\"img\" height=\"239\" width=\"239\" style=\"display: block; box-sizing: border-box; height: 239px; width: 239px;\"></canvas>"
    },
    {
     "url": "https://data.cms.gov/",
     "xpath": "canvas[height=\"761\"]",
     "html_snippet": "<canvas role=\"img\" height=\"761\" width=\"640\" style=\"display: block; box-sizing: border-box; height: 761px; width: 640px;\"></canvas>"
    },
    {
     "url": "https://data.cms.gov/beta/provider-characteristics/medicare-provider-supplier-enrollment/medicare-provider-and-supplier-taxonomy-crosswalk",
     "xpath": ".Charts__Chart:nth-child(1) > .Chart__wrapper > canvas[height=\"239\"][width=\"239\"]",
     "html_snippet": "<canvas role=\"img\" height=\"239\" width=\"239\" style=\"display: block; box-sizing: border-box; height: 239px; width: 239px;\"></canvas>"
    }
   ],
   "example_pages": [
    "https://data.cms.gov/summary-statistics-on-use-and-payments/medicare-medicaid-spending-by-drug/medicare-quarterly-part-d-spending-by-drug",
    "https://data.cms.gov/",
    "https://data.cms.gov/beta/provider-characteristics/medicare-provider-supplier-enrollment/medicare-provider-and-supplier-taxonomy-crosswalk"
   ],
   "affected_pages": [
    "https://data.cms.gov/summary-statistics-on-use-and-payments/medicare-medicaid-spending-by-drug/medicare-quarterly-part-d-spending-by-drug",
    "https://data.cms.gov/",
    "https://data.cms.gov/beta/provider-characteristics/medicare-provider-supplier-enrollment/medicare-provider-and-supplier-taxonomy-crosswalk",
    "https://data.cms.gov/summary-statistics-on-use-and-payments/medicare-medicaid-spending-by-drug/medicare-quarterly-part-b-spending-by-drug",
    "https://data.cms.gov/browse-data-categories"
   ],
   "impact": {
    "groups": [
     {
      "code": "WV",
      "group": "Without vision",
      "prevalence": 0.01,
      "percent": "1.0%",
      "estimatedExcluded": null
     },
     {
      "code": "LV",
      "group": "Limited vision",
      "prevalence": 0.024,
      "percent": "2.4%",
      "estimatedExcluded": null
     },
     {
      "code": "LCLA",
      "group": "Limited cognitive, language, or learning ability",
      "prevalence": 0.11,
      "percent": "11.0%",
      "estimatedExcluded": null
     }
    ],
    "summary": "Affects Without vision (1.0%), Limited vision (2.4%), Limited cognitive, language, or learning ability (11.0%)."
   },
   "testing_environment": "Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://data.cms.gov/summary-statistics-on-use-and-payments/medicare-medicaid-spending-by-drug/medicare-quarterly-part-d-spending-by-drug.",
    "Locate the element: canvas",
    "Confirm the axe-core finding for rule role-img-alt against WCAG 1.1.1 Non-text Content."
   ],
   "remediation_tip": "Elements with role=\"img\" need an accessible name via aria-label or aria-labelledby.",
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/role-img-alt?application=axeAPI",
   "obligation": "required",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W24",
   "last_seen": "2026-W24",
   "weeks_seen": 1,
   "affected_pages_csv": "csv/axe-core__role-img-alt.csv"
  },
  {
   "instance_id": "VS-25969f65",
   "pattern_id": "VS-cc981723",
   "a11y_pattern_fingerprint": "78c35c6bf4fc3458a0d07df90c2e631e3e5b9ad5f115737237c9b9394f8d84ad",
   "a11y_pattern_display_id": "A11Y-PAT-78C35C6BF4FC",
   "a11y_occurrence_fingerprint": "ef483bb90cef6992d464ec36ec75b518af0765cdb38cb2de63cef467265e2feb",
   "a11y_occurrence_display_id": "A11Y-OCC-EF483BB90CEF",
   "url": "https://data.cms.gov/provider-data",
   "xpath": "path[fill=\"#7350A3\"]",
   "html_snippet": "<path role=\"graphics-symbol\" fill=\"#7350A3\" d=\"M2,-154.154A154.167,154.167,0,0,1,115.054,-102.615L13.742,-14.589A20.042,20.042,0,0,0,2,-19.942Z\" style=\"cursor: initial;\"></path>",
   "wcag_sc": "1.1.1",
   "wcag_name": "Non-text Content",
   "wcag_level": "A",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.0 A",
   "evidence_status": "automated-indicator",
   "rule_id": "svg-img-alt",
   "rule_label": "<svg> elements with an img role must have alternative text",
   "engine_key": "axe-core",
   "tool": "axe-core",
   "rule_url": "https://dequeuniversity.com/rules/axe/4.12/svg-img-alt?application=axeAPI",
   "severity": "Serious",
   "frequency": {
    "instances": 10,
    "pages_affected": 1,
    "total_pages_scanned": 2500
   },
   "likely_source": "content",
   "summary": "<svg> elements with an img role must have alternative text (WCAG 1.1.1)",
   "description": "<svg> elements with an img role must have alternative text. Detected by axe-core rule svg-img-alt on 1 of 2500 scanned pages (10 instances).",
   "examples": [
    {
     "url": "https://data.cms.gov/provider-data",
     "xpath": "path[fill=\"#7350A3\"]",
     "html_snippet": "<path role=\"graphics-symbol\" fill=\"#7350A3\" d=\"M2,-154.154A154.167,154.167,0,0,1,115.054,-102.615L13.742,-14.589A20.042,20.042,0,0,0,2,-19.942Z\" style=\"cursor: initial;\"></path>"
    },
    {
     "url": "https://data.cms.gov/provider-data",
     "xpath": "path[fill=\"#0F8A7E\"]",
     "html_snippet": "<path role=\"graphics-symbol\" fill=\"#0F8A7E\" d=\"M117.678,-99.596A154.167,154.167,0,0,1,153.432,15.03L20.041,0.214A20.042,20.042,0,0,0,16.365,-11.569Z\" style=\"cursor: initial;\"></path>"
    },
    {
     "url": "https://data.cms.gov/provider-data",
     "xpath": "path[fill=\"#9685C5\"]",
     "html_snippet": "<path role=\"graphics-symbol\" fill=\"#9685C5\" d=\"M152.991,19.005A154.167,154.167,0,0,1,100.045,117.296L14.281,14.061A20.042,20.042,0,0,0,19.599,4.189Z\" style=\"cursor: initial;\"></path>"
    }
   ],
   "example_pages": [
    "https://data.cms.gov/provider-data"
   ],
   "affected_pages": [
    "https://data.cms.gov/provider-data"
   ],
   "impact": {
    "groups": [
     {
      "code": "WV",
      "group": "Without vision",
      "prevalence": 0.01,
      "percent": "1.0%",
      "estimatedExcluded": null
     },
     {
      "code": "LV",
      "group": "Limited vision",
      "prevalence": 0.024,
      "percent": "2.4%",
      "estimatedExcluded": null
     },
     {
      "code": "LCLA",
      "group": "Limited cognitive, language, or learning ability",
      "prevalence": 0.11,
      "percent": "11.0%",
      "estimatedExcluded": null
     }
    ],
    "summary": "Affects Without vision (1.0%), Limited vision (2.4%), Limited cognitive, language, or learning ability (11.0%)."
   },
   "testing_environment": "Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://data.cms.gov/provider-data.",
    "Locate the element: path[fill=\"#7350A3\"]",
    "Confirm the axe-core finding for rule svg-img-alt against WCAG 1.1.1 Non-text Content."
   ],
   "remediation_tip": "Give the <svg> with an image role an accessible name (<title> or aria-label).",
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/svg-img-alt?application=axeAPI",
   "obligation": "required",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W24",
   "last_seen": "2026-W24",
   "weeks_seen": 1,
   "affected_pages_csv": "csv/axe-core__svg-img-alt.csv"
  },
  {
   "instance_id": "VS-207cb39a",
   "pattern_id": "VS-a24eaa8c",
   "a11y_pattern_fingerprint": "7837e4c77f553e1103b2e980f625751a5f2d1cd19256a5689ac8bf096cc1e898",
   "a11y_pattern_display_id": "A11Y-PAT-7837E4C77F55",
   "a11y_occurrence_fingerprint": "6b1d6ba2cd32d6ba1bec3d16a5d43dc4c25bd44ed919a02e10104350bf955542",
   "a11y_occurrence_display_id": "A11Y-OCC-6B1D6BA2CD32",
   "url": "https://data.cms.gov/summary-statistics-on-use-and-payments/medicare-medicaid-spending-by-drug/medicare-quarterly-part-d-spending-by-drug",
   "xpath": "<canvas role=\"img\" height=\"500\" width=\"768\" style=\"display: block; box-sizing: border-box; height: 500px; width: 768px;\">",
   "html_snippet": null,
   "wcag_sc": "1.1.1",
   "wcag_name": "Non-text Content",
   "wcag_level": "A",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.0 A",
   "evidence_status": "automated-indicator",
   "rule_id": "sia-r2",
   "rule_label": "Image has accessible name",
   "engine_key": "alfa",
   "tool": "Siteimprove Alfa",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r2",
   "severity": "Moderate",
   "frequency": {
    "instances": 10,
    "pages_affected": 4,
    "total_pages_scanned": 2500
   },
   "likely_source": "unknown",
   "summary": "Image has accessible name (WCAG 1.1.1)",
   "description": "Image has accessible name. Detected by Siteimprove Alfa rule sia-r2 on 4 of 2500 scanned pages (10 instances).",
   "examples": [
    {
     "url": "https://data.cms.gov/summary-statistics-on-use-and-payments/medicare-medicaid-spending-by-drug/medicare-quarterly-part-d-spending-by-drug",
     "xpath": "<canvas role=\"img\" height=\"500\" width=\"768\" style=\"display: block; box-sizing: border-box; height: 500px; width: 768px;\">",
     "html_snippet": null
    },
    {
     "url": "https://data.cms.gov/",
     "xpath": "<canvas role=\"img\" height=\"239\" width=\"239\" style=\"display: block; box-sizing: border-box; height: 239px; width: 239px;\">",
     "html_snippet": null
    },
    {
     "url": "https://data.cms.gov/",
     "xpath": "<canvas role=\"img\" height=\"239\" width=\"239\" style=\"display: block; box-sizing: border-box; height: 239px; width: 239px;\">",
     "html_snippet": null
    },
    {
     "url": "https://data.cms.gov/",
     "xpath": "<canvas role=\"img\" height=\"761\" width=\"640\" style=\"display: block; box-sizing: border-box; height: 761px; width: 640px;\">",
     "html_snippet": null
    },
    {
     "url": "https://data.cms.gov/summary-statistics-on-use-and-payments/medicare-medicaid-spending-by-drug/medicare-quarterly-part-b-spending-by-drug",
     "xpath": "<canvas role=\"img\" height=\"500\" width=\"768\" style=\"display: block; box-sizing: border-box; height: 500px; width: 768px;\">",
     "html_snippet": null
    }
   ],
   "example_pages": [
    "https://data.cms.gov/summary-statistics-on-use-and-payments/medicare-medicaid-spending-by-drug/medicare-quarterly-part-d-spending-by-drug",
    "https://data.cms.gov/",
    "https://data.cms.gov/summary-statistics-on-use-and-payments/medicare-medicaid-spending-by-drug/medicare-quarterly-part-b-spending-by-drug"
   ],
   "affected_pages": [
    "https://data.cms.gov/summary-statistics-on-use-and-payments/medicare-medicaid-spending-by-drug/medicare-quarterly-part-d-spending-by-drug",
    "https://data.cms.gov/",
    "https://data.cms.gov/summary-statistics-on-use-and-payments/medicare-medicaid-spending-by-drug/medicare-quarterly-part-b-spending-by-drug",
    "https://data.cms.gov/browse-data-categories"
   ],
   "impact": {
    "groups": [
     {
      "code": "WV",
      "group": "Without vision",
      "prevalence": 0.01,
      "percent": "1.0%",
      "estimatedExcluded": null
     },
     {
      "code": "LV",
      "group": "Limited vision",
      "prevalence": 0.024,
      "percent": "2.4%",
      "estimatedExcluded": null
     },
     {
      "code": "LCLA",
      "group": "Limited cognitive, language, or learning ability",
      "prevalence": 0.11,
      "percent": "11.0%",
      "estimatedExcluded": null
     }
    ],
    "summary": "Affects Without vision (1.0%), Limited vision (2.4%), Limited cognitive, language, or learning ability (11.0%)."
   },
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://data.cms.gov/summary-statistics-on-use-and-payments/medicare-medicaid-spending-by-drug/medicare-quarterly-part-d-spending-by-drug.",
    "Locate the element: <canvas role=\"img\" height=\"500\" width=\"768\" style=\"display: block; box-sizing: border-box; height: 500px; width: 768px;\">",
    "Confirm the Siteimprove Alfa finding for rule sia-r2 against WCAG 1.1.1 Non-text Content."
   ],
   "remediation_tip": "Give every <img> an accessible name (alt text), or alt=\"\" if purely decorative.",
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r2",
   "obligation": "required",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W24",
   "last_seen": "2026-W24",
   "weeks_seen": 1,
   "affected_pages_csv": "csv/alfa__sia-r2.csv"
  },
  {
   "instance_id": "VS-b4999ba9",
   "pattern_id": "VS-6175596b",
   "a11y_pattern_fingerprint": "f44046438aae9c39eec7d2110617d30da5ddea3ef0fbe201a6a0440807706020",
   "a11y_pattern_display_id": "A11Y-PAT-F44046438AAE",
   "a11y_occurrence_fingerprint": "6499fc785a2dd73a7dce19d364743bfcf93f855d283e2c751709127363975c76",
   "a11y_occurrence_display_id": "A11Y-OCC-6499FC785A2D",
   "url": "https://data.cms.gov/provider-data/topics/doctors-clinicians",
   "xpath": ".dc-c-search-list-item.ds-u-padding-top--3:nth-child(1)",
   "html_snippet": "<li class=\"dc-c-search-list-item ds-u-padding-top--3\">",
   "wcag_sc": "1.3.1",
   "wcag_name": "Info and Relationships",
   "wcag_level": "A",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.0 A",
   "evidence_status": "automated-indicator",
   "rule_id": "listitem",
   "rule_label": "<li> elements must be contained in a <ul> or <ol>",
   "engine_key": "axe-core",
   "tool": "axe-core",
   "rule_url": "https://dequeuniversity.com/rules/axe/4.12/listitem?application=axeAPI",
   "severity": "Serious",
   "frequency": {
    "instances": 43,
    "pages_affected": 10,
    "total_pages_scanned": 2500
   },
   "likely_source": "template",
   "summary": "<li> elements must be contained in a <ul> or <ol> (WCAG 1.3.1)",
   "description": "<li> elements must be contained in a <ul> or <ol>. Detected by axe-core rule listitem on 10 of 2500 scanned pages (43 instances).",
   "examples": [
    {
     "url": "https://data.cms.gov/provider-data/topics/doctors-clinicians",
     "xpath": ".dc-c-search-list-item.ds-u-padding-top--3:nth-child(1)",
     "html_snippet": "<li class=\"dc-c-search-list-item ds-u-padding-top--3\">"
    },
    {
     "url": "https://data.cms.gov/provider-data/topics/doctors-clinicians",
     "xpath": ".dc-c-search-list-item.ds-u-padding-top--3:nth-child(2)",
     "html_snippet": "<li class=\"dc-c-search-list-item ds-u-padding-top--3\">"
    },
    {
     "url": "https://data.cms.gov/provider-data/topics/doctors-clinicians",
     "xpath": ".dc-c-search-list-item.ds-u-padding-top--3:nth-child(3)",
     "html_snippet": "<li class=\"dc-c-search-list-item ds-u-padding-top--3\">"
    },
    {
     "url": "https://data.cms.gov/provider-data/topics/long-term-care-hospitals",
     "xpath": ".dc-c-search-list-item.ds-u-padding-top--3:nth-child(1)",
     "html_snippet": "<li class=\"dc-c-search-list-item ds-u-padding-top--3\">"
    },
    {
     "url": "https://data.cms.gov/provider-data/topics/long-term-care-hospitals",
     "xpath": ".dc-c-search-list-item.ds-u-padding-top--3:nth-child(2)",
     "html_snippet": "<li class=\"dc-c-search-list-item ds-u-padding-top--3\">"
    }
   ],
   "example_pages": [
    "https://data.cms.gov/provider-data/topics/doctors-clinicians",
    "https://data.cms.gov/provider-data/topics/long-term-care-hospitals",
    "https://data.cms.gov/provider-data/topics/physician-office-visit-costs"
   ],
   "affected_pages": [
    "https://data.cms.gov/provider-data/topics/doctors-clinicians",
    "https://data.cms.gov/provider-data/topics/long-term-care-hospitals",
    "https://data.cms.gov/provider-data/topics/physician-office-visit-costs",
    "https://data.cms.gov/provider-data/topics/home-health-services",
    "https://data.cms.gov/provider-data/topics/hospitals",
    "https://data.cms.gov/provider-data/topics/inpatient-rehabilitation-facilities",
    "https://data.cms.gov/provider-data/topics/hospice-care",
    "https://data.cms.gov/provider-data/topics/nursing-homes",
    "https://data.cms.gov/provider-data/topics/supplier-directory",
    "https://data.cms.gov/provider-data/topics/dialysis-facilities"
   ],
   "impact": {
    "groups": [
     {
      "code": "WV",
      "group": "Without vision",
      "prevalence": 0.01,
      "percent": "1.0%",
      "estimatedExcluded": null
     },
     {
      "code": "LV",
      "group": "Limited vision",
      "prevalence": 0.024,
      "percent": "2.4%",
      "estimatedExcluded": null
     },
     {
      "code": "LCLA",
      "group": "Limited cognitive, language, or learning ability",
      "prevalence": 0.11,
      "percent": "11.0%",
      "estimatedExcluded": null
     }
    ],
    "summary": "Affects Without vision (1.0%), Limited vision (2.4%), Limited cognitive, language, or learning ability (11.0%)."
   },
   "testing_environment": "Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://data.cms.gov/provider-data/topics/doctors-clinicians.",
    "Locate the element: .dc-c-search-list-item.ds-u-padding-top--3:nth-child(1)",
    "Confirm the axe-core finding for rule listitem against WCAG 1.3.1 Info and Relationships."
   ],
   "remediation_tip": "<li> must be inside a <ul> or <ol>.",
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/listitem?application=axeAPI",
   "obligation": "required",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W24",
   "last_seen": "2026-W24",
   "weeks_seen": 1,
   "affected_pages_csv": "csv/axe-core__listitem.csv"
  },
  {
   "instance_id": "VS-37a84612",
   "pattern_id": "VS-a0bdbdf6",
   "a11y_pattern_fingerprint": "04469f9c3ede4aae19a608b0d9aa66ca50cecbc7118f07304381619e0f316124",
   "a11y_pattern_display_id": "A11Y-PAT-04469F9C3EDE",
   "a11y_occurrence_fingerprint": "cbf0112b5afb89f6db3c88f3b380ab4e197a8bae5fe1fd487c36d73b456f52ab",
   "a11y_occurrence_display_id": "A11Y-OCC-CBF0112B5AFB",
   "url": "https://data.cms.gov/provider-data/datasets?+Gynecology=&keyword%5B%5D=Obstetrics+",
   "xpath": "ol",
   "html_snippet": "<ol class=\"dc-dataset-search-list ds-u-padding--0 ds-u-margin-top--0 ds-u-margin-bottom--4 ds-u-display--block\" data-testid=\"results-list\">",
   "wcag_sc": "1.3.1",
   "wcag_name": "Info and Relationships",
   "wcag_level": "A",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.0 A",
   "evidence_status": "automated-indicator",
   "rule_id": "list",
   "rule_label": "<ul> and <ol> must only directly contain <li>, <script> or <template> elements",
   "engine_key": "axe-core",
   "tool": "axe-core",
   "rule_url": "https://dequeuniversity.com/rules/axe/4.12/list?application=axeAPI",
   "severity": "Serious",
   "frequency": {
    "instances": 1,
    "pages_affected": 1,
    "total_pages_scanned": 2500
   },
   "likely_source": "content",
   "summary": "<ul> and <ol> must only directly contain <li>, <script> or <template> elements (WCAG 1.3.1)",
   "description": "<ul> and <ol> must only directly contain <li>, <script> or <template> elements. Detected by axe-core rule list on 1 of 2500 scanned pages (1 instances).",
   "examples": [
    {
     "url": "https://data.cms.gov/provider-data/datasets?+Gynecology=&keyword%5B%5D=Obstetrics+",
     "xpath": "ol",
     "html_snippet": "<ol class=\"dc-dataset-search-list ds-u-padding--0 ds-u-margin-top--0 ds-u-margin-bottom--4 ds-u-display--block\" data-testid=\"results-list\">"
    }
   ],
   "example_pages": [
    "https://data.cms.gov/provider-data/datasets?+Gynecology=&keyword%5B%5D=Obstetrics+"
   ],
   "affected_pages": [
    "https://data.cms.gov/provider-data/datasets?+Gynecology=&keyword%5B%5D=Obstetrics+"
   ],
   "impact": {
    "groups": [
     {
      "code": "WV",
      "group": "Without vision",
      "prevalence": 0.01,
      "percent": "1.0%",
      "estimatedExcluded": null
     },
     {
      "code": "LV",
      "group": "Limited vision",
      "prevalence": 0.024,
      "percent": "2.4%",
      "estimatedExcluded": null
     },
     {
      "code": "LCLA",
      "group": "Limited cognitive, language, or learning ability",
      "prevalence": 0.11,
      "percent": "11.0%",
      "estimatedExcluded": null
     }
    ],
    "summary": "Affects Without vision (1.0%), Limited vision (2.4%), Limited cognitive, language, or learning ability (11.0%)."
   },
   "testing_environment": "Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://data.cms.gov/provider-data/datasets?+Gynecology=&keyword%5B%5D=Obstetrics+.",
    "Locate the element: ol",
    "Confirm the axe-core finding for rule list against WCAG 1.3.1 Info and Relationships."
   ],
   "remediation_tip": "Use <ul>/<ol> with only <li> children for lists; don't fake lists with <div>s.",
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/list?application=axeAPI",
   "obligation": "required",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W24",
   "last_seen": "2026-W24",
   "weeks_seen": 1,
   "affected_pages_csv": "csv/axe-core__list.csv"
  },
  {
   "instance_id": "VS-65df7376",
   "pattern_id": "VS-d6097011",
   "a11y_pattern_fingerprint": "5698bb8a9a1e6316d66988fc0c7904da79767a8c285e404f04a5d46ee3a59e0b",
   "a11y_pattern_display_id": "A11Y-PAT-5698BB8A9A1E",
   "a11y_occurrence_fingerprint": "26a49d61fd57bade7108f0a5ea7e438285e80c68f0aa864c0b0e84a70c4d3d14",
   "a11y_occurrence_display_id": "A11Y-OCC-26A49D61FD57",
   "url": "https://data.cms.gov/cms-innovation-center-programs/cms-innovation-models-overview/innovation-center-model-summary-information",
   "xpath": "<ul class=\"list-container__list list-container__list-right\">",
   "html_snippet": null,
   "wcag_sc": "1.3.1",
   "wcag_name": "Info and Relationships",
   "wcag_level": "A",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.0 A",
   "evidence_status": "automated-indicator",
   "rule_id": "sia-r68",
   "rule_label": "Presentational children of an element are not focusable",
   "engine_key": "alfa",
   "tool": "Siteimprove Alfa",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r68",
   "severity": "Moderate",
   "frequency": {
    "instances": 34,
    "pages_affected": 34,
    "total_pages_scanned": 2500
   },
   "likely_source": "template",
   "summary": "Presentational children of an element are not focusable (WCAG 1.3.1)",
   "description": "Presentational children of an element are not focusable. Detected by Siteimprove Alfa rule sia-r68 on 34 of 2500 scanned pages (34 instances).",
   "examples": [
    {
     "url": "https://data.cms.gov/cms-innovation-center-programs/cms-innovation-models-overview/innovation-center-model-summary-information",
     "xpath": "<ul class=\"list-container__list list-container__list-right\">",
     "html_snippet": null
    },
    {
     "url": "https://data.cms.gov/cms-innovation-center-programs/disease-episode-based-payment-models/medicare-alternative-payment-model-adoption",
     "xpath": "<ul class=\"list-container__list list-container__list-right\">",
     "html_snippet": null
    },
    {
     "url": "https://data.cms.gov/cms-innovation-center-programs/disease-episode-based-payment-models/medicare-diabetes-prevention-program",
     "xpath": "<ul class=\"list-container__list list-container__list-right\">",
     "html_snippet": null
    },
    {
     "url": "https://data.cms.gov/summary-statistics-on-use-and-payments/medicare-medicaid-spending-by-drug/medicare-part-b-spending-by-drug",
     "xpath": "<ul class=\"list-container__list list-container__list-right\">",
     "html_snippet": null
    },
    {
     "url": "https://data.cms.gov/cms-innovation-center-programs/cms-innovation-models-overview/innovation-center-model-participants",
     "xpath": "<ul class=\"list-container__list list-container__list-right\">",
     "html_snippet": null
    }
   ],
   "example_pages": [
    "https://data.cms.gov/cms-innovation-center-programs/cms-innovation-models-overview/innovation-center-model-summary-information",
    "https://data.cms.gov/cms-innovation-center-programs/disease-episode-based-payment-models/medicare-alternative-payment-model-adoption",
    "https://data.cms.gov/cms-innovation-center-programs/disease-episode-based-payment-models/medicare-diabetes-prevention-program"
   ],
   "affected_pages": [
    "https://data.cms.gov/cms-innovation-center-programs/cms-innovation-models-overview/innovation-center-model-summary-information",
    "https://data.cms.gov/cms-innovation-center-programs/disease-episode-based-payment-models/medicare-alternative-payment-model-adoption",
    "https://data.cms.gov/cms-innovation-center-programs/disease-episode-based-payment-models/medicare-diabetes-prevention-program",
    "https://data.cms.gov/summary-statistics-on-use-and-payments/medicare-medicaid-spending-by-drug/medicare-part-b-spending-by-drug",
    "https://data.cms.gov/cms-innovation-center-programs/cms-innovation-models-overview/innovation-center-model-participants",
    "https://data.cms.gov/summary-statistics-on-use-and-payments/program-integrity-market-saturation-by-type-of-service/market-saturation-utilization-state-county",
    "https://data.cms.gov/provider-characteristics/medicare-provider-supplier-enrollment/revoked-medicare-providers-and-suppliers",
    "https://data.cms.gov/summary-statistics-on-use-and-payments/medicare-medicaid-spending-by-drug/medicaid-spending-by-drug",
    "https://data.cms.gov/provider-characteristics/medicare-provider-supplier-enrollment/medicare-fee-for-service-public-provider-enrollment",
    "https://data.cms.gov/cms-innovation-center-programs/cms-innovation-models-overview/innovation-center-innovation-advisors",
    "https://data.cms.gov/cms-innovation-center-programs/healthcare-support-models/strong-start-awardees",
    "https://data.cms.gov/summary-statistics-on-use-and-payments/medicare-medicaid-spending-by-drug/medicare-quarterly-part-d-spending-by-drug",
    "https://data.cms.gov/summary-statistics-on-beneficiary-enrollment/medicare-and-medicaid-reports/medicare-monthly-enrollment",
    "https://data.cms.gov/cms-innovation-center-programs/disease-episode-based-payment-models/ambulatory-specialty-model-participants",
    "https://data.cms.gov/summary-statistics-on-use-and-payments/medicare-medicaid-opioid-prescribing-rates/medicaid-opioid-prescribing-rates-by-geography",
    "https://data.cms.gov/cms-innovation-center-programs/disease-episode-based-payment-models/comprehensive-care-for-joint-replacement-model-metropolitan-statistical-areas",
    "https://data.cms.gov/summary-statistics-on-use-and-payments/medicare-medicaid-service-type-reports/medicare-telehealth-trends",
    "https://data.cms.gov/cms-innovation-center-programs/cms-innovation-models-overview/medicare-demonstrations",
    "https://data.cms.gov/cms-innovation-center-programs/accountable-care-models/cpc-initiative-participating-primary-care-practices",
    "https://data.cms.gov/summary-statistics-on-use-and-payments/medicare-medicaid-spending-by-drug/medicare-part-b-discarded-drug-units",
    "https://data.cms.gov/provider-data/datasets?+Gynecology=&keyword%5B%5D=Obstetrics+",
    "https://data.cms.gov/cms-innovation-center-programs/cms-innovation-models-overview/innovation-center-webinars-and-forums",
    "https://data.cms.gov/summary-statistics-on-use-and-payments/medicare-medicaid-spending-by-drug/medicare-quarterly-part-b-spending-by-drug",
    "https://data.cms.gov/cms-innovation-center-programs/disease-episode-based-payment-models/kidney-care-choices-model",
    "https://data.cms.gov/summary-statistics-on-use-and-payments/medicare-medicaid-spending-by-drug/medicare-part-d-spending-by-drug"
   ],
   "impact": {
    "groups": [
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      "code": "WV",
      "group": "Without vision",
      "prevalence": 0.01,
      "percent": "1.0%",
      "estimatedExcluded": null
     },
     {
      "code": "LV",
      "group": "Limited vision",
      "prevalence": 0.024,
      "percent": "2.4%",
      "estimatedExcluded": null
     },
     {
      "code": "LCLA",
      "group": "Limited cognitive, language, or learning ability",
      "prevalence": 0.11,
      "percent": "11.0%",
      "estimatedExcluded": null
     }
    ],
    "summary": "Affects Without vision (1.0%), Limited vision (2.4%), Limited cognitive, language, or learning ability (11.0%)."
   },
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://data.cms.gov/cms-innovation-center-programs/cms-innovation-models-overview/innovation-center-model-summary-information.",
    "Locate the element: <ul class=\"list-container__list list-container__list-right\">",
    "Confirm the Siteimprove Alfa finding for rule sia-r68 against WCAG 1.3.1 Info and Relationships."
   ],
   "remediation_tip": null,
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r68",
   "obligation": "required",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W24",
   "last_seen": "2026-W24",
   "weeks_seen": 1,
   "affected_pages_csv": "csv/alfa__sia-r68.csv"
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   "a11y_pattern_fingerprint": "320a98469e18d63a4505b92fcab178272b1d24b8e4d1946a6911cf9882a2e0e0",
   "a11y_pattern_display_id": "A11Y-PAT-320A98469E18",
   "a11y_occurrence_fingerprint": "ab223730b42d0b80380451143f4539224ac94304264d5fc53c0a3e820c7ed14c",
   "a11y_occurrence_display_id": "A11Y-OCC-AB223730B42D",
   "url": "https://data.cms.gov/provider-data/topics/hospitals/timely-effective-care",
   "xpath": "<h2 id=\"hospital-harm\">",
   "html_snippet": null,
   "wcag_sc": "1.3.1",
   "wcag_name": "Info and Relationships",
   "wcag_level": "A",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.0 A",
   "evidence_status": "automated-indicator",
   "rule_id": "sia-r64",
   "rule_label": "Element has required owned roles",
   "engine_key": "alfa",
   "tool": "Siteimprove Alfa",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r64",
   "severity": "Moderate",
   "frequency": {
    "instances": 2,
    "pages_affected": 2,
    "total_pages_scanned": 2500
   },
   "likely_source": "content",
   "summary": "Element has required owned roles (WCAG 1.3.1)",
   "description": "Element has required owned roles. Detected by Siteimprove Alfa rule sia-r64 on 2 of 2500 scanned pages (2 instances).",
   "examples": [
    {
     "url": "https://data.cms.gov/provider-data/topics/hospitals/timely-effective-care",
     "xpath": "<h2 id=\"hospital-harm\">",
     "html_snippet": null
    },
    {
     "url": "https://data.cms.gov/provider-compliance/independent-dispute-resolution",
     "xpath": "<h2 class=\"typeface-02-H2-Black-L ArticleHeader__text\">",
     "html_snippet": null
    }
   ],
   "example_pages": [
    "https://data.cms.gov/provider-data/topics/hospitals/timely-effective-care",
    "https://data.cms.gov/provider-compliance/independent-dispute-resolution"
   ],
   "affected_pages": [
    "https://data.cms.gov/provider-data/topics/hospitals/timely-effective-care",
    "https://data.cms.gov/provider-compliance/independent-dispute-resolution"
   ],
   "impact": {
    "groups": [
     {
      "code": "WV",
      "group": "Without vision",
      "prevalence": 0.01,
      "percent": "1.0%",
      "estimatedExcluded": null
     },
     {
      "code": "LV",
      "group": "Limited vision",
      "prevalence": 0.024,
      "percent": "2.4%",
      "estimatedExcluded": null
     },
     {
      "code": "LCLA",
      "group": "Limited cognitive, language, or learning ability",
      "prevalence": 0.11,
      "percent": "11.0%",
      "estimatedExcluded": null
     }
    ],
    "summary": "Affects Without vision (1.0%), Limited vision (2.4%), Limited cognitive, language, or learning ability (11.0%)."
   },
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://data.cms.gov/provider-data/topics/hospitals/timely-effective-care.",
    "Locate the element: <h2 id=\"hospital-harm\">",
    "Confirm the Siteimprove Alfa finding for rule sia-r64 against WCAG 1.3.1 Info and Relationships."
   ],
   "remediation_tip": null,
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r64",
   "possible_duplicate_of": "VS-37a84612",
   "possible_duplicate_pattern": "VS-a0bdbdf6",
   "obligation": "required",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W24",
   "last_seen": "2026-W24",
   "weeks_seen": 1,
   "affected_pages_csv": "csv/alfa__sia-r64.csv"
  },
  {
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   "a11y_pattern_fingerprint": "8533f09ee02d87ce2cab0628a6fa13a90be33d1119b0ff05543d7dc63edab60c",
   "a11y_pattern_display_id": "A11Y-PAT-8533F09EE02D",
   "a11y_occurrence_fingerprint": "da0f3ba5616665328580b26d89ac14cb55825aed5cfef1ed32c9ffc553549b7b",
   "a11y_occurrence_display_id": "A11Y-OCC-DA0F3BA56166",
   "url": "https://data.cms.gov/resources/2018-value-modifier-performance-year-2016-methodology",
   "xpath": "#RichTextField-601365ae-9ac4-4a9f-b3ef-918c820532d2 > p > a[target=\"_blank\"][rel=\"noopener noreferrer\"]",
   "html_snippet": "<a href=\"https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/PhysicianFeedbackProgram/Downloads/Detailed-Methodology-for-the-2018-Value-Modifier-and-2016-Quality-and-Resource-Use-Report-.pdf",
   "wcag_sc": "1.4.1",
   "wcag_name": "Use of Color",
   "wcag_level": "A",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.0 A",
   "evidence_status": "automated-indicator",
   "rule_id": "link-in-text-block",
   "rule_label": "Links must be distinguishable without relying on color",
   "engine_key": "axe-core",
   "tool": "axe-core",
   "rule_url": "https://dequeuniversity.com/rules/axe/4.12/link-in-text-block?application=axeAPI",
   "severity": "Serious",
   "frequency": {
    "instances": 94,
    "pages_affected": 12,
    "total_pages_scanned": 2500
   },
   "likely_source": "template",
   "summary": "Links must be distinguishable without relying on color (WCAG 1.4.1)",
   "description": "Links must be distinguishable without relying on color. Detected by axe-core rule link-in-text-block on 12 of 2500 scanned pages (94 instances).",
   "examples": [
    {
     "url": "https://data.cms.gov/resources/2018-value-modifier-performance-year-2016-methodology",
     "xpath": "#RichTextField-601365ae-9ac4-4a9f-b3ef-918c820532d2 > p > a[target=\"_blank\"][rel=\"noopener noreferrer\"]",
     "html_snippet": "<a href=\"https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/PhysicianFeedbackProgram/Downloads/Detailed-Methodology-for-the-2018-Value-Modifier-and-2016-Quality-and-Resource-Use-Report-.pdf"
    },
    {
     "url": "https://data.cms.gov/resources/independent-dispute-resolution-methodology",
     "xpath": "p:nth-child(2) > a[target=\"_blank\"][rel=\"noopener noreferrer\"]:nth-child(2)",
     "html_snippet": "<a href=\"https://www.cms.gov/files/document/faqs-%20part-62.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">FAQs about Consolidated Appropriations Act, 2021 Implementation Part 62</a>"
    },
    {
     "url": "https://data.cms.gov/resources/independent-dispute-resolution-methodology",
     "xpath": "p:nth-child(2) > a[target=\"_blank\"][rel=\"noopener noreferrer\"]:nth-child(3)",
     "html_snippet": "<a href=\"https://www.cms.gov/files/document/faqs-part-%2067.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">FAQs about Consolidated Appropriations Act, 2021 Implementation Part 67</a>"
    },
    {
     "url": "https://data.cms.gov/resources/independent-dispute-resolution-methodology",
     "xpath": "p:nth-child(2) > a[target=\"_blank\"][rel=\"noopener noreferrer\"]:nth-child(4)",
     "html_snippet": "<a href=\"https://www.cms.gov/files/document/faqs-part-69.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">FAQs about Consolidated Appropriations Act, 2021 Implementation Part 69</a>"
    },
    {
     "url": "https://data.cms.gov/summary-statistics-on-use-and-payments/physiciansupplier-procedure-summary",
     "xpath": "p > a[target=\"_blank\"][rel=\"noopener noreferrer\"]",
     "html_snippet": "<a href=\"mailto:ipag_data_products@cms.hhs.gov?subject=Feedback%20for%20Physician%2FSupplier%20Procedure%20Summary\" target=\"_blank\" rel=\"noopener noreferrer\">"
    }
   ],
   "example_pages": [
    "https://data.cms.gov/resources/2018-value-modifier-performance-year-2016-methodology",
    "https://data.cms.gov/resources/independent-dispute-resolution-methodology",
    "https://data.cms.gov/summary-statistics-on-use-and-payments/physiciansupplier-procedure-summary"
   ],
   "affected_pages": [
    "https://data.cms.gov/resources/2018-value-modifier-performance-year-2016-methodology",
    "https://data.cms.gov/resources/independent-dispute-resolution-methodology",
    "https://data.cms.gov/summary-statistics-on-use-and-payments/physiciansupplier-procedure-summary",
    "https://data.cms.gov/resources/medicare-post-acute-care-hospice-by-provider-and-service-methodology",
    "https://data.cms.gov/resources/esrd-facility-aggregation-group-performance-data-dictionary",
    "https://data.cms.gov/about",
    "https://data.cms.gov/medicare-value-based-payment-modifier-program/value-modifier",
    "https://data.cms.gov/resources/medicare-physician-other-practitioners-by-provider-data-dictionary-legacy",
    "https://data.cms.gov/resources/cms-program-statistics-methodology",
    "https://data.cms.gov/collection/synthetic-medicare-enrollment-fee-for-service-claims-and-prescription-drug-event",
    "https://data.cms.gov/resources/medicare-durable-medical-equipment-devices-supplies-by-referring-provider-data-dictionary-legacy",
    "https://data.cms.gov/resources/managing-clinician-aggregation-group-performance-data-dictionary"
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   "impact": {
    "groups": [
     {
      "code": "WPC",
      "group": "Without color perception",
      "prevalence": 0.045,
      "percent": "4.5%",
      "estimatedExcluded": null
     },
     {
      "code": "LV",
      "group": "Limited vision",
      "prevalence": 0.024,
      "percent": "2.4%",
      "estimatedExcluded": null
     }
    ],
    "summary": "Affects Without color perception (4.5%), Limited vision (2.4%)."
   },
   "testing_environment": "Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://data.cms.gov/resources/2018-value-modifier-performance-year-2016-methodology.",
    "Locate the element: #RichTextField-601365ae-9ac4-4a9f-b3ef-918c820532d2 > p > a[target=\"_blank\"][rel=\"noopener noreferrer\"]",
    "Confirm the axe-core finding for rule link-in-text-block against WCAG 1.4.1 Use of Color."
   ],
   "remediation_tip": null,
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/link-in-text-block?application=axeAPI",
   "obligation": "required",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W24",
   "last_seen": "2026-W24",
   "weeks_seen": 1,
   "affected_pages_csv": "csv/axe-core__link-in-text-block.csv"
  },
  {
   "instance_id": "VS-eaab37ac",
   "pattern_id": "VS-c613c153",
   "a11y_pattern_fingerprint": "c4d2bfec8d785b692fde2fcd67af4bd8703331abb8fea5162a7659b026b06afb",
   "a11y_pattern_display_id": "A11Y-PAT-C4D2BFEC8D78",
   "a11y_occurrence_fingerprint": "2b8cf9720eafcc47eaa16f2f66af651b44c54ca3a648289801c1914434448a6b",
   "a11y_occurrence_display_id": "A11Y-OCC-2B8CF9720EAF",
   "url": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospice-all-owners/data/q4-2025",
   "xpath": ".tbody-container",
   "html_snippet": "<div class=\"tbody-container\">",
   "wcag_sc": "2.1.1",
   "wcag_name": "Keyboard",
   "wcag_level": "A",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.0 A",
   "evidence_status": "automated-indicator",
   "rule_id": "scrollable-region-focusable",
   "rule_label": "Scrollable region must have keyboard access",
   "engine_key": "axe-core",
   "tool": "axe-core",
   "rule_url": "https://dequeuniversity.com/rules/axe/4.12/scrollable-region-focusable?application=axeAPI",
   "severity": "Serious",
   "frequency": {
    "instances": 565,
    "pages_affected": 565,
    "total_pages_scanned": 2500
   },
   "likely_source": "template",
   "summary": "Scrollable region must have keyboard access (WCAG 2.1.1)",
   "description": "Scrollable region must have keyboard access. Detected by axe-core rule scrollable-region-focusable on 565 of 2500 scanned pages (565 instances).",
   "examples": [
    {
     "url": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospice-all-owners/data/q4-2025",
     "xpath": ".tbody-container",
     "html_snippet": "<div class=\"tbody-container\">"
    },
    {
     "url": "https://data.cms.gov/medicare-current-beneficiary-survey-mcbs/income-and-asset-ownership/data",
     "xpath": ".tbody-container",
     "html_snippet": "<div class=\"tbody-container\">"
    },
    {
     "url": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/skilled-nursing-facility-change-of-ownership/data/q4-2024",
     "xpath": ".tbody-container",
     "html_snippet": "<div class=\"tbody-container\">"
    },
    {
     "url": "https://data.cms.gov/summary-statistics-on-use-and-payments/medicare-medicaid-spending-by-drug/medicare-quarterly-part-d-spending-by-drug/data",
     "xpath": ".tbody-container",
     "html_snippet": "<div class=\"tbody-container\">"
    },
    {
     "url": "https://data.cms.gov/cms-innovation-center-programs/disease-episode-based-payment-models/ambulatory-specialty-model-participants/data",
     "xpath": ".tbody-container",
     "html_snippet": "<div class=\"tbody-container\">"
    }
   ],
   "example_pages": [
    "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospice-all-owners/data/q4-2025",
    "https://data.cms.gov/medicare-current-beneficiary-survey-mcbs/income-and-asset-ownership/data",
    "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/skilled-nursing-facility-change-of-ownership/data/q4-2024"
   ],
   "affected_pages": [
    "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospice-all-owners/data/q4-2025",
    "https://data.cms.gov/medicare-current-beneficiary-survey-mcbs/income-and-asset-ownership/data",
    "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/skilled-nursing-facility-change-of-ownership/data/q4-2024",
    "https://data.cms.gov/summary-statistics-on-use-and-payments/medicare-medicaid-spending-by-drug/medicare-quarterly-part-d-spending-by-drug/data",
    "https://data.cms.gov/cms-innovation-center-programs/disease-episode-based-payment-models/ambulatory-specialty-model-participants/data",
    "https://data.cms.gov/provider-summary-by-type-of-service/medicare-outpatient-hospitals/medicare-outpatient-hospitals-by-geography-and-service/data/2020",
    "https://data.cms.gov/provider-summary-by-type-of-service/provider-service-classifications/restructured-betos-classification-system/data",
    "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments/data",
    "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/federally-qualified-health-center-all-owners/data/q1-2025",
    "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system/data/q1-2025",
    "https://data.cms.gov/summary-statistics-on-use-and-payments/medicare-medicaid-spending-by-drug/medicare-part-b-spending-by-drug/data",
    "https://data.cms.gov/medicare-shared-savings-program/county-level-aggregate-expenditure-and-risk-score-data-on-assignable-beneficiaries/data/2023",
    "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/home-health-agency-enrollments/data/q3-2025",
    "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/skilled-nursing-facility-change-of-ownership-owner-information/data/q1-2025",
    "https://data.cms.gov/provider-summary-by-type-of-service/medicare-durable-medical-equipment-devices-supplies/medicare-durable-medical-equipment-devices-supplies-by-geography-and-service/data/2018",
    "https://data.cms.gov/quality-of-care/payroll-based-journal-employee-detail-nursing-home-staffing/data/q3-2024",
    "https://data.cms.gov/provider-summary-by-type-of-service/medicare-post-acute-care-hospice/medicare-post-acute-care-utilization-home-health-agency-by-geography-and-provider/data",
    "https://data.cms.gov/provider-summary-by-type-of-service/medicare-part-d-prescribers/medicare-part-d-prescribers-by-provider-and-drug/data/2022",
    "https://data.cms.gov/provider-compliance/cost-reports/hospital-provider-cost-report/data/2021",
    "https://data.cms.gov/provider-summary-by-type-of-service/medicare-inpatient-hospitals/hospital-service-area/data/2021",
    "https://data.cms.gov/provider-summary-by-type-of-service/medicare-durable-medical-equipment-devices-supplies/medicare-durable-medical-equipment-devices-supplies-by-supplier-and-service/data/2021",
    "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system/data",
    "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/rural-health-clinic-enrollments/data",
    "https://data.cms.gov/provider-summary-by-type-of-service/medicare-post-acute-care-hospice/medicare-post-acute-care-utilization-inpatient-rehabilitation-facility-by-geography-and-provider/data",
    "https://data.cms.gov/provider-summary-by-type-of-service/medicare-post-acute-care-hospice/medicare-post-acute-care-utilization-skilled-nursing-facility-by-geography-provider-and-service/data/2022"
   ],
   "impact": {
    "groups": [
     {
      "code": "WV",
      "group": "Without vision",
      "prevalence": 0.01,
      "percent": "1.0%",
      "estimatedExcluded": null
     },
     {
      "code": "LM",
      "group": "Limited manipulation/strength",
      "prevalence": 0.13,
      "percent": "13.0%",
      "estimatedExcluded": null
     },
     {
      "code": "LR",
      "group": "Limited reach",
      "prevalence": 0.02,
      "percent": "2.0%",
      "estimatedExcluded": null
     }
    ],
    "summary": "Affects Without vision (1.0%), Limited manipulation/strength (13.0%), Limited reach (2.0%)."
   },
   "testing_environment": "Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospice-all-owners/data/q4-2025.",
    "Locate the element: .tbody-container",
    "Confirm the axe-core finding for rule scrollable-region-focusable against WCAG 2.1.1 Keyboard."
   ],
   "remediation_tip": "Make scrollable regions keyboard-focusable (tabindex=\"0\") so keyboard users can scroll them.",
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/scrollable-region-focusable?application=axeAPI",
   "obligation": "required",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W24",
   "last_seen": "2026-W24",
   "weeks_seen": 1,
   "affected_pages_csv": "csv/axe-core__scrollable-region-focusable.csv"
  },
  {
   "instance_id": "VS-b21d1758",
   "pattern_id": "VS-fab92378",
   "a11y_pattern_fingerprint": "b6c62ee56ae13b44fb2145e32fcd2dad983a6296aeb95159c51bbc231ba2a76c",
   "a11y_pattern_display_id": "A11Y-PAT-B6C62EE56AE1",
   "a11y_occurrence_fingerprint": "bb105b4d80105ad6ddd9c8f965e9635cba3a6ec56ba0d629637c8657ba2d917d",
   "a11y_occurrence_display_id": "A11Y-OCC-BB105B4D8010",
   "url": "https://data.cms.gov/provider-summary-by-type-of-service/medicare-physician-other-practitioners/medicare-physician-other-practitioners-by-provider/api-docs",
   "xpath": ".form-control",
   "html_snippet": "<select name=\"version-select\" class=\"form-control\">",
   "wcag_sc": "4.1.2",
   "wcag_name": "Name, Role, Value",
   "wcag_level": "A",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.0 A",
   "evidence_status": "automated-indicator",
   "rule_id": "select-name",
   "rule_label": "Select element must have an accessible name",
   "engine_key": "axe-core",
   "tool": "axe-core",
   "rule_url": "https://dequeuniversity.com/rules/axe/4.12/select-name?application=axeAPI",
   "severity": "Critical",
   "frequency": {
    "instances": 129,
    "pages_affected": 129,
    "total_pages_scanned": 2500
   },
   "likely_source": "template",
   "summary": "Select element must have an accessible name (WCAG 4.1.2)",
   "description": "Select element must have an accessible name. Detected by axe-core rule select-name on 129 of 2500 scanned pages (129 instances).",
   "examples": [
    {
     "url": "https://data.cms.gov/provider-summary-by-type-of-service/medicare-physician-other-practitioners/medicare-physician-other-practitioners-by-provider/api-docs",
     "xpath": ".form-control",
     "html_snippet": "<select name=\"version-select\" class=\"form-control\">"
    },
    {
     "url": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments/api-docs",
     "xpath": ".form-control",
     "html_snippet": "<select name=\"version-select\" class=\"form-control\">"
    },
    {
     "url": "https://data.cms.gov/summary-statistics-on-use-and-payments/medicare-medicaid-service-type-reports/medicare-telehealth-trends/api-docs",
     "xpath": ".form-control",
     "html_snippet": "<select name=\"version-select\" class=\"form-control\"><option value=\"e8518268-db09-499e-8e59-a313d02a141a\">Q3 2025</option></select>"
    },
    {
     "url": "https://data.cms.gov/provider-summary-by-type-of-service/medicare-outpatient-hospitals/medicare-outpatient-hospitals-by-provider-and-service/api-docs",
     "xpath": ".form-control",
     "html_snippet": "<select name=\"version-select\" class=\"form-control\">"
    },
    {
     "url": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/skilled-nursing-facility-change-of-ownership/api-docs",
     "xpath": ".form-control",
     "html_snippet": "<select name=\"version-select\" class=\"form-control\">"
    }
   ],
   "example_pages": [
    "https://data.cms.gov/provider-summary-by-type-of-service/medicare-physician-other-practitioners/medicare-physician-other-practitioners-by-provider/api-docs",
    "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments/api-docs",
    "https://data.cms.gov/summary-statistics-on-use-and-payments/medicare-medicaid-service-type-reports/medicare-telehealth-trends/api-docs"
   ],
   "affected_pages": [
    "https://data.cms.gov/provider-summary-by-type-of-service/medicare-physician-other-practitioners/medicare-physician-other-practitioners-by-provider/api-docs",
    "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments/api-docs",
    "https://data.cms.gov/summary-statistics-on-use-and-payments/medicare-medicaid-service-type-reports/medicare-telehealth-trends/api-docs",
    "https://data.cms.gov/provider-summary-by-type-of-service/medicare-outpatient-hospitals/medicare-outpatient-hospitals-by-provider-and-service/api-docs",
    "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/skilled-nursing-facility-change-of-ownership/api-docs",
    "https://data.cms.gov/cms-innovation-center-programs/accountable-care-models/aco-reach-providers/api-docs",
    "https://data.cms.gov/cms-innovation-center-programs/accountable-care-models/next-generation-accountable-care-organization-model-data/api-docs",
    "https://data.cms.gov/provider-summary-by-type-of-service/medicare-post-acute-care-hospice/medicare-post-acute-care-utilization-hospice-by-geography-and-provider/api-docs",
    "https://data.cms.gov/provider-summary-by-type-of-service/medicare-durable-medical-equipment-devices-supplies/medicare-durable-medical-equipment-devices-supplies-by-supplier/api-docs",
    "https://data.cms.gov/summary-statistics-on-use-and-payments/physiciansupplier-procedure-summary/api-docs",
    "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/medicare-clinical-laboratory-fee-schedule-private-payer-rates-and-volumes/api-docs",
    "https://data.cms.gov/provider-summary-by-type-of-service/medicare-part-d-prescribers/medicare-part-d-prescribers-by-provider-and-drug/api-docs",
    "https://data.cms.gov/provider-summary-by-type-of-service/medicare-part-d-prescribers/medicare-part-d-prescribers-by-geography-and-drug/api-docs",
    "https://data.cms.gov/quality-of-care/payroll-based-journal-employee-detail-nursing-home-staffing/api-docs",
    "https://data.cms.gov/quality-of-care/medicare-dialysis-facilities/api-docs",
    "https://data.cms.gov/provider-summary-by-type-of-service/medicare-inpatient-hospitals/medicare-inpatient-hospitals-by-provider/api-docs",
    "https://data.cms.gov/provider-characteristics/medicare-provider-supplier-enrollment/order-and-referring/api-docs",
    "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/skilled-nursing-facility-all-owners/api-docs",
    "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-quality-improvement-and-evaluation-system/api-docs",
    "https://data.cms.gov/provider-characteristics/medicare-provider-supplier-enrollment/pending-initial-logging-and-tracking-non-physicians/api-docs",
    "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-change-of-ownership/api-docs",
    "https://data.cms.gov/cms-innovation-center-programs/accountable-care-models/aco-reach-aligned-beneficiaries/api-docs",
    "https://data.cms.gov/provider-characteristics/medicare-provider-supplier-enrollment/revalidation-due-date-list/api-docs",
    "https://data.cms.gov/quality-of-care/nursing-home-chain-performance-measures/api-docs",
    "https://data.cms.gov/provider-characteristics/medicare-provider-supplier-enrollment/medicare-fee-for-service-public-provider-enrollment/api-docs"
   ],
   "impact": {
    "groups": [
     {
      "code": "WV",
      "group": "Without vision",
      "prevalence": 0.01,
      "percent": "1.0%",
      "estimatedExcluded": null
     },
     {
      "code": "LV",
      "group": "Limited vision",
      "prevalence": 0.024,
      "percent": "2.4%",
      "estimatedExcluded": null
     },
     {
      "code": "LM",
      "group": "Limited manipulation/strength",
      "prevalence": 0.13,
      "percent": "13.0%",
      "estimatedExcluded": null
     }
    ],
    "summary": "Affects Without vision (1.0%), Limited vision (2.4%), Limited manipulation/strength (13.0%)."
   },
   "testing_environment": "Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://data.cms.gov/provider-summary-by-type-of-service/medicare-physician-other-practitioners/medicare-physician-other-practitioners-by-provider/api-docs.",
    "Locate the element: .form-control",
    "Confirm the axe-core finding for rule select-name against WCAG 4.1.2 Name, Role, Value."
   ],
   "remediation_tip": "Give the <select> an accessible name via a <label> or aria-label.",
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/select-name?application=axeAPI",
   "obligation": "required",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W24",
   "last_seen": "2026-W24",
   "weeks_seen": 1,
   "affected_pages_csv": "csv/axe-core__select-name.csv"
  },
  {
   "instance_id": "VS-5fde38a2",
   "pattern_id": "VS-fafffee0",
   "a11y_pattern_fingerprint": "2cfa0d5be0fd7ed4873bb130933df3ce9a12e84fb8904af09fd3c9e8191c9a74",
   "a11y_pattern_display_id": "A11Y-PAT-2CFA0D5BE0FD",
   "a11y_occurrence_fingerprint": "a87100752aa2f72e373204ba53772a5d7cba217b84a1c7f5316d1297863110b4",
   "a11y_occurrence_display_id": "A11Y-OCC-A87100752AA2",
   "url": "https://data.cms.gov/tools/medicare-part-d-prescriber-look-up-tool",
   "xpath": "#react-select-2-input",
   "html_snippet": "<input class=\"InteractiveToolsSear...\" autocapitalize=\"none\" autocomplete=\"off\" autocorrect=\"off\" id=\"react-select-2-input\" spellcheck=\"false\" tabindex=\"0\" type=\"text\" aria-autocomplete=\"list\" aria-ex",
   "wcag_sc": "4.1.2",
   "wcag_name": "Name, Role, Value",
   "wcag_level": "A",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.0 A",
   "evidence_status": "automated-indicator",
   "rule_id": "label",
   "rule_label": "Form elements must have labels",
   "engine_key": "axe-core",
   "tool": "axe-core",
   "rule_url": "https://dequeuniversity.com/rules/axe/4.12/label?application=axeAPI",
   "severity": "Critical",
   "frequency": {
    "instances": 14,
    "pages_affected": 8,
    "total_pages_scanned": 2500
   },
   "likely_source": "unknown",
   "summary": "Form elements must have labels (WCAG 4.1.2)",
   "description": "Form elements must have labels. Detected by axe-core rule label on 8 of 2500 scanned pages (14 instances).",
   "examples": [
    {
     "url": "https://data.cms.gov/tools/medicare-part-d-prescriber-look-up-tool",
     "xpath": "#react-select-2-input",
     "html_snippet": "<input class=\"InteractiveToolsSear...\" autocapitalize=\"none\" autocomplete=\"off\" autocorrect=\"off\" id=\"react-select-2-input\" spellcheck=\"false\" tabindex=\"0\" type=\"text\" aria-autocomplete=\"list\" aria-ex"
    },
    {
     "url": "https://data.cms.gov/tools/provider-opt-out-affidavits-look-up-tool",
     "xpath": "#react-select-2-input",
     "html_snippet": "<input class=\"InteractiveToolsSear...\" autocapitalize=\"none\" autocomplete=\"off\" autocorrect=\"off\" id=\"react-select-2-input\" spellcheck=\"false\" tabindex=\"0\" type=\"text\" aria-autocomplete=\"list\" aria-ex"
    },
    {
     "url": "https://data.cms.gov/tools/market-saturation-utilization-state-county-mapping-tool",
     "xpath": "#react-select-2-input",
     "html_snippet": "<input class=\"InteractiveToolsSear...\" autocapitalize=\"none\" autocomplete=\"off\" autocorrect=\"off\" id=\"react-select-2-input\" spellcheck=\"false\" tabindex=\"0\" type=\"text\" aria-autocomplete=\"list\" aria-ex"
    },
    {
     "url": "https://data.cms.gov/tools/market-saturation-utilization-state-county-mapping-tool",
     "xpath": "#react-select-3-input",
     "html_snippet": "<input class=\"InteractiveToolsSear...\" autocapitalize=\"none\" autocomplete=\"off\" autocorrect=\"off\" id=\"react-select-3-input\" spellcheck=\"false\" tabindex=\"0\" type=\"text\" aria-autocomplete=\"list\" aria-ex"
    },
    {
     "url": "https://data.cms.gov/tools/market-saturation-utilization-state-county-mapping-tool",
     "xpath": "#react-select-4-input",
     "html_snippet": "<input class=\"InteractiveToolsSear...\" autocapitalize=\"none\" autocomplete=\"off\" autocorrect=\"off\" id=\"react-select-4-input\" spellcheck=\"false\" tabindex=\"0\" type=\"text\" aria-autocomplete=\"list\" aria-ex"
    }
   ],
   "example_pages": [
    "https://data.cms.gov/tools/medicare-part-d-prescriber-look-up-tool",
    "https://data.cms.gov/tools/provider-opt-out-affidavits-look-up-tool",
    "https://data.cms.gov/tools/market-saturation-utilization-state-county-mapping-tool"
   ],
   "affected_pages": [
    "https://data.cms.gov/tools/medicare-part-d-prescriber-look-up-tool",
    "https://data.cms.gov/tools/provider-opt-out-affidavits-look-up-tool",
    "https://data.cms.gov/tools/market-saturation-utilization-state-county-mapping-tool",
    "https://data.cms.gov/medicare-shared-savings-program/accountable-care-organizations",
    "https://data.cms.gov/tools/medicare-revalidation-list",
    "https://data.cms.gov/tools/medicare-inpatient-hospital-look-up-tool",
    "https://data.cms.gov/tools/medicare-physician-other-practitioner-look-up-tool",
    "https://data.cms.gov/tools/market-saturation-utilization-core-based-statistical-areas-mapping-tool"
   ],
   "impact": {
    "groups": [
     {
      "code": "WV",
      "group": "Without vision",
      "prevalence": 0.01,
      "percent": "1.0%",
      "estimatedExcluded": null
     },
     {
      "code": "LV",
      "group": "Limited vision",
      "prevalence": 0.024,
      "percent": "2.4%",
      "estimatedExcluded": null
     },
     {
      "code": "LM",
      "group": "Limited manipulation/strength",
      "prevalence": 0.13,
      "percent": "13.0%",
      "estimatedExcluded": null
     }
    ],
    "summary": "Affects Without vision (1.0%), Limited vision (2.4%), Limited manipulation/strength (13.0%)."
   },
   "testing_environment": "Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://data.cms.gov/tools/medicare-part-d-prescriber-look-up-tool.",
    "Locate the element: #react-select-2-input",
    "Confirm the axe-core finding for rule label against WCAG 4.1.2 Name, Role, Value."
   ],
   "remediation_tip": "Associate every form control with a <label> (via for/id) or an aria-label/aria-labelledby.",
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/label?application=axeAPI",
   "obligation": "required",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W24",
   "last_seen": "2026-W24",
   "weeks_seen": 1,
   "affected_pages_csv": "csv/axe-core__label.csv"
  },
  {
   "instance_id": "VS-3d192113",
   "pattern_id": "VS-ebb1c464",
   "a11y_pattern_fingerprint": "a0b44db831db3191677d0158c3dca81b85fadcc259753769395544112d1591d4",
   "a11y_pattern_display_id": "A11Y-PAT-A0B44DB831DB",
   "a11y_occurrence_fingerprint": "d972a0c1347d8a3dfa13a29d1da992b8ea007cdf6640a86f97cbe9d5991a3b46",
   "a11y_occurrence_display_id": "A11Y-OCC-D972A0C1347D",
   "url": "https://data.cms.gov/medicare-shared-savings-program/accountable-care-organizations",
   "xpath": ".ExpandIcon__wrapper",
   "html_snippet": "<div class=\"ExpandIcon__wrapper\" title=\"Expand\" aria-label=\"Expand\">",
   "wcag_sc": "4.1.2",
   "wcag_name": "Name, Role, Value",
   "wcag_level": "A",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.0 A",
   "evidence_status": "automated-indicator",
   "rule_id": "aria-prohibited-attr",
   "rule_label": "Elements must only use permitted ARIA attributes",
   "engine_key": "axe-core",
   "tool": "axe-core",
   "rule_url": "https://dequeuniversity.com/rules/axe/4.12/aria-prohibited-attr?application=axeAPI",
   "severity": "Serious",
   "frequency": {
    "instances": 1,
    "pages_affected": 1,
    "total_pages_scanned": 2500
   },
   "likely_source": "content",
   "summary": "Elements must only use permitted ARIA attributes (WCAG 4.1.2)",
   "description": "Elements must only use permitted ARIA attributes. Detected by axe-core rule aria-prohibited-attr on 1 of 2500 scanned pages (1 instances).",
   "examples": [
    {
     "url": "https://data.cms.gov/medicare-shared-savings-program/accountable-care-organizations",
     "xpath": ".ExpandIcon__wrapper",
     "html_snippet": "<div class=\"ExpandIcon__wrapper\" title=\"Expand\" aria-label=\"Expand\">"
    }
   ],
   "example_pages": [
    "https://data.cms.gov/medicare-shared-savings-program/accountable-care-organizations"
   ],
   "affected_pages": [
    "https://data.cms.gov/medicare-shared-savings-program/accountable-care-organizations"
   ],
   "impact": {
    "groups": [
     {
      "code": "WV",
      "group": "Without vision",
      "prevalence": 0.01,
      "percent": "1.0%",
      "estimatedExcluded": null
     },
     {
      "code": "LV",
      "group": "Limited vision",
      "prevalence": 0.024,
      "percent": "2.4%",
      "estimatedExcluded": null
     },
     {
      "code": "LM",
      "group": "Limited manipulation/strength",
      "prevalence": 0.13,
      "percent": "13.0%",
      "estimatedExcluded": null
     }
    ],
    "summary": "Affects Without vision (1.0%), Limited vision (2.4%), Limited manipulation/strength (13.0%)."
   },
   "testing_environment": "Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://data.cms.gov/medicare-shared-savings-program/accountable-care-organizations.",
    "Locate the element: .ExpandIcon__wrapper",
    "Confirm the axe-core finding for rule aria-prohibited-attr against WCAG 4.1.2 Name, Role, Value."
   ],
   "remediation_tip": null,
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/aria-prohibited-attr?application=axeAPI",
   "obligation": "required",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W24",
   "last_seen": "2026-W24",
   "weeks_seen": 1,
   "affected_pages_csv": "csv/axe-core__aria-prohibited-attr.csv"
  },
  {
   "instance_id": "VS-e71d7143",
   "pattern_id": "VS-5c82bd60",
   "a11y_pattern_fingerprint": "80cff000e22335b0be973290d88174cddb988e0bf1f16dee68f9d41d878e3a84",
   "a11y_pattern_display_id": "A11Y-PAT-80CFF000E223",
   "a11y_occurrence_fingerprint": "d193a5622fafcca22e6c22c1838291deab591e1bebe47dc3910980368509d936",
   "a11y_occurrence_display_id": "A11Y-OCC-D193A5622FAF",
   "url": "https://data.cms.gov/provider-data/birthing-friendly-hospitals-and-health-systems",
   "xpath": ".p-dropdown-trigger",
   "html_snippet": "<div class=\"p-dropdown-trigger\" role=\"button\" aria-haspopup=\"listbox\" aria-expanded=\"false\" data-pc-section=\"trigger\">",
   "wcag_sc": "4.1.2",
   "wcag_name": "Name, Role, Value",
   "wcag_level": "A",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.0 A",
   "evidence_status": "automated-indicator",
   "rule_id": "aria-command-name",
   "rule_label": "ARIA commands must have an accessible name",
   "engine_key": "axe-core",
   "tool": "axe-core",
   "rule_url": "https://dequeuniversity.com/rules/axe/4.12/aria-command-name?application=axeAPI",
   "severity": "Serious",
   "frequency": {
    "instances": 1,
    "pages_affected": 1,
    "total_pages_scanned": 2500
   },
   "likely_source": "content",
   "summary": "ARIA commands must have an accessible name (WCAG 4.1.2)",
   "description": "ARIA commands must have an accessible name. Detected by axe-core rule aria-command-name on 1 of 2500 scanned pages (1 instances).",
   "examples": [
    {
     "url": "https://data.cms.gov/provider-data/birthing-friendly-hospitals-and-health-systems",
     "xpath": ".p-dropdown-trigger",
     "html_snippet": "<div class=\"p-dropdown-trigger\" role=\"button\" aria-haspopup=\"listbox\" aria-expanded=\"false\" data-pc-section=\"trigger\">"
    }
   ],
   "example_pages": [
    "https://data.cms.gov/provider-data/birthing-friendly-hospitals-and-health-systems"
   ],
   "affected_pages": [
    "https://data.cms.gov/provider-data/birthing-friendly-hospitals-and-health-systems"
   ],
   "impact": {
    "groups": [
     {
      "code": "WV",
      "group": "Without vision",
      "prevalence": 0.01,
      "percent": "1.0%",
      "estimatedExcluded": null
     },
     {
      "code": "LV",
      "group": "Limited vision",
      "prevalence": 0.024,
      "percent": "2.4%",
      "estimatedExcluded": null
     },
     {
      "code": "LM",
      "group": "Limited manipulation/strength",
      "prevalence": 0.13,
      "percent": "13.0%",
      "estimatedExcluded": null
     }
    ],
    "summary": "Affects Without vision (1.0%), Limited vision (2.4%), Limited manipulation/strength (13.0%)."
   },
   "testing_environment": "Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://data.cms.gov/provider-data/birthing-friendly-hospitals-and-health-systems.",
    "Locate the element: .p-dropdown-trigger",
    "Confirm the axe-core finding for rule aria-command-name against WCAG 4.1.2 Name, Role, Value."
   ],
   "remediation_tip": "Give the command (button/link/menuitem) an accessible name via text or aria-label.",
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/aria-command-name?application=axeAPI",
   "obligation": "required",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W24",
   "last_seen": "2026-W24",
   "weeks_seen": 1,
   "affected_pages_csv": "csv/axe-core__aria-command-name.csv"
  },
  {
   "instance_id": "VS-7f61dd90",
   "pattern_id": "VS-f6cf30ff",
   "a11y_pattern_fingerprint": "be7ee15bbe09271b8c3864f6313fe81bc989f31ae23d11eb05b1fde3f2630526",
   "a11y_pattern_display_id": "A11Y-PAT-BE7EE15BBE09",
   "a11y_occurrence_fingerprint": "da68f6ad84fc16c648105d22ceac4fc573eebda055544e5dbae7b2fcff85a64d",
   "a11y_occurrence_display_id": "A11Y-OCC-DA68F6AD84FC",
   "url": "https://data.cms.gov/provider-data/dataset/ijh5-nb2v?page=2352",
   "xpath": "<div id=\"tooltip-trigger--83\" tabindex=\"-1\" class=\"ds-c-tooltip\" data-placement=\"bottom-start\">",
   "html_snippet": null,
   "wcag_sc": "4.1.2",
   "wcag_name": "Name, Role, Value",
   "wcag_level": "A",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.0 A",
   "evidence_status": "automated-indicator",
   "rule_id": "sia-r17",
   "rule_label": "aria-hidden element does not contain focusable elements",
   "engine_key": "alfa",
   "tool": "Siteimprove Alfa",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r17",
   "severity": "Moderate",
   "frequency": {
    "instances": 997,
    "pages_affected": 205,
    "total_pages_scanned": 2500
   },
   "likely_source": "template",
   "summary": "aria-hidden element does not contain focusable elements (WCAG 4.1.2)",
   "description": "aria-hidden element does not contain focusable elements. Detected by Siteimprove Alfa rule sia-r17 on 205 of 2500 scanned pages (997 instances).",
   "examples": [
    {
     "url": "https://data.cms.gov/provider-data/dataset/ijh5-nb2v?page=2352",
     "xpath": "<div id=\"tooltip-trigger--83\" tabindex=\"-1\" class=\"ds-c-tooltip\" data-placement=\"bottom-start\">",
     "html_snippet": null
    },
    {
     "url": "https://data.cms.gov/provider-data/dataset/ijh5-nb2v?page=2352",
     "xpath": "<div id=\"tooltip-trigger--114\" tabindex=\"-1\" class=\"ds-c-tooltip\" data-placement=\"bottom-start\">",
     "html_snippet": null
    },
    {
     "url": "https://data.cms.gov/provider-data/dataset/ijh5-nb2v?page=2352",
     "xpath": "<div aria-labelledby=\"overview__tab\" aria-hidden=\"true\" class=\"ds-c-tabs__panel\" id=\"overview\">",
     "html_snippet": null
    },
    {
     "url": "https://data.cms.gov/provider-characteristics/medicare-provider-supplier-enrollment/opt-out-affidavits",
     "xpath": "<div class=\"collapse-component\" aria-hidden=\"true\" style=\"height: 0px; overflow: hidden;\">",
     "html_snippet": null
    },
    {
     "url": "https://data.cms.gov/provider-data/dataset/0b1a-da3f?page=5",
     "xpath": "<div id=\"tooltip-trigger--84\" tabindex=\"-1\" class=\"ds-c-tooltip\" data-placement=\"bottom-start\">",
     "html_snippet": null
    }
   ],
   "example_pages": [
    "https://data.cms.gov/provider-data/dataset/ijh5-nb2v?page=2352",
    "https://data.cms.gov/provider-characteristics/medicare-provider-supplier-enrollment/opt-out-affidavits",
    "https://data.cms.gov/provider-data/dataset/0b1a-da3f?page=5"
   ],
   "affected_pages": [
    "https://data.cms.gov/provider-data/dataset/ijh5-nb2v?page=2352",
    "https://data.cms.gov/provider-characteristics/medicare-provider-supplier-enrollment/opt-out-affidavits",
    "https://data.cms.gov/provider-data/dataset/0b1a-da3f?page=5",
    "https://data.cms.gov/provider-data/dataset/dgck-syfz?page=3",
    "https://data.cms.gov/provider-data/dataset/4jcv-atw7?page=5",
    "https://data.cms.gov/provider-data/dataset/d2k3-k3ac",
    "https://data.cms.gov/provider-data/dataset/84jm-wiui?page=2",
    "https://data.cms.gov/provider-data/dataset/0938-3dfa?page=2",
    "https://data.cms.gov/provider-data/dataset/azum-44iv?page=5",
    "https://data.cms.gov/provider-data/dataset/k2ze-bqvw?page=5",
    "https://data.cms.gov/provider-data/dataset/hypercalcemia?page=3",
    "https://data.cms.gov/provider-data/dataset/isrn-hqyy?page=2",
    "https://data.cms.gov/provider-data/dataset/0b1a-da3f?page=1719",
    "https://data.cms.gov/provider-data/dataset/f4ga-b9gx?page=3",
    "https://data.cms.gov/provider-data/dataset/029b-dd7e",
    "https://data.cms.gov/provider-data/dataset/27ea-46a8?page=5",
    "https://data.cms.gov/provider-data/dataset/nhsn_bsi?page=4",
    "https://data.cms.gov/provider-data/dataset/fykj-qjee?page=2",
    "https://data.cms.gov/provider-data/dataset/m5jg-jg7i",
    "https://data.cms.gov/provider-data/dataset/avtz-f2ge?page=3",
    "https://data.cms.gov/provider-data/dataset/yizn-abxn?page=5",
    "https://data.cms.gov/provider-data/dataset/v9e4-nwhh?page=3",
    "https://data.cms.gov/provider-data/dataset/g6vv-u9sr?page=5",
    "https://data.cms.gov/provider-data/dataset/hypercalcemia?page=5",
    "https://data.cms.gov/provider-data/dataset/4gkm-5ypv"
   ],
   "impact": {
    "groups": [
     {
      "code": "WV",
      "group": "Without vision",
      "prevalence": 0.01,
      "percent": "1.0%",
      "estimatedExcluded": null
     },
     {
      "code": "LV",
      "group": "Limited vision",
      "prevalence": 0.024,
      "percent": "2.4%",
      "estimatedExcluded": null
     },
     {
      "code": "LM",
      "group": "Limited manipulation/strength",
      "prevalence": 0.13,
      "percent": "13.0%",
      "estimatedExcluded": null
     }
    ],
    "summary": "Affects Without vision (1.0%), Limited vision (2.4%), Limited manipulation/strength (13.0%)."
   },
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://data.cms.gov/provider-data/dataset/ijh5-nb2v?page=2352.",
    "Locate the element: <div id=\"tooltip-trigger--83\" tabindex=\"-1\" class=\"ds-c-tooltip\" data-placement=\"bottom-start\">",
    "Confirm the Siteimprove Alfa finding for rule sia-r17 against WCAG 4.1.2 Name, Role, Value."
   ],
   "remediation_tip": null,
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r17",
   "obligation": "required",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W24",
   "last_seen": "2026-W24",
   "weeks_seen": 1,
   "affected_pages_csv": "csv/alfa__sia-r17.csv"
  },
  {
   "instance_id": "VS-f0bb086f",
   "pattern_id": "VS-a48e6078",
   "a11y_pattern_fingerprint": "f09afe7e310a1c4558bb3906d1565610f92bc6548d2c940c9118f85740b031bc",
   "a11y_pattern_display_id": "A11Y-PAT-F09AFE7E310A",
   "a11y_occurrence_fingerprint": "c84fedbea344a9f4edf3bce5c88a08709590ac635660eeb659047d09a8675748",
   "a11y_occurrence_display_id": "A11Y-OCC-C84FEDBEA344",
   "url": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments/api-docs",
   "xpath": "<select name=\"version-select\" class=\"form-control\">",
   "html_snippet": null,
   "wcag_sc": "4.1.2",
   "wcag_name": "Name, Role, Value",
   "wcag_level": "A",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.0 A",
   "evidence_status": "automated-indicator",
   "rule_id": "sia-r8",
   "rule_label": "Form field has accessible name",
   "engine_key": "alfa",
   "tool": "Siteimprove Alfa",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r8",
   "severity": "Moderate",
   "frequency": {
    "instances": 110,
    "pages_affected": 104,
    "total_pages_scanned": 2500
   },
   "likely_source": "template",
   "summary": "Form field has accessible name (WCAG 4.1.2)",
   "description": "Form field has accessible name. Detected by Siteimprove Alfa rule sia-r8 on 104 of 2500 scanned pages (110 instances).",
   "examples": [
    {
     "url": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments/api-docs",
     "xpath": "<select name=\"version-select\" class=\"form-control\">",
     "html_snippet": null
    },
    {
     "url": "https://data.cms.gov/summary-statistics-on-use-and-payments/medicare-medicaid-service-type-reports/medicare-telehealth-trends/api-docs",
     "xpath": "<select name=\"version-select\" class=\"form-control\">",
     "html_snippet": null
    },
    {
     "url": "https://data.cms.gov/tools/medicare-part-d-prescriber-look-up-tool",
     "xpath": "<input class=\"InteractiveToolsSearch__select__input\" autocapitalize=\"none\" autocomplete=\"off\" autocorrect=\"off\">",
     "html_snippet": null
    },
    {
     "url": "https://data.cms.gov/cms-innovation-center-programs/accountable-care-models/aco-reach-providers/api-docs",
     "xpath": "<select name=\"version-select\" class=\"form-control\">",
     "html_snippet": null
    },
    {
     "url": "https://data.cms.gov/cms-innovation-center-programs/accountable-care-models/next-generation-accountable-care-organization-model-data/api-docs",
     "xpath": "<select name=\"version-select\" class=\"form-control\">",
     "html_snippet": null
    }
   ],
   "example_pages": [
    "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments/api-docs",
    "https://data.cms.gov/summary-statistics-on-use-and-payments/medicare-medicaid-service-type-reports/medicare-telehealth-trends/api-docs",
    "https://data.cms.gov/tools/medicare-part-d-prescriber-look-up-tool"
   ],
   "affected_pages": [
    "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments/api-docs",
    "https://data.cms.gov/summary-statistics-on-use-and-payments/medicare-medicaid-service-type-reports/medicare-telehealth-trends/api-docs",
    "https://data.cms.gov/tools/medicare-part-d-prescriber-look-up-tool",
    "https://data.cms.gov/cms-innovation-center-programs/accountable-care-models/aco-reach-providers/api-docs",
    "https://data.cms.gov/cms-innovation-center-programs/accountable-care-models/next-generation-accountable-care-organization-model-data/api-docs",
    "https://data.cms.gov/provider-summary-by-type-of-service/medicare-post-acute-care-hospice/medicare-post-acute-care-utilization-hospice-by-geography-and-provider/api-docs",
    "https://data.cms.gov/provider-summary-by-type-of-service/medicare-durable-medical-equipment-devices-supplies/medicare-durable-medical-equipment-devices-supplies-by-supplier/api-docs",
    "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/medicare-clinical-laboratory-fee-schedule-private-payer-rates-and-volumes/api-docs",
    "https://data.cms.gov/tools/provider-opt-out-affidavits-look-up-tool",
    "https://data.cms.gov/quality-of-care/payroll-based-journal-employee-detail-nursing-home-staffing/api-docs",
    "https://data.cms.gov/quality-of-care/medicare-dialysis-facilities/api-docs",
    "https://data.cms.gov/provider-summary-by-type-of-service/medicare-inpatient-hospitals/medicare-inpatient-hospitals-by-provider/api-docs",
    "https://data.cms.gov/provider-characteristics/medicare-provider-supplier-enrollment/order-and-referring/api-docs",
    "https://data.cms.gov/provider-characteristics/medicare-provider-supplier-enrollment/pending-initial-logging-and-tracking-non-physicians/api-docs",
    "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-change-of-ownership/api-docs",
    "https://data.cms.gov/cms-innovation-center-programs/accountable-care-models/aco-reach-aligned-beneficiaries/api-docs",
    "https://data.cms.gov/provider-characteristics/medicare-provider-supplier-enrollment/revalidation-due-date-list/api-docs",
    "https://data.cms.gov/quality-of-care/nursing-home-chain-performance-measures/api-docs",
    "https://data.cms.gov/provider-characteristics/medicare-provider-supplier-enrollment/medicare-fee-for-service-public-provider-enrollment/api-docs",
    "https://data.cms.gov/quality-of-care/deficit-reduction-act-hospital-acquired-condition-measures/api-docs",
    "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-price-transparency-enforcement-activities-and-outcomes/api-docs",
    "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospice-enrollments/api-docs",
    "https://data.cms.gov/medicare-shared-savings-program/advance-investment-payment-spend-plan/api-docs",
    "https://data.cms.gov/summary-statistics-on-use-and-payments/medicare-medicaid-spending-by-drug/medicare-quarterly-part-b-spending-by-drug/api-docs",
    "https://data.cms.gov/quality-of-care/minimum-data-set-frequency/api-docs"
   ],
   "impact": {
    "groups": [
     {
      "code": "WV",
      "group": "Without vision",
      "prevalence": 0.01,
      "percent": "1.0%",
      "estimatedExcluded": null
     },
     {
      "code": "LV",
      "group": "Limited vision",
      "prevalence": 0.024,
      "percent": "2.4%",
      "estimatedExcluded": null
     },
     {
      "code": "LM",
      "group": "Limited manipulation/strength",
      "prevalence": 0.13,
      "percent": "13.0%",
      "estimatedExcluded": null
     }
    ],
    "summary": "Affects Without vision (1.0%), Limited vision (2.4%), Limited manipulation/strength (13.0%)."
   },
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments/api-docs.",
    "Locate the element: <select name=\"version-select\" class=\"form-control\">",
    "Confirm the Siteimprove Alfa finding for rule sia-r8 against WCAG 4.1.2 Name, Role, Value."
   ],
   "remediation_tip": "Associate the form field with a label.",
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r8",
   "obligation": "required",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W24",
   "last_seen": "2026-W24",
   "weeks_seen": 1,
   "affected_pages_csv": "csv/alfa__sia-r8.csv"
  },
  {
   "instance_id": "VS-c14ced9a",
   "pattern_id": "VS-a2a3dffb",
   "a11y_pattern_fingerprint": "36be04ba1b5afa57ca3be40e7a501fbd0ac95b9d46ddf69a70d6dfafa7cad548",
   "a11y_pattern_display_id": "A11Y-PAT-36BE04BA1B5A",
   "a11y_occurrence_fingerprint": "d919a7263a3fe3c1a06dcf05d2d36328019f68db8b37d7451f599b2f4d0c76c3",
   "a11y_occurrence_display_id": "A11Y-OCC-D919A7263A3F",
   "url": "https://data.cms.gov/summary-statistics-on-beneficiary-enrollment",
   "xpath": "<div aria-selected=\"true\" aria-label=\"slide\" role=\"option\" class=\"slide___3-Nqo slideHorizontal___1NzNV carousel__slide carousel__slide--visible MoreTopicCarousel__slide\">",
   "html_snippet": null,
   "wcag_sc": "4.1.2",
   "wcag_name": "Name, Role, Value",
   "wcag_level": "A",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.0 A",
   "evidence_status": "automated-indicator",
   "rule_id": "sia-r90",
   "rule_label": "Component with same name serves same purpose",
   "engine_key": "alfa",
   "tool": "Siteimprove Alfa",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r90",
   "severity": "Moderate",
   "frequency": {
    "instances": 20,
    "pages_affected": 13,
    "total_pages_scanned": 2500
   },
   "likely_source": "template",
   "summary": "Component with same name serves same purpose (WCAG 4.1.2)",
   "description": "Component with same name serves same purpose. Detected by Siteimprove Alfa rule sia-r90 on 13 of 2500 scanned pages (20 instances).",
   "examples": [
    {
     "url": "https://data.cms.gov/summary-statistics-on-beneficiary-enrollment",
     "xpath": "<div aria-selected=\"true\" aria-label=\"slide\" role=\"option\" class=\"slide___3-Nqo slideHorizontal___1NzNV carousel__slide carousel__slide--visible MoreTopicCarousel__slide\">",
     "html_snippet": null
    },
    {
     "url": "https://data.cms.gov/medicare-current-beneficiary-survey-mcbs",
     "xpath": "<div aria-selected=\"true\" aria-label=\"slide\" role=\"option\" class=\"slide___3-Nqo slideHorizontal___1NzNV carousel__slide carousel__slide--visible MoreTopicCarousel__slide\">",
     "html_snippet": null
    },
    {
     "url": "https://data.cms.gov/provider-summary-by-type-of-service",
     "xpath": "<div aria-selected=\"true\" aria-label=\"slide\" role=\"option\" class=\"slide___3-Nqo slideHorizontal___1NzNV carousel__slide carousel__slide--visible MoreTopicCarousel__slide\">",
     "html_snippet": null
    },
    {
     "url": "https://data.cms.gov/provider-characteristics",
     "xpath": "<div aria-selected=\"true\" aria-label=\"slide\" role=\"option\" class=\"slide___3-Nqo slideHorizontal___1NzNV carousel__slide carousel__slide--visible MoreTopicCarousel__slide\">",
     "html_snippet": null
    },
    {
     "url": "https://data.cms.gov/provider-characteristics",
     "xpath": "<div aria-selected=\"false\" aria-label=\"slide\" role=\"option\" class=\"slide___3-Nqo slideHorizontal___1NzNV carousel__slide carousel__slide--hidden MoreTopicCarousel__slide\">",
     "html_snippet": null
    }
   ],
   "example_pages": [
    "https://data.cms.gov/summary-statistics-on-beneficiary-enrollment",
    "https://data.cms.gov/medicare-current-beneficiary-survey-mcbs",
    "https://data.cms.gov/provider-summary-by-type-of-service"
   ],
   "affected_pages": [
    "https://data.cms.gov/summary-statistics-on-beneficiary-enrollment",
    "https://data.cms.gov/medicare-current-beneficiary-survey-mcbs",
    "https://data.cms.gov/provider-summary-by-type-of-service",
    "https://data.cms.gov/provider-characteristics",
    "https://data.cms.gov/summary-statistics-on-use-and-payments",
    "https://data.cms.gov/quality-of-care",
    "https://data.cms.gov/cms-innovation-center-programs",
    "https://data.cms.gov/summary-statistics-on-provider-enrollment",
    "https://data.cms.gov/medicare-chronic-conditions",
    "https://data.cms.gov/provider-compliance",
    "https://data.cms.gov/medicare-value-based-payment-modifier-program",
    "https://data.cms.gov/covid-19",
    "https://data.cms.gov/medicare-shared-savings-program"
   ],
   "impact": {
    "groups": [
     {
      "code": "WV",
      "group": "Without vision",
      "prevalence": 0.01,
      "percent": "1.0%",
      "estimatedExcluded": null
     },
     {
      "code": "LV",
      "group": "Limited vision",
      "prevalence": 0.024,
      "percent": "2.4%",
      "estimatedExcluded": null
     },
     {
      "code": "LM",
      "group": "Limited manipulation/strength",
      "prevalence": 0.13,
      "percent": "13.0%",
      "estimatedExcluded": null
     }
    ],
    "summary": "Affects Without vision (1.0%), Limited vision (2.4%), Limited manipulation/strength (13.0%)."
   },
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://data.cms.gov/summary-statistics-on-beneficiary-enrollment.",
    "Locate the element: <div aria-selected=\"true\" aria-label=\"slide\" role=\"option\" class=\"slide___3-Nqo slideHorizontal___1NzNV carousel__slide carousel__slide--visible MoreTopicCarousel__slide\">",
    "Confirm the Siteimprove Alfa finding for rule sia-r90 against WCAG 4.1.2 Name, Role, Value."
   ],
   "remediation_tip": null,
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r90",
   "obligation": "required",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W24",
   "last_seen": "2026-W24",
   "weeks_seen": 1,
   "affected_pages_csv": "csv/alfa__sia-r90.csv"
  },
  {
   "instance_id": "VS-27b4c67b",
   "pattern_id": "VS-be8d563e",
   "a11y_pattern_fingerprint": "4fccbf17513739e2a99f1bc05dc534f1dfa86bd6540ad2f7c637fc62d19735d7",
   "a11y_pattern_display_id": "A11Y-PAT-4FCCBF175137",
   "a11y_occurrence_fingerprint": "7538982fabe0325fb7e25214b45e5d5f43b7747d32f21b419fb27eb2ec6e3c4f",
   "a11y_occurrence_display_id": "A11Y-OCC-7538982FABE0",
   "url": "https://data.cms.gov/provider-data/datasets?theme%5B0%5D=Physician+office+visit+costs",
   "xpath": "a[aria-describedby=\"tooltip-trigger--212\"]",
   "html_snippet": "<a aria-describedby=\"tooltip-trigger--212\" class=\"ds-c-tooltip__trigger dkan-disabled-link\" tabindex=\"0\">",
   "wcag_sc": "1.4.3",
   "wcag_name": "Contrast (Minimum)",
   "wcag_level": "AA",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.0 AA",
   "evidence_status": "automated-indicator",
   "rule_id": "color-contrast",
   "rule_label": "Elements must meet minimum color contrast ratio thresholds",
   "engine_key": "axe-core",
   "tool": "axe-core",
   "rule_url": "https://dequeuniversity.com/rules/axe/4.12/color-contrast?application=axeAPI",
   "severity": "Serious",
   "frequency": {
    "instances": 139,
    "pages_affected": 12,
    "total_pages_scanned": 2500
   },
   "likely_source": "template",
   "summary": "Elements must meet minimum color contrast ratio thresholds (WCAG 1.4.3)",
   "description": "Elements must meet minimum color contrast ratio thresholds. Detected by axe-core rule color-contrast on 12 of 2500 scanned pages (139 instances).",
   "examples": [
    {
     "url": "https://data.cms.gov/provider-data/datasets?theme%5B0%5D=Physician+office+visit+costs",
     "xpath": "a[aria-describedby=\"tooltip-trigger--212\"]",
     "html_snippet": "<a aria-describedby=\"tooltip-trigger--212\" class=\"ds-c-tooltip__trigger dkan-disabled-link\" tabindex=\"0\">"
    },
    {
     "url": "https://data.cms.gov/provider-data/datasets?theme%5B0%5D=Physician+office+visit+costs",
     "xpath": "a[aria-describedby=\"tooltip-trigger--213\"]",
     "html_snippet": "<a aria-describedby=\"tooltip-trigger--213\" class=\"ds-c-tooltip__trigger dkan-disabled-link\" tabindex=\"0\">"
    },
    {
     "url": "https://data.cms.gov/provider-data/datasets?theme%5B0%5D=Physician+office+visit+costs",
     "xpath": "a[aria-describedby=\"tooltip-trigger--214\"]",
     "html_snippet": "<a aria-describedby=\"tooltip-trigger--214\" class=\"ds-c-tooltip__trigger dkan-disabled-link\" tabindex=\"0\">"
    },
    {
     "url": "https://data.cms.gov/provider-data/datasets?keyword%5B%5D=Nephrology",
     "xpath": ".ds-c-tooltip__trigger",
     "html_snippet": "<a aria-describedby=\"tooltip-trigger--24\" class=\"ds-c-tooltip__trigger dkan-disabled-link\" tabindex=\"0\">"
    },
    {
     "url": "https://data.cms.gov/provider-data/datasets?keyword%5B%5D=Hospice+and+Palliative+Care",
     "xpath": ".ds-c-tooltip__trigger",
     "html_snippet": "<a aria-describedby=\"tooltip-trigger--24\" class=\"ds-c-tooltip__trigger dkan-disabled-link\" tabindex=\"0\">"
    }
   ],
   "example_pages": [
    "https://data.cms.gov/provider-data/datasets?theme%5B0%5D=Physician+office+visit+costs",
    "https://data.cms.gov/provider-data/datasets?keyword%5B%5D=Nephrology",
    "https://data.cms.gov/provider-data/datasets?keyword%5B%5D=Hospice+and+Palliative+Care"
   ],
   "affected_pages": [
    "https://data.cms.gov/provider-data/datasets?theme%5B0%5D=Physician+office+visit+costs",
    "https://data.cms.gov/provider-data/datasets?keyword%5B%5D=Nephrology",
    "https://data.cms.gov/provider-data/datasets?keyword%5B%5D=Hospice+and+Palliative+Care",
    "https://data.cms.gov/provider-data/datasets?keyword%5B%5D=Preventive+Medicine",
    "https://data.cms.gov/provider-data/datasets?keyword%5B%5D=Cardiac+Surgery",
    "https://data.cms.gov/provider-data/datasets?keyword%5B%5D=Neuropsychiatry",
    "https://data.cms.gov/provider-data/datasets?keyword%5B%5D=Physical+Therapist+in+Private+Practice",
    "https://data.cms.gov/sitemap",
    "https://data.cms.gov/provider-data/datasets?theme%5B%5D=Physician+office+visit+costs",
    "https://data.cms.gov/provider-data/datasets?keyword%5B%5D=Physician+Assistant",
    "https://data.cms.gov/provider-data/datasets?keyword%5B%5D=Pulmonary+Disease",
    "https://data.cms.gov/provider-data/datasets?keyword%5B%5D=Psychiatry"
   ],
   "impact": {
    "groups": [
     {
      "code": "LV",
      "group": "Limited vision",
      "prevalence": 0.024,
      "percent": "2.4%",
      "estimatedExcluded": null
     },
     {
      "code": "WPC",
      "group": "Without color perception",
      "prevalence": 0.045,
      "percent": "4.5%",
      "estimatedExcluded": null
     }
    ],
    "summary": "Affects Limited vision (2.4%), Without color perception (4.5%)."
   },
   "testing_environment": "Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://data.cms.gov/provider-data/datasets?theme%5B0%5D=Physician+office+visit+costs.",
    "Locate the element: a[aria-describedby=\"tooltip-trigger--212\"]",
    "Confirm the axe-core finding for rule color-contrast against WCAG 1.4.3 Contrast (Minimum)."
   ],
   "remediation_tip": "Increase the contrast between text and its background to at least 4.5:1 (3:1 for large text). Check both light and dark modes.",
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/color-contrast?application=axeAPI",
   "obligation": "required",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W24",
   "last_seen": "2026-W24",
   "weeks_seen": 1,
   "affected_pages_csv": "csv/axe-core__color-contrast.csv"
  },
  {
   "instance_id": "VS-48aa6403",
   "pattern_id": "VS-f7e99f4b",
   "a11y_pattern_fingerprint": "357849895457b03b2558f626246a136edcc5dfacbf1eafcbce9889d703eb3f58",
   "a11y_pattern_display_id": "A11Y-PAT-357849895457",
   "a11y_occurrence_fingerprint": "621f7d24a0860f3f734a5bfc0cc9a90b63de5308b767d152fd61d0eed5e6ec3b",
   "a11y_occurrence_display_id": "A11Y-OCC-621F7D24A086",
   "url": "https://data.cms.gov/resources/mcbs-summary-tables-glossary",
   "xpath": "text: \"Glossary\"",
   "html_snippet": null,
   "wcag_sc": "1.4.3",
   "wcag_name": "Contrast (Minimum)",
   "wcag_level": "AA",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.0 AA",
   "evidence_status": "automated-indicator",
   "rule_id": "sia-r69",
   "rule_label": "Text has sufficient color contrast (Enhanced)",
   "engine_key": "alfa",
   "tool": "Siteimprove Alfa",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r69",
   "severity": "Moderate",
   "frequency": {
    "instances": 2080,
    "pages_affected": 564,
    "total_pages_scanned": 2500
   },
   "likely_source": "template",
   "summary": "Text has sufficient color contrast (Enhanced) (WCAG 1.4.3)",
   "description": "Text has sufficient color contrast (Enhanced). Detected by Siteimprove Alfa rule sia-r69 on 564 of 2500 scanned pages (2080 instances).",
   "examples": [
    {
     "url": "https://data.cms.gov/resources/mcbs-summary-tables-glossary",
     "xpath": "text: \"Glossary\"",
     "html_snippet": null
    },
    {
     "url": "https://data.cms.gov/resources/mcbs-summary-tables-glossary",
     "xpath": "text: \"MCBS Summary Tables Glossary\"",
     "html_snippet": null
    },
    {
     "url": "https://data.cms.gov/resources/mcbs-summary-tables-glossary",
     "xpath": "text: \"Download\"",
     "html_snippet": null
    },
    {
     "url": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments/api-docs",
     "xpath": "text: \"Access API for Hospital Enrollments\"",
     "html_snippet": null
    },
    {
     "url": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments/api-docs",
     "xpath": "text: \"1.0.0\"",
     "html_snippet": null
    }
   ],
   "example_pages": [
    "https://data.cms.gov/resources/mcbs-summary-tables-glossary",
    "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments/api-docs",
    "https://data.cms.gov/resources/public-reporting-of-missing-digital-contact-information-data-dictionary"
   ],
   "affected_pages": [
    "https://data.cms.gov/resources/mcbs-summary-tables-glossary",
    "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments/api-docs",
    "https://data.cms.gov/resources/public-reporting-of-missing-digital-contact-information-data-dictionary",
    "https://data.cms.gov/summary-statistics-on-use-and-payments/medicare-medicaid-service-type-reports/medicare-telehealth-trends/api-docs",
    "https://data.cms.gov/quality-of-care/long-term-care-facility-characteristics",
    "https://data.cms.gov/resources/number-of-accountable-care-organization-assigned-beneficiaries-by-county-data-dictionary-2023",
    "https://data.cms.gov/provider-summary-by-type-of-service/medicare-inpatient-hospitals/medicare-inpatient-hospitals-by-provider",
    "https://data.cms.gov/cms-innovation-center-programs/cms-innovation-models-overview/innovation-center-model-summary-information",
    "https://data.cms.gov/provider-characteristics/medicare-provider-supplier-enrollment/opt-out-affidavits",
    "https://data.cms.gov/resources/value-modifier-data-dictionary",
    "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/federally-qualified-health-center-all-owners",
    "https://data.cms.gov/resources/aco-reach-financial-and-quality-results-data-dictionary",
    "https://data.cms.gov/resources/minimum-data-set-frequency-methodology",
    "https://data.cms.gov/resources/county-level-aggregate-expenditure-and-risk-score-data-on-assignable-beneficiaries-methodology-2021-2023",
    "https://data.cms.gov/summary-statistics-on-beneficiary-enrollment",
    "https://data.cms.gov/resources/medicare-part-d-prescribers-by-provider-and-drug-data-dictionary",
    "https://data.cms.gov/provider-summary-by-type-of-service/medicare-post-acute-care-hospice/medicare-post-acute-care-utilization-home-health-agency-by-geography-and-provider",
    "https://data.cms.gov/cms-innovation-center-programs/accountable-care-models/aco-reach-providers/api-docs",
    "https://data.cms.gov/cms-innovation-center-programs/accountable-care-models/next-generation-accountable-care-organization-model-data/api-docs",
    "https://data.cms.gov/resources/medicare-covid-19-hospitalization-trends-methodology-2023",
    "https://data.cms.gov/resources/medicare-service-type-reports-methodology",
    "https://data.cms.gov/provider-summary-by-type-of-service/medicare-post-acute-care-hospice/medicare-post-acute-care-utilization-hospice-by-geography-and-provider/api-docs",
    "https://data.cms.gov/provider-summary-by-type-of-service/medicare-durable-medical-equipment-devices-supplies/medicare-durable-medical-equipment-devices-supplies-by-supplier/api-docs",
    "https://data.cms.gov/resources/medicare-clinical-laboratory-fee-schedule-private-payer-rates-and-volumes-data-dictionary",
    "https://data.cms.gov/summary-statistics-on-use-and-payments/medicare-premium-reports/cms-program-statistics-medicare-premiums"
   ],
   "impact": {
    "groups": [
     {
      "code": "LV",
      "group": "Limited vision",
      "prevalence": 0.024,
      "percent": "2.4%",
      "estimatedExcluded": null
     },
     {
      "code": "WPC",
      "group": "Without color perception",
      "prevalence": 0.045,
      "percent": "4.5%",
      "estimatedExcluded": null
     }
    ],
    "summary": "Affects Limited vision (2.4%), Without color perception (4.5%)."
   },
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://data.cms.gov/resources/mcbs-summary-tables-glossary.",
    "Locate the element: text: \"Glossary\"",
    "Confirm the Siteimprove Alfa finding for rule sia-r69 against WCAG 1.4.3 Contrast (Minimum)."
   ],
   "remediation_tip": "Increase text contrast to meet WCAG AA (4.5:1, or 3:1 for large text).",
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r69",
   "obligation": "required",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W24",
   "last_seen": "2026-W24",
   "weeks_seen": 1,
   "affected_pages_csv": "csv/alfa__sia-r69.csv"
  },
  {
   "instance_id": "VS-18d6edc2",
   "pattern_id": "VS-646b1e0b",
   "a11y_pattern_fingerprint": "96cbe5f4f678bd293ca3ac09b957d022d646279e1d47836c6b5d3ab492a74c9f",
   "a11y_pattern_display_id": "A11Y-PAT-96CBE5F4F678",
   "a11y_occurrence_fingerprint": "120e08579f7c1b190237437920f4bf42ae4e47fe5d80fbf0714ff1306baa5201",
   "a11y_occurrence_display_id": "A11Y-OCC-120E08579F7C",
   "url": "https://data.cms.gov/resources/mcbs-summary-tables-glossary",
   "xpath": "text: \"Glossary\"",
   "html_snippet": null,
   "wcag_sc": "1.4.6",
   "wcag_name": "Contrast (Enhanced)",
   "wcag_level": "AAA",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.x AAA",
   "evidence_status": "automated-indicator",
   "rule_id": "sia-r66",
   "rule_label": "Text has enhanced contrast",
   "engine_key": "alfa",
   "tool": "Siteimprove Alfa",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r66",
   "severity": "Moderate",
   "frequency": {
    "instances": 7963,
    "pages_affected": 751,
    "total_pages_scanned": 2500
   },
   "likely_source": "template",
   "summary": "Text has enhanced contrast (WCAG 1.4.6)",
   "description": "Text has enhanced contrast. Detected by Siteimprove Alfa rule sia-r66 on 751 of 2500 scanned pages (7963 instances).",
   "examples": [
    {
     "url": "https://data.cms.gov/resources/mcbs-summary-tables-glossary",
     "xpath": "text: \"Glossary\"",
     "html_snippet": null
    },
    {
     "url": "https://data.cms.gov/resources/mcbs-summary-tables-glossary",
     "xpath": "text: \"MCBS Summary Tables Glossary\"",
     "html_snippet": null
    },
    {
     "url": "https://data.cms.gov/resources/mcbs-summary-tables-glossary",
     "xpath": "text: \"Download\"",
     "html_snippet": null
    },
    {
     "url": "https://data.cms.gov/medicare-current-beneficiary-survey-mcbs/income-and-asset-ownership/data",
     "xpath": "text: \"Back to dataset overview\"",
     "html_snippet": null
    },
    {
     "url": "https://data.cms.gov/medicare-current-beneficiary-survey-mcbs/income-and-asset-ownership/data",
     "xpath": "text: \"Manage Columns\"",
     "html_snippet": null
    }
   ],
   "example_pages": [
    "https://data.cms.gov/resources/mcbs-summary-tables-glossary",
    "https://data.cms.gov/medicare-current-beneficiary-survey-mcbs/income-and-asset-ownership/data",
    "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments/api-docs"
   ],
   "affected_pages": [
    "https://data.cms.gov/resources/mcbs-summary-tables-glossary",
    "https://data.cms.gov/medicare-current-beneficiary-survey-mcbs/income-and-asset-ownership/data",
    "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments/api-docs",
    "https://data.cms.gov/resources/public-reporting-of-missing-digital-contact-information-data-dictionary",
    "https://data.cms.gov/summary-statistics-on-use-and-payments/medicare-medicaid-service-type-reports/medicare-telehealth-trends/api-docs",
    "https://data.cms.gov/quality-of-care/long-term-care-facility-characteristics",
    "https://data.cms.gov/resources/number-of-accountable-care-organization-assigned-beneficiaries-by-county-data-dictionary-2023",
    "https://data.cms.gov/provider-summary-by-type-of-service/medicare-inpatient-hospitals/medicare-inpatient-hospitals-by-provider",
    "https://data.cms.gov/provider-summary-by-type-of-service/medicare-outpatient-hospitals/medicare-outpatient-hospitals-by-geography-and-service/data/2020",
    "https://data.cms.gov/cms-innovation-center-programs/cms-innovation-models-overview/innovation-center-model-summary-information",
    "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system/data/q1-2025",
    "https://data.cms.gov/provider-characteristics/medicare-provider-supplier-enrollment/opt-out-affidavits",
    "https://data.cms.gov/resources/value-modifier-data-dictionary",
    "https://data.cms.gov/tools/medicare-part-d-prescriber-look-up-tool",
    "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/federally-qualified-health-center-all-owners",
    "https://data.cms.gov/resources/aco-reach-financial-and-quality-results-data-dictionary",
    "https://data.cms.gov/resources/minimum-data-set-frequency-methodology",
    "https://data.cms.gov/resources/county-level-aggregate-expenditure-and-risk-score-data-on-assignable-beneficiaries-methodology-2021-2023",
    "https://data.cms.gov/summary-statistics-on-beneficiary-enrollment",
    "https://data.cms.gov/resources/medicare-part-d-prescribers-by-provider-and-drug-data-dictionary",
    "https://data.cms.gov/provider-summary-by-type-of-service/medicare-post-acute-care-hospice/medicare-post-acute-care-utilization-home-health-agency-by-geography-and-provider",
    "https://data.cms.gov/cms-innovation-center-programs/accountable-care-models/aco-reach-providers/api-docs",
    "https://data.cms.gov/cms-innovation-center-programs/accountable-care-models/next-generation-accountable-care-organization-model-data/api-docs",
    "https://data.cms.gov/resources/medicare-covid-19-hospitalization-trends-methodology-2023",
    "https://data.cms.gov/resources/medicare-service-type-reports-methodology"
   ],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   },
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://data.cms.gov/resources/mcbs-summary-tables-glossary.",
    "Locate the element: text: \"Glossary\"",
    "Confirm the Siteimprove Alfa finding for rule sia-r66 against WCAG 1.4.6 Contrast (Enhanced)."
   ],
   "remediation_tip": "Increase text contrast to meet WCAG AAA (7:1).",
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r66",
   "obligation": "aspirational",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W24",
   "last_seen": "2026-W24",
   "weeks_seen": 1,
   "affected_pages_csv": "csv/alfa__sia-r66.csv"
  },
  {
   "instance_id": "VS-813d6900",
   "pattern_id": "VS-2208081b",
   "a11y_pattern_fingerprint": "11da40706e128ca41c5016d93c84f84581592e56ff34e232d58f64a9971f9210",
   "a11y_pattern_display_id": "A11Y-PAT-11DA40706E12",
   "a11y_occurrence_fingerprint": "96099ec5b5ade57f0e693323324d45f477f6b9bbffbecbf71cb3cb29f8b0ed15",
   "a11y_occurrence_display_id": "A11Y-OCC-96099EC5B5AD",
   "url": "https://data.cms.gov/resources/mcbs-summary-tables-glossary",
   "xpath": "<p class=\"usa-banner__header-text\">",
   "html_snippet": null,
   "wcag_sc": "1.4.8",
   "wcag_name": "Visual Presentation",
   "wcag_level": "AAA",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.x AAA",
   "evidence_status": "automated-indicator",
   "rule_id": "sia-r73",
   "rule_label": "Text has minimum contrast ratio of 4.5:1",
   "engine_key": "alfa",
   "tool": "Siteimprove Alfa",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r73",
   "severity": "Moderate",
   "frequency": {
    "instances": 40067,
    "pages_affected": 1077,
    "total_pages_scanned": 2500
   },
   "likely_source": "template",
   "summary": "Text has minimum contrast ratio of 4.5:1 (WCAG 1.4.8)",
   "description": "Text has minimum contrast ratio of 4.5:1. Detected by Siteimprove Alfa rule sia-r73 on 1077 of 2500 scanned pages (40067 instances).",
   "examples": [
    {
     "url": "https://data.cms.gov/resources/mcbs-summary-tables-glossary",
     "xpath": "<p class=\"usa-banner__header-text\">",
     "html_snippet": null
    },
    {
     "url": "https://data.cms.gov/resources/mcbs-summary-tables-glossary",
     "xpath": "<p class=\"typeface-Small-Text-LightGray\">",
     "html_snippet": null
    },
    {
     "url": "https://data.cms.gov/resources/mcbs-summary-tables-glossary",
     "xpath": "<p class=\"typeface-Body-16pt-White-L-List\">",
     "html_snippet": null
    },
    {
     "url": "https://data.cms.gov/medicare-current-beneficiary-survey-mcbs/income-and-asset-ownership/data",
     "xpath": "<p class=\"usa-banner__header-text\">",
     "html_snippet": null
    },
    {
     "url": "https://data.cms.gov/medicare-current-beneficiary-survey-mcbs/income-and-asset-ownership/data",
     "xpath": "<p class=\"typeface-Rubik-Regular InputPagination__text-label\">",
     "html_snippet": null
    }
   ],
   "example_pages": [
    "https://data.cms.gov/resources/mcbs-summary-tables-glossary",
    "https://data.cms.gov/medicare-current-beneficiary-survey-mcbs/income-and-asset-ownership/data",
    "https://data.cms.gov/provider-data/dataset/ijh5-nb2v?page=2352"
   ],
   "affected_pages": [
    "https://data.cms.gov/resources/mcbs-summary-tables-glossary",
    "https://data.cms.gov/medicare-current-beneficiary-survey-mcbs/income-and-asset-ownership/data",
    "https://data.cms.gov/provider-data/dataset/ijh5-nb2v?page=2352",
    "https://data.cms.gov/provider-data/datasets?theme%5B0%5D=Physician+office+visit+costs",
    "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments/api-docs",
    "https://data.cms.gov/provider-data/datasets?keyword%5B%5D=Promoting+Interoperability",
    "https://data.cms.gov/resources/public-reporting-of-missing-digital-contact-information-data-dictionary",
    "https://data.cms.gov/summary-statistics-on-use-and-payments/medicare-medicaid-service-type-reports/medicare-telehealth-trends/api-docs",
    "https://data.cms.gov/quality-of-care/long-term-care-facility-characteristics",
    "https://data.cms.gov/resources/number-of-accountable-care-organization-assigned-beneficiaries-by-county-data-dictionary-2023",
    "https://data.cms.gov/provider-summary-by-type-of-service/medicare-inpatient-hospitals/medicare-inpatient-hospitals-by-provider",
    "https://data.cms.gov/provider-summary-by-type-of-service/medicare-outpatient-hospitals/medicare-outpatient-hospitals-by-geography-and-service/data/2020",
    "https://data.cms.gov/cms-innovation-center-programs/cms-innovation-models-overview/innovation-center-model-summary-information",
    "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system/data/q1-2025",
    "https://data.cms.gov/provider-characteristics/medicare-provider-supplier-enrollment/opt-out-affidavits",
    "https://data.cms.gov/provider-data/dataset/0b1a-da3f?page=5",
    "https://data.cms.gov/resources/value-modifier-data-dictionary",
    "https://data.cms.gov/tools/medicare-part-d-prescriber-look-up-tool",
    "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/federally-qualified-health-center-all-owners",
    "https://data.cms.gov/resources/aco-reach-financial-and-quality-results-data-dictionary",
    "https://data.cms.gov/resources/minimum-data-set-frequency-methodology",
    "https://data.cms.gov/provider-data/dataset/dgck-syfz?page=3",
    "https://data.cms.gov/provider-data/dataset/4jcv-atw7?page=5",
    "https://data.cms.gov/resources/county-level-aggregate-expenditure-and-risk-score-data-on-assignable-beneficiaries-methodology-2021-2023",
    "https://data.cms.gov/summary-statistics-on-beneficiary-enrollment"
   ],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   },
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://data.cms.gov/resources/mcbs-summary-tables-glossary.",
    "Locate the element: <p class=\"usa-banner__header-text\">",
    "Confirm the Siteimprove Alfa finding for rule sia-r73 against WCAG 1.4.8 Visual Presentation."
   ],
   "remediation_tip": null,
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r73",
   "obligation": "aspirational",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W24",
   "last_seen": "2026-W24",
   "weeks_seen": 1,
   "affected_pages_csv": "csv/alfa__sia-r73.csv"
  },
  {
   "instance_id": "VS-422376a0",
   "pattern_id": "VS-fbf54eba",
   "a11y_pattern_fingerprint": "797aaefb05237a59b96ab277ea35570c5721aaea75fee1f6320cb1fd5137a9a5",
   "a11y_pattern_display_id": "A11Y-PAT-797AAEFB0523",
   "a11y_occurrence_fingerprint": "c5d9c78abe7d7e174d69e3e104a28a3c98199ab8423b415a45bc352c1b4fc80d",
   "a11y_occurrence_display_id": "A11Y-OCC-C5D9C78ABE7D",
   "url": "https://data.cms.gov/tools/medicare-part-d-prescriber-look-up-tool",
   "xpath": "<p class=\"latestDateAvailable\">",
   "html_snippet": null,
   "wcag_sc": "1.4.8",
   "wcag_name": "Visual Presentation",
   "wcag_level": "AAA",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.x AAA",
   "evidence_status": "automated-indicator",
   "rule_id": "sia-r74",
   "rule_label": "Link is distinguishable without relying on color",
   "engine_key": "alfa",
   "tool": "Siteimprove Alfa",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r74",
   "severity": "Moderate",
   "frequency": {
    "instances": 58,
    "pages_affected": 58,
    "total_pages_scanned": 2500
   },
   "likely_source": "template",
   "summary": "Link is distinguishable without relying on color (WCAG 1.4.8)",
   "description": "Link is distinguishable without relying on color. Detected by Siteimprove Alfa rule sia-r74 on 58 of 2500 scanned pages (58 instances).",
   "examples": [
    {
     "url": "https://data.cms.gov/tools/medicare-part-d-prescriber-look-up-tool",
     "xpath": "<p class=\"latestDateAvailable\">",
     "html_snippet": null
    },
    {
     "url": "https://data.cms.gov/summary-statistics-on-beneficiary-enrollment",
     "xpath": "<p class=\"typeface-body-16pt-black-l TopicHero__desc\">",
     "html_snippet": null
    },
    {
     "url": "https://data.cms.gov/tools/medicare-part-d-drug-spending-dashboard",
     "xpath": "<p class=\"latestDateAvailable\">",
     "html_snippet": null
    },
    {
     "url": "https://data.cms.gov/tools/provider-opt-out-affidavits-look-up-tool",
     "xpath": "<p class=\"latestDateAvailable\">",
     "html_snippet": null
    },
    {
     "url": "https://data.cms.gov/tools/medicaid-managed-care-dashboard",
     "xpath": "<p class=\"latestDateAvailable\">",
     "html_snippet": null
    }
   ],
   "example_pages": [
    "https://data.cms.gov/tools/medicare-part-d-prescriber-look-up-tool",
    "https://data.cms.gov/summary-statistics-on-beneficiary-enrollment",
    "https://data.cms.gov/tools/medicare-part-d-drug-spending-dashboard"
   ],
   "affected_pages": [
    "https://data.cms.gov/tools/medicare-part-d-prescriber-look-up-tool",
    "https://data.cms.gov/summary-statistics-on-beneficiary-enrollment",
    "https://data.cms.gov/tools/medicare-part-d-drug-spending-dashboard",
    "https://data.cms.gov/tools/provider-opt-out-affidavits-look-up-tool",
    "https://data.cms.gov/tools/medicaid-managed-care-dashboard",
    "https://data.cms.gov/provider-summary-by-type-of-service/medicare-part-d-prescribers",
    "https://data.cms.gov/medicare-current-beneficiary-survey-mcbs",
    "https://data.cms.gov/provider-summary-by-type-of-service/medicare-post-acute-care-hospice",
    "https://data.cms.gov/provider-summary-by-type-of-service",
    "https://data.cms.gov/provider-characteristics",
    "https://data.cms.gov/tools/geographic-variation-in-standardized-medicare-spending-state",
    "https://data.cms.gov/summary-statistics-on-use-and-payments",
    "https://data.cms.gov/quality-of-care",
    "https://data.cms.gov/summary-statistics-on-beneficiary-enrollment/medicare-and-medicaid-reports",
    "https://data.cms.gov/summary-statistics-on-use-and-payments/medicare-medicaid-opioid-prescribing-rates",
    "https://data.cms.gov/summary-statistics-on-use-and-payments/medicare-medicaid-spending-by-drug",
    "https://data.cms.gov/tools/market-saturation-utilization-state-county-mapping-tool",
    "https://data.cms.gov/cms-innovation-center-programs/end-stage-renal-disease-treatment-choices-model",
    "https://data.cms.gov/provider-compliance/fee-for-service-error-rate-improper-payment",
    "https://data.cms.gov/cms-innovation-center-programs/alternative-payments-medicare-diabetes-prevention-program",
    "https://data.cms.gov/tools/mapping-medicare-disparities-by-population",
    "https://data.cms.gov/summary-statistics-on-use-and-payments/medicare-premium-reports",
    "https://data.cms.gov/provider-characteristics/medicare-provider-supplier-enrollment",
    "https://data.cms.gov/cms-innovation-center-programs/alternative-payments-comprehensive-primary-care-initiative-participating-primary-care-practices",
    "https://data.cms.gov/summary-statistics-on-use-and-payments/program-integrity-market-saturation-by-type-of-service"
   ],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   },
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://data.cms.gov/tools/medicare-part-d-prescriber-look-up-tool.",
    "Locate the element: <p class=\"latestDateAvailable\">",
    "Confirm the Siteimprove Alfa finding for rule sia-r74 against WCAG 1.4.8 Visual Presentation."
   ],
   "remediation_tip": null,
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r74",
   "obligation": "aspirational",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W24",
   "last_seen": "2026-W24",
   "weeks_seen": 1,
   "affected_pages_csv": "csv/alfa__sia-r74.csv"
  },
  {
   "instance_id": "VS-1ae5e01e",
   "pattern_id": "VS-cb53cc4d",
   "a11y_pattern_fingerprint": "279182a56a5c8824f11dfba3ab0c1d78336d70bf8ad3bd7dbccebcf3f71098f4",
   "a11y_pattern_display_id": "A11Y-PAT-279182A56A5C",
   "a11y_occurrence_fingerprint": "e0a4e95f1b70447dcc660513aff2f12f97a324eec6c99bc402457605af36e2ab",
   "a11y_occurrence_display_id": "A11Y-OCC-E0A4E95F1B70",
   "url": "https://data.cms.gov/resources/mcbs-summary-tables-glossary",
   "xpath": "<a href=\"/search\" title=\"\">",
   "html_snippet": null,
   "wcag_sc": "2.5.5",
   "wcag_name": "Target Size (Enhanced)",
   "wcag_level": "AAA",
   "wcag_version": "2.1",
   "wcag_category": "WCAG 2.x AAA",
   "evidence_status": "automated-indicator",
   "rule_id": "sia-r111",
   "rule_label": "Target size is at least 44×44 CSS pixels (Enhanced)",
   "engine_key": "alfa",
   "tool": "Siteimprove Alfa",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r111",
   "severity": "Moderate",
   "frequency": {
    "instances": 24739,
    "pages_affected": 1077,
    "total_pages_scanned": 2500
   },
   "likely_source": "template",
   "summary": "Target size is at least 44×44 CSS pixels (Enhanced) (WCAG 2.5.5)",
   "description": "Target size is at least 44×44 CSS pixels (Enhanced). Detected by Siteimprove Alfa rule sia-r111 on 1077 of 2500 scanned pages (24739 instances).",
   "examples": [
    {
     "url": "https://data.cms.gov/resources/mcbs-summary-tables-glossary",
     "xpath": "<a href=\"/search\" title=\"\">",
     "html_snippet": null
    },
    {
     "url": "https://data.cms.gov/resources/mcbs-summary-tables-glossary",
     "xpath": "<a href=\"/tools\" title=\"\">",
     "html_snippet": null
    },
    {
     "url": "https://data.cms.gov/resources/mcbs-summary-tables-glossary",
     "xpath": "<a href=\"/browse-data-categories\" title=\"\">",
     "html_snippet": null
    },
    {
     "url": "https://data.cms.gov/medicare-current-beneficiary-survey-mcbs/income-and-asset-ownership/data",
     "xpath": "<a href=\"/search\" title=\"\">",
     "html_snippet": null
    },
    {
     "url": "https://data.cms.gov/medicare-current-beneficiary-survey-mcbs/income-and-asset-ownership/data",
     "xpath": "<a href=\"/tools\" title=\"\">",
     "html_snippet": null
    }
   ],
   "example_pages": [
    "https://data.cms.gov/resources/mcbs-summary-tables-glossary",
    "https://data.cms.gov/medicare-current-beneficiary-survey-mcbs/income-and-asset-ownership/data",
    "https://data.cms.gov/provider-data/dataset/ijh5-nb2v?page=2352"
   ],
   "affected_pages": [
    "https://data.cms.gov/resources/mcbs-summary-tables-glossary",
    "https://data.cms.gov/medicare-current-beneficiary-survey-mcbs/income-and-asset-ownership/data",
    "https://data.cms.gov/provider-data/dataset/ijh5-nb2v?page=2352",
    "https://data.cms.gov/provider-data/datasets?theme%5B0%5D=Physician+office+visit+costs",
    "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments/api-docs",
    "https://data.cms.gov/provider-data/datasets?keyword%5B%5D=Promoting+Interoperability",
    "https://data.cms.gov/resources/public-reporting-of-missing-digital-contact-information-data-dictionary",
    "https://data.cms.gov/summary-statistics-on-use-and-payments/medicare-medicaid-service-type-reports/medicare-telehealth-trends/api-docs",
    "https://data.cms.gov/quality-of-care/long-term-care-facility-characteristics",
    "https://data.cms.gov/resources/number-of-accountable-care-organization-assigned-beneficiaries-by-county-data-dictionary-2023",
    "https://data.cms.gov/provider-summary-by-type-of-service/medicare-inpatient-hospitals/medicare-inpatient-hospitals-by-provider",
    "https://data.cms.gov/provider-summary-by-type-of-service/medicare-outpatient-hospitals/medicare-outpatient-hospitals-by-geography-and-service/data/2020",
    "https://data.cms.gov/cms-innovation-center-programs/cms-innovation-models-overview/innovation-center-model-summary-information",
    "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system/data/q1-2025",
    "https://data.cms.gov/provider-characteristics/medicare-provider-supplier-enrollment/opt-out-affidavits",
    "https://data.cms.gov/provider-data/dataset/0b1a-da3f?page=5",
    "https://data.cms.gov/resources/value-modifier-data-dictionary",
    "https://data.cms.gov/tools/medicare-part-d-prescriber-look-up-tool",
    "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/federally-qualified-health-center-all-owners",
    "https://data.cms.gov/resources/aco-reach-financial-and-quality-results-data-dictionary",
    "https://data.cms.gov/resources/minimum-data-set-frequency-methodology",
    "https://data.cms.gov/provider-data/dataset/dgck-syfz?page=3",
    "https://data.cms.gov/provider-data/dataset/4jcv-atw7?page=5",
    "https://data.cms.gov/resources/county-level-aggregate-expenditure-and-risk-score-data-on-assignable-beneficiaries-methodology-2021-2023",
    "https://data.cms.gov/summary-statistics-on-beneficiary-enrollment"
   ],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   },
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://data.cms.gov/resources/mcbs-summary-tables-glossary.",
    "Locate the element: <a href=\"/search\" title=\"\">",
    "Confirm the Siteimprove Alfa finding for rule sia-r111 against WCAG 2.5.5 Target Size (Enhanced)."
   ],
   "remediation_tip": null,
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r111",
   "obligation": "aspirational",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W24",
   "last_seen": "2026-W24",
   "weeks_seen": 1,
   "affected_pages_csv": "csv/alfa__sia-r111.csv"
  },
  {
   "instance_id": "VS-37c9e032",
   "pattern_id": "VS-30db094d",
   "a11y_pattern_fingerprint": "4e9103ab31e7f54546010da9e2c68134b763b88b01fd802476782363ac7a507c",
   "a11y_pattern_display_id": "A11Y-PAT-4E9103AB31E7",
   "a11y_occurrence_fingerprint": "b4274720601d42ba0b812c284902a22471d250afdc863f9c08ec40173e7f19ac",
   "a11y_occurrence_display_id": "A11Y-OCC-B4274720601D",
   "url": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospice-all-owners/data/q4-2025",
   "xpath": ".Header",
   "html_snippet": "<header class=\"Header\" style=\"position: sticky;\">",
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Best Practice",
   "evidence_status": "automated-indicator",
   "rule_id": "landmark-banner-is-top-level",
   "rule_label": "Banner landmark should not be contained in another landmark",
   "engine_key": "axe-core",
   "tool": "axe-core",
   "rule_url": "https://dequeuniversity.com/rules/axe/4.12/landmark-banner-is-top-level?application=axeAPI",
   "severity": "Serious",
   "frequency": {
    "instances": 1264,
    "pages_affected": 1264,
    "total_pages_scanned": 2500
   },
   "likely_source": "template",
   "summary": "Banner landmark should not be contained in another landmark (WCAG criterion undetermined)",
   "description": "Banner landmark should not be contained in another landmark. Detected by axe-core rule landmark-banner-is-top-level on 1264 of 2500 scanned pages (1264 instances).",
   "examples": [
    {
     "url": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospice-all-owners/data/q4-2025",
     "xpath": ".Header",
     "html_snippet": "<header class=\"Header\" style=\"position: sticky;\">"
    },
    {
     "url": "https://data.cms.gov/resources/mcbs-summary-tables-glossary",
     "xpath": ".Header",
     "html_snippet": "<header class=\"Header\" style=\"position: sticky;\">"
    },
    {
     "url": "https://data.cms.gov/medicare-current-beneficiary-survey-mcbs/income-and-asset-ownership/data",
     "xpath": ".Header",
     "html_snippet": "<header class=\"Header\" style=\"position: sticky;\">"
    },
    {
     "url": "https://data.cms.gov/provider-summary-by-type-of-service/medicare-physician-other-practitioners/medicare-physician-other-practitioners-by-provider/api-docs",
     "xpath": ".Header",
     "html_snippet": "<header class=\"Header\" style=\"position: sticky;\">"
    },
    {
     "url": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/skilled-nursing-facility-change-of-ownership/data/q4-2024",
     "xpath": ".Header",
     "html_snippet": "<header class=\"Header\" style=\"position: sticky;\">"
    }
   ],
   "example_pages": [
    "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospice-all-owners/data/q4-2025",
    "https://data.cms.gov/resources/mcbs-summary-tables-glossary",
    "https://data.cms.gov/medicare-current-beneficiary-survey-mcbs/income-and-asset-ownership/data"
   ],
   "affected_pages": [
    "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospice-all-owners/data/q4-2025",
    "https://data.cms.gov/resources/mcbs-summary-tables-glossary",
    "https://data.cms.gov/medicare-current-beneficiary-survey-mcbs/income-and-asset-ownership/data",
    "https://data.cms.gov/provider-summary-by-type-of-service/medicare-physician-other-practitioners/medicare-physician-other-practitioners-by-provider/api-docs",
    "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/skilled-nursing-facility-change-of-ownership/data/q4-2024",
    "https://data.cms.gov/summary-statistics-on-use-and-payments/medicare-medicaid-spending-by-drug/medicare-quarterly-part-d-spending-by-drug/data",
    "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments/api-docs",
    "https://data.cms.gov/cms-innovation-center-programs/disease-episode-based-payment-models/ambulatory-specialty-model-participants/data",
    "https://data.cms.gov/resources/public-reporting-of-missing-digital-contact-information-data-dictionary",
    "https://data.cms.gov/summary-statistics-on-use-and-payments/medicare-medicaid-service-type-reports/medicare-telehealth-trends/api-docs",
    "https://data.cms.gov/quality-of-care/long-term-care-facility-characteristics",
    "https://data.cms.gov/provider-summary-by-type-of-service/medicare-outpatient-hospitals/medicare-outpatient-hospitals-by-provider-and-service/api-docs",
    "https://data.cms.gov/resources/number-of-accountable-care-organization-assigned-beneficiaries-by-county-data-dictionary-2023",
    "https://data.cms.gov/provider-summary-by-type-of-service/medicare-inpatient-hospitals/medicare-inpatient-hospitals-by-provider",
    "https://data.cms.gov/provider-summary-by-type-of-service/medicare-outpatient-hospitals/medicare-outpatient-hospitals-by-geography-and-service/data/2020",
    "https://data.cms.gov/provider-summary-by-type-of-service/provider-service-classifications/restructured-betos-classification-system/data",
    "https://data.cms.gov/cms-innovation-center-programs/cms-innovation-models-overview/innovation-center-model-summary-information",
    "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments/data",
    "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/federally-qualified-health-center-all-owners/data/q1-2025",
    "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system/data/q1-2025",
    "https://data.cms.gov/provider-characteristics/medicare-provider-supplier-enrollment/opt-out-affidavits",
    "https://data.cms.gov/summary-statistics-on-use-and-payments/medicare-medicaid-spending-by-drug/medicare-part-b-spending-by-drug/data",
    "https://data.cms.gov/medicare-shared-savings-program/county-level-aggregate-expenditure-and-risk-score-data-on-assignable-beneficiaries/data/2023",
    "https://data.cms.gov/resources/value-modifier-data-dictionary",
    "https://data.cms.gov/tools/medicare-part-d-prescriber-look-up-tool"
   ],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   },
   "testing_environment": "Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospice-all-owners/data/q4-2025.",
    "Locate the element: .Header",
    "Confirm the axe-core finding for rule landmark-banner-is-top-level."
   ],
   "remediation_tip": "Put the banner landmark (<header>) at the top level, not nested inside another landmark.",
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/landmark-banner-is-top-level?application=axeAPI",
   "obligation": "advisory",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W24",
   "last_seen": "2026-W24",
   "weeks_seen": 1,
   "affected_pages_csv": "csv/axe-core__landmark-banner-is-top-level.csv"
  },
  {
   "instance_id": "VS-a78ba437",
   "pattern_id": "VS-33841929",
   "a11y_pattern_fingerprint": "ba17503a5a99da4f167d90cc6cb45fe506de5a75b0a9486d70de886aa65a2d17",
   "a11y_pattern_display_id": "A11Y-PAT-BA17503A5A99",
   "a11y_occurrence_fingerprint": "79f96d55cd6c05a4eb642d38699bbb278f3f925f34ababdcb520415262b634c9",
   "a11y_occurrence_display_id": "A11Y-OCC-79F96D55CD6C",
   "url": "https://data.cms.gov/tools/medicare-part-d-prescriber-look-up-tool",
   "xpath": "#react-select-2-input",
   "html_snippet": "<input class=\"InteractiveToolsSear...\" autocapitalize=\"none\" autocomplete=\"off\" autocorrect=\"off\" id=\"react-select-2-input\" spellcheck=\"false\" tabindex=\"0\" type=\"text\" aria-autocomplete=\"list\" aria-ex",
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Best Practice",
   "evidence_status": "automated-indicator",
   "rule_id": "label-title-only",
   "rule_label": "Form elements should have a visible label",
   "engine_key": "axe-core",
   "tool": "axe-core",
   "rule_url": "https://dequeuniversity.com/rules/axe/4.12/label-title-only?application=axeAPI",
   "severity": "Serious",
   "frequency": {
    "instances": 11,
    "pages_affected": 7,
    "total_pages_scanned": 2500
   },
   "likely_source": "unknown",
   "summary": "Form elements should have a visible label (WCAG criterion undetermined)",
   "description": "Form elements should have a visible label. Detected by axe-core rule label-title-only on 7 of 2500 scanned pages (11 instances).",
   "examples": [
    {
     "url": "https://data.cms.gov/tools/medicare-part-d-prescriber-look-up-tool",
     "xpath": "#react-select-2-input",
     "html_snippet": "<input class=\"InteractiveToolsSear...\" autocapitalize=\"none\" autocomplete=\"off\" autocorrect=\"off\" id=\"react-select-2-input\" spellcheck=\"false\" tabindex=\"0\" type=\"text\" aria-autocomplete=\"list\" aria-ex"
    },
    {
     "url": "https://data.cms.gov/tools/provider-opt-out-affidavits-look-up-tool",
     "xpath": "#react-select-2-input",
     "html_snippet": "<input class=\"InteractiveToolsSear...\" autocapitalize=\"none\" autocomplete=\"off\" autocorrect=\"off\" id=\"react-select-2-input\" spellcheck=\"false\" tabindex=\"0\" type=\"text\" aria-autocomplete=\"list\" aria-ex"
    },
    {
     "url": "https://data.cms.gov/tools/market-saturation-utilization-state-county-mapping-tool",
     "xpath": "#react-select-2-input",
     "html_snippet": "<input class=\"InteractiveToolsSear...\" autocapitalize=\"none\" autocomplete=\"off\" autocorrect=\"off\" id=\"react-select-2-input\" spellcheck=\"false\" tabindex=\"0\" type=\"text\" aria-autocomplete=\"list\" aria-ex"
    },
    {
     "url": "https://data.cms.gov/tools/market-saturation-utilization-state-county-mapping-tool",
     "xpath": "#react-select-3-input",
     "html_snippet": "<input class=\"InteractiveToolsSear...\" autocapitalize=\"none\" autocomplete=\"off\" autocorrect=\"off\" id=\"react-select-3-input\" spellcheck=\"false\" tabindex=\"0\" type=\"text\" aria-autocomplete=\"list\" aria-ex"
    },
    {
     "url": "https://data.cms.gov/tools/market-saturation-utilization-state-county-mapping-tool",
     "xpath": "#react-select-4-input",
     "html_snippet": "<input class=\"InteractiveToolsSear...\" autocapitalize=\"none\" autocomplete=\"off\" autocorrect=\"off\" id=\"react-select-4-input\" spellcheck=\"false\" tabindex=\"0\" type=\"text\" aria-autocomplete=\"list\" aria-ex"
    }
   ],
   "example_pages": [
    "https://data.cms.gov/tools/medicare-part-d-prescriber-look-up-tool",
    "https://data.cms.gov/tools/provider-opt-out-affidavits-look-up-tool",
    "https://data.cms.gov/tools/market-saturation-utilization-state-county-mapping-tool"
   ],
   "affected_pages": [
    "https://data.cms.gov/tools/medicare-part-d-prescriber-look-up-tool",
    "https://data.cms.gov/tools/provider-opt-out-affidavits-look-up-tool",
    "https://data.cms.gov/tools/market-saturation-utilization-state-county-mapping-tool",
    "https://data.cms.gov/tools/medicare-revalidation-list",
    "https://data.cms.gov/tools/medicare-inpatient-hospital-look-up-tool",
    "https://data.cms.gov/tools/medicare-physician-other-practitioner-look-up-tool",
    "https://data.cms.gov/tools/market-saturation-utilization-core-based-statistical-areas-mapping-tool"
   ],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   },
   "testing_environment": "Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://data.cms.gov/tools/medicare-part-d-prescriber-look-up-tool.",
    "Locate the element: #react-select-2-input",
    "Confirm the axe-core finding for rule label-title-only."
   ],
   "remediation_tip": null,
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/label-title-only?application=axeAPI",
   "obligation": "advisory",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W24",
   "last_seen": "2026-W24",
   "weeks_seen": 1,
   "affected_pages_csv": "csv/axe-core__label-title-only.csv"
  },
  {
   "instance_id": "VS-32eef4c9",
   "pattern_id": "VS-d25f622d",
   "a11y_pattern_fingerprint": "c3eea2c0c50df5d53da91cfebaf1fdca28194b88a87e8469d6e0fe4e26d7c51e",
   "a11y_pattern_display_id": "A11Y-PAT-C3EEA2C0C50D",
   "a11y_occurrence_fingerprint": "dd7277c5cd0cb9e5f53d330ed389dcf79266bbe5303a7bb978a570710285d77d",
   "a11y_occurrence_display_id": "A11Y-OCC-DD7277C5CD0C",
   "url": "https://data.cms.gov/provider-summary-by-type-of-service/medicare-physician-other-practitioners/medicare-physician-other-practitioners-by-provider/api-docs",
   "xpath": ".apiDocsContainer.container:nth-child(1) > .row > .col > h3",
   "html_snippet": "<h3>Dataset Information</h3>",
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Best Practice",
   "evidence_status": "automated-indicator",
   "rule_id": "heading-order",
   "rule_label": "Heading levels should only increase by one",
   "engine_key": "axe-core",
   "tool": "axe-core",
   "rule_url": "https://dequeuniversity.com/rules/axe/4.12/heading-order?application=axeAPI",
   "severity": "Moderate",
   "frequency": {
    "instances": 363,
    "pages_affected": 297,
    "total_pages_scanned": 2500
   },
   "likely_source": "template",
   "summary": "Heading levels should only increase by one (WCAG criterion undetermined)",
   "description": "Heading levels should only increase by one. Detected by axe-core rule heading-order on 297 of 2500 scanned pages (363 instances).",
   "examples": [
    {
     "url": "https://data.cms.gov/provider-summary-by-type-of-service/medicare-physician-other-practitioners/medicare-physician-other-practitioners-by-provider/api-docs",
     "xpath": ".apiDocsContainer.container:nth-child(1) > .row > .col > h3",
     "html_snippet": "<h3>Dataset Information</h3>"
    },
    {
     "url": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments/api-docs",
     "xpath": ".apiDocsContainer.container:nth-child(1) > .row > .col > h3",
     "html_snippet": "<h3>Dataset Information</h3>"
    },
    {
     "url": "https://data.cms.gov/summary-statistics-on-use-and-payments/medicare-medicaid-service-type-reports/medicare-telehealth-trends/api-docs",
     "xpath": ".apiDocsContainer.container:nth-child(1) > .row > .col > h3",
     "html_snippet": "<h3>Dataset Information</h3>"
    },
    {
     "url": "https://data.cms.gov/provider-summary-by-type-of-service/medicare-outpatient-hospitals/medicare-outpatient-hospitals-by-provider-and-service/api-docs",
     "xpath": ".apiDocsContainer.container:nth-child(1) > .row > .col > h3",
     "html_snippet": "<h3>Dataset Information</h3>"
    },
    {
     "url": "https://data.cms.gov/summary-statistics-on-beneficiary-enrollment",
     "xpath": "div[aria-label=\"Open COVID-19\"] > h5",
     "html_snippet": "<h5 class=\"typeface-05-h5-desktop-regular-white MoreTopicCarouselCard__count\">1 Datasets</h5>"
    }
   ],
   "example_pages": [
    "https://data.cms.gov/provider-summary-by-type-of-service/medicare-physician-other-practitioners/medicare-physician-other-practitioners-by-provider/api-docs",
    "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments/api-docs",
    "https://data.cms.gov/summary-statistics-on-use-and-payments/medicare-medicaid-service-type-reports/medicare-telehealth-trends/api-docs"
   ],
   "affected_pages": [
    "https://data.cms.gov/provider-summary-by-type-of-service/medicare-physician-other-practitioners/medicare-physician-other-practitioners-by-provider/api-docs",
    "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments/api-docs",
    "https://data.cms.gov/summary-statistics-on-use-and-payments/medicare-medicaid-service-type-reports/medicare-telehealth-trends/api-docs",
    "https://data.cms.gov/provider-summary-by-type-of-service/medicare-outpatient-hospitals/medicare-outpatient-hospitals-by-provider-and-service/api-docs",
    "https://data.cms.gov/summary-statistics-on-beneficiary-enrollment",
    "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/skilled-nursing-facility-change-of-ownership/api-docs",
    "https://data.cms.gov/cms-innovation-center-programs/accountable-care-models/aco-reach-providers/api-docs",
    "https://data.cms.gov/datasets?keyword%5B0%5D=Average&page=2",
    "https://data.cms.gov/cms-innovation-center-programs/accountable-care-models/next-generation-accountable-care-organization-model-data/api-docs",
    "https://data.cms.gov/resources/medicare-service-type-reports-methodology",
    "https://data.cms.gov/datasets?page=8&theme%5B0%5D=Hospitals",
    "https://data.cms.gov/provider-summary-by-type-of-service/medicare-post-acute-care-hospice/medicare-post-acute-care-utilization-hospice-by-geography-and-provider/api-docs",
    "https://data.cms.gov/provider-summary-by-type-of-service/medicare-durable-medical-equipment-devices-supplies/medicare-durable-medical-equipment-devices-supplies-by-supplier/api-docs",
    "https://data.cms.gov/summary-statistics-on-use-and-payments/physiciansupplier-procedure-summary/api-docs",
    "https://data.cms.gov/resources/2018-value-modifier-performance-year-2016-methodology",
    "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/medicare-clinical-laboratory-fee-schedule-private-payer-rates-and-volumes/api-docs",
    "https://data.cms.gov/resources/nursing-home-affiliated-entity-performance-measures-methodology",
    "https://data.cms.gov/datasets?page=3&theme%5B0%5D=Dialysis+facilities",
    "https://data.cms.gov/provider-summary-by-type-of-service/medicare-part-d-prescribers/medicare-part-d-prescribers-by-provider-and-drug/api-docs",
    "https://data.cms.gov/resources/next-generation-aco-model-data-methodology",
    "https://data.cms.gov/provider-summary-by-type-of-service/medicare-part-d-prescribers/medicare-part-d-prescribers-by-geography-and-drug/api-docs",
    "https://data.cms.gov/datasets?keyword%5B0%5D=Quality&page=3",
    "https://data.cms.gov/resources/fee-for-service-public-provider-enrollment-methodology-q1-2023-q2-2025",
    "https://data.cms.gov/provider-data/topics/dialysis-facilities/measures",
    "https://data.cms.gov/datasets?page=3"
   ],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   },
   "testing_environment": "Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://data.cms.gov/provider-summary-by-type-of-service/medicare-physician-other-practitioners/medicare-physician-other-practitioners-by-provider/api-docs.",
    "Locate the element: .apiDocsContainer.container:nth-child(1) > .row > .col > h3",
    "Confirm the axe-core finding for rule heading-order."
   ],
   "remediation_tip": "Use heading levels in order (h1 → h2 → h3) without skipping; structure, not size.",
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/heading-order?application=axeAPI",
   "obligation": "advisory",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W24",
   "last_seen": "2026-W24",
   "weeks_seen": 1,
   "affected_pages_csv": "csv/axe-core__heading-order.csv"
  },
  {
   "instance_id": "VS-cb448647",
   "pattern_id": "VS-8806389c",
   "a11y_pattern_fingerprint": "2aadf52bdf317c042fca6f68bf79967188d193d565936b28aed70cebc1c2a946",
   "a11y_pattern_display_id": "A11Y-PAT-2AADF52BDF31",
   "a11y_occurrence_fingerprint": "6585e5031f39fae32db183c2bc597b84dc8185df351951c8c65b66311b583e66",
   "a11y_occurrence_display_id": "A11Y-OCC-6585E5031F39",
   "url": "https://data.cms.gov/tools/medicare-part-d-drug-spending-dashboard",
   "xpath": ".desktop",
   "html_snippet": "<nav aria-label=\"breadcrumb\" class=\"DatasetHero__breadcrumb desktop\">",
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Best Practice",
   "evidence_status": "automated-indicator",
   "rule_id": "landmark-unique",
   "rule_label": "Landmarks should have a unique role or role/label/title (i.e. accessible name) c",
   "engine_key": "axe-core",
   "tool": "axe-core",
   "rule_url": "https://dequeuniversity.com/rules/axe/4.12/landmark-unique?application=axeAPI",
   "severity": "Moderate",
   "frequency": {
    "instances": 18,
    "pages_affected": 18,
    "total_pages_scanned": 2500
   },
   "likely_source": "template",
   "summary": "Landmarks should have a unique role or role/label/title (i.e. accessible name) c (WCAG criterion undetermined)",
   "description": "Landmarks should have a unique role or role/label/title (i.e. accessible name) c. Detected by axe-core rule landmark-unique on 18 of 2500 scanned pages (18 instances).",
   "examples": [
    {
     "url": "https://data.cms.gov/tools/medicare-part-d-drug-spending-dashboard",
     "xpath": ".desktop",
     "html_snippet": "<nav aria-label=\"breadcrumb\" class=\"DatasetHero__breadcrumb desktop\">"
    },
    {
     "url": "https://data.cms.gov/tools/provider-opt-out-affidavits-look-up-tool",
     "xpath": ".desktop",
     "html_snippet": "<nav aria-label=\"breadcrumb\" class=\"DatasetHero__breadcrumb desktop\">"
    },
    {
     "url": "https://data.cms.gov/tools/medicaid-managed-care-dashboard",
     "xpath": ".desktop",
     "html_snippet": "<nav aria-label=\"breadcrumb\" class=\"DatasetHero__breadcrumb desktop\">"
    },
    {
     "url": "https://data.cms.gov/tools/geographic-variation-in-standardized-medicare-spending-state",
     "xpath": ".desktop",
     "html_snippet": "<nav aria-label=\"breadcrumb\" class=\"DatasetHero__breadcrumb desktop\">"
    },
    {
     "url": "https://data.cms.gov/summary-statistics-on-use-and-payments/medicare-medicaid-spending-by-drug/medicare-quarterly-part-d-spending-by-drug",
     "xpath": ".ChartScrollableWrapper > .simplebar-wrapper > .simplebar-mask > .simplebar-offset > .simplebar-content-wrapper[role=\"region\"][aria-label=\"scrollable content\"]",
     "html_snippet": "<div class=\"simplebar-content-wrapper\" tabindex=\"0\" role=\"region\" aria-label=\"scrollable content\" style=\"height: auto; overflow: hidden;\">"
    }
   ],
   "example_pages": [
    "https://data.cms.gov/tools/medicare-part-d-drug-spending-dashboard",
    "https://data.cms.gov/tools/provider-opt-out-affidavits-look-up-tool",
    "https://data.cms.gov/tools/medicaid-managed-care-dashboard"
   ],
   "affected_pages": [
    "https://data.cms.gov/tools/medicare-part-d-drug-spending-dashboard",
    "https://data.cms.gov/tools/provider-opt-out-affidavits-look-up-tool",
    "https://data.cms.gov/tools/medicaid-managed-care-dashboard",
    "https://data.cms.gov/tools/geographic-variation-in-standardized-medicare-spending-state",
    "https://data.cms.gov/summary-statistics-on-use-and-payments/medicare-medicaid-spending-by-drug/medicare-quarterly-part-d-spending-by-drug",
    "https://data.cms.gov/tools/market-saturation-utilization-state-county-mapping-tool",
    "https://data.cms.gov/tools/mapping-medicare-disparities-by-population",
    "https://data.cms.gov/tools/geographic-variation-in-standardized-medicare-spending-county",
    "https://data.cms.gov/tools/medicare-revalidation-list",
    "https://data.cms.gov/tools/mapping-disparities-by-social-determinants-of-health",
    "https://data.cms.gov/summary-statistics-on-use-and-payments/medicare-medicaid-spending-by-drug/medicare-quarterly-part-b-spending-by-drug",
    "https://data.cms.gov/tools/mapping-medicare-disparities-by-hospital",
    "https://data.cms.gov/tools/medicare-inpatient-hospital-look-up-tool",
    "https://data.cms.gov/tools/medicare-enrollment-dashboard",
    "https://data.cms.gov/tools/medicare-physician-other-practitioner-look-up-tool",
    "https://data.cms.gov/tools/market-saturation-utilization-core-based-statistical-areas-mapping-tool",
    "https://data.cms.gov/tools/medicaid-drug-spending-dashboard",
    "https://data.cms.gov/tools/medicare-part-b-drug-spending-dashboard"
   ],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   },
   "testing_environment": "Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://data.cms.gov/tools/medicare-part-d-drug-spending-dashboard.",
    "Locate the element: .desktop",
    "Confirm the axe-core finding for rule landmark-unique."
   ],
   "remediation_tip": "When a landmark role/type repeats (e.g. two <nav>s), give each a distinct accessible name with aria-label or aria-labelledby (e.g. \"Primary\" and \"Footer\" navigation) so screen-reader users can tell them apart.",
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/landmark-unique?application=axeAPI",
   "obligation": "advisory",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W24",
   "last_seen": "2026-W24",
   "weeks_seen": 1,
   "affected_pages_csv": "csv/axe-core__landmark-unique.csv"
  },
  {
   "instance_id": "VS-fe723ad8",
   "pattern_id": "VS-d69fc059",
   "a11y_pattern_fingerprint": "a56d44f60d4aaff007a35737378c327c409a0102316be14a15c4bb50c4cd8869",
   "a11y_pattern_display_id": "A11Y-PAT-A56D44F60D4A",
   "a11y_occurrence_fingerprint": "3e08ea3a0bb16afb8463090176cd7ef06ff3c9fa614bd80c44ce7c69ce08e6f1",
   "a11y_occurrence_display_id": "A11Y-OCC-3E08EA3A0BB1",
   "url": "https://data.cms.gov/resources/2018-value-modifier-performance-year-2016-methodology",
   "xpath": ".ArticleSection__component-container:nth-child(5) > .DynamicTable > .container > .row > .offset-lg-3.col > .DynamicTable__inner > .DynamicTable__table-wrapper > table > thead > tr > th:nth-child(1)",
   "html_snippet": "<th class=\"CellRenderer__cell default-header\" style=\"width: 114px;\"><div id=\"RichTextField-90f53021-a09a-44a2-ad3b-519ee83d9afc\" class=\"RichTextField\"> </div></th>",
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Best Practice",
   "evidence_status": "automated-indicator",
   "rule_id": "empty-table-header",
   "rule_label": "Table header text should not be empty",
   "engine_key": "axe-core",
   "tool": "axe-core",
   "rule_url": "https://dequeuniversity.com/rules/axe/4.12/empty-table-header?application=axeAPI",
   "severity": "Minor",
   "frequency": {
    "instances": 9,
    "pages_affected": 4,
    "total_pages_scanned": 2500
   },
   "likely_source": "unknown",
   "summary": "Table header text should not be empty (WCAG criterion undetermined)",
   "description": "Table header text should not be empty. Detected by axe-core rule empty-table-header on 4 of 2500 scanned pages (9 instances).",
   "examples": [
    {
     "url": "https://data.cms.gov/resources/2018-value-modifier-performance-year-2016-methodology",
     "xpath": ".ArticleSection__component-container:nth-child(5) > .DynamicTable > .container > .row > .offset-lg-3.col > .DynamicTable__inner > .DynamicTable__table-wrapper > table > thead > tr > th:nth-child(1)",
     "html_snippet": "<th class=\"CellRenderer__cell default-header\" style=\"width: 114px;\"><div id=\"RichTextField-90f53021-a09a-44a2-ad3b-519ee83d9afc\" class=\"RichTextField\"> </div></th>"
    },
    {
     "url": "https://data.cms.gov/resources/2018-value-modifier-performance-year-2016-methodology",
     "xpath": ".ArticleSection__component-container:nth-child(7) > .DynamicTable > .container > .row > .offset-lg-3.col > .DynamicTable__inner > .DynamicTable__table-wrapper > table > thead > tr > th:nth-child(1)",
     "html_snippet": "<th class=\"CellRenderer__cell default-header\" style=\"width: 114px;\"><div id=\"RichTextField-f548a387-2a6f-42f6-bee9-1d5c324e7c44\" class=\"RichTextField\"> </div></th>"
    },
    {
     "url": "https://data.cms.gov/resources/2018-value-modifier-performance-year-2016-methodology",
     "xpath": ".ArticleSection__component-container:nth-child(8) > .DynamicTable > .container > .row > .offset-lg-3.col > .DynamicTable__inner > .DynamicTable__table-wrapper > table > thead > tr > th:nth-child(1)",
     "html_snippet": "<th class=\"CellRenderer__cell default-header\" style=\"width: 114px;\"><div id=\"RichTextField-6425f6fa-cd25-475f-9f03-c8247be0395d\" class=\"RichTextField\"> </div></th>"
    },
    {
     "url": "https://data.cms.gov/provider-data/topics/nursing-homes/quality-measures",
     "xpath": "#nb",
     "html_snippet": "<th id=\"nb\" scope=\"col\"><span>&nbsp;</span></th>"
    },
    {
     "url": "https://data.cms.gov/provider-data/topics/home-health-services/measuring-agency-performance",
     "xpath": "table[cellpadding=\"0\"] > thead > tr > th:nth-child(1)",
     "html_snippet": "<th><span>&nbsp;</span></th>"
    }
   ],
   "example_pages": [
    "https://data.cms.gov/resources/2018-value-modifier-performance-year-2016-methodology",
    "https://data.cms.gov/provider-data/topics/nursing-homes/quality-measures",
    "https://data.cms.gov/provider-data/topics/home-health-services/measuring-agency-performance"
   ],
   "affected_pages": [
    "https://data.cms.gov/resources/2018-value-modifier-performance-year-2016-methodology",
    "https://data.cms.gov/provider-data/topics/nursing-homes/quality-measures",
    "https://data.cms.gov/provider-data/topics/home-health-services/measuring-agency-performance",
    "https://data.cms.gov/resources/geographic-variation-methodology-2018"
   ],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   },
   "testing_environment": "Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://data.cms.gov/resources/2018-value-modifier-performance-year-2016-methodology.",
    "Locate the element: .ArticleSection__component-container:nth-child(5) > .DynamicTable > .container > .row > .offset-lg-3.col > .DynamicTable__inner > .DynamicTable__table-wrapper > table > thead > tr > th:nth-child(1)",
    "Confirm the axe-core finding for rule empty-table-header."
   ],
   "remediation_tip": null,
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/empty-table-header?application=axeAPI",
   "obligation": "advisory",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W24",
   "last_seen": "2026-W24",
   "weeks_seen": 1,
   "affected_pages_csv": "csv/axe-core__empty-table-header.csv"
  },
  {
   "instance_id": "VS-7409bf80",
   "pattern_id": "VS-0066c67d",
   "a11y_pattern_fingerprint": "0242616ba76e103a872aafeec8d9262fadc522bc08968327712668764ff9f638",
   "a11y_pattern_display_id": "A11Y-PAT-0242616BA76E",
   "a11y_occurrence_fingerprint": "4d5c9680948b1f2795313afa03871b141fbde05c04c8143c490a9d8ce17f4427",
   "a11y_occurrence_display_id": "A11Y-OCC-4D5C9680948B",
   "url": "https://data.cms.gov/provider-data/topics/hospitals/timely-effective-care",
   "xpath": "h2:nth-child(27)",
   "html_snippet": "<h2 id=\"hospital-harm\"><span>&nbsp;</span></h2>",
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Best Practice",
   "evidence_status": "automated-indicator",
   "rule_id": "empty-heading",
   "rule_label": "Headings should not be empty",
   "engine_key": "axe-core",
   "tool": "axe-core",
   "rule_url": "https://dequeuniversity.com/rules/axe/4.12/empty-heading?application=axeAPI",
   "severity": "Minor",
   "frequency": {
    "instances": 2,
    "pages_affected": 2,
    "total_pages_scanned": 2500
   },
   "likely_source": "content",
   "summary": "Headings should not be empty (WCAG criterion undetermined)",
   "description": "Headings should not be empty. Detected by axe-core rule empty-heading on 2 of 2500 scanned pages (2 instances).",
   "examples": [
    {
     "url": "https://data.cms.gov/provider-data/topics/hospitals/timely-effective-care",
     "xpath": "h2:nth-child(27)",
     "html_snippet": "<h2 id=\"hospital-harm\"><span>&nbsp;</span></h2>"
    },
    {
     "url": "https://data.cms.gov/provider-compliance/independent-dispute-resolution",
     "xpath": ".ArticleHeader__text",
     "html_snippet": "<h2 class=\"typeface-02-H2-Black-L ArticleHeader__text\"></h2>"
    }
   ],
   "example_pages": [
    "https://data.cms.gov/provider-data/topics/hospitals/timely-effective-care",
    "https://data.cms.gov/provider-compliance/independent-dispute-resolution"
   ],
   "affected_pages": [
    "https://data.cms.gov/provider-data/topics/hospitals/timely-effective-care",
    "https://data.cms.gov/provider-compliance/independent-dispute-resolution"
   ],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   },
   "testing_environment": "Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://data.cms.gov/provider-data/topics/hospitals/timely-effective-care.",
    "Locate the element: h2:nth-child(27)",
    "Confirm the axe-core finding for rule empty-heading."
   ],
   "remediation_tip": "Remove empty headings or give them text. Don't use heading tags for spacing.",
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/empty-heading?application=axeAPI",
   "obligation": "advisory",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W24",
   "last_seen": "2026-W24",
   "weeks_seen": 1,
   "affected_pages_csv": "csv/axe-core__empty-heading.csv"
  },
  {
   "instance_id": "VS-3ca418bf",
   "pattern_id": "VS-aa242c2d",
   "a11y_pattern_fingerprint": "c94d0e0338570399f13e4c3fc54a403e566b36157a38e047809446e44b76413f",
   "a11y_pattern_display_id": "A11Y-PAT-C94D0E033857",
   "a11y_occurrence_fingerprint": "cf20bb34224cf41482b72607ba56069cfc5d8e470dd8a21800f3b34d954b4f97",
   "a11y_occurrence_display_id": "A11Y-OCC-CF20BB34224C",
   "url": "https://data.cms.gov/resources/mcbs-summary-tables-glossary",
   "xpath": "{\"type\":\"document\",\"children\":[{\"type\":\"type\",\"name\":\"html\",\"publicId\":null,\"sys",
   "html_snippet": null,
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Undetermined",
   "evidence_status": "automated-indicator",
   "rule_id": "sia-r87",
   "rule_label": "First focusable element is link to main content",
   "engine_key": "alfa",
   "tool": "Siteimprove Alfa",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r87",
   "severity": "Moderate",
   "frequency": {
    "instances": 805,
    "pages_affected": 805,
    "total_pages_scanned": 2500
   },
   "likely_source": "template",
   "summary": "First focusable element is link to main content (WCAG criterion undetermined)",
   "description": "First focusable element is link to main content. Detected by Siteimprove Alfa rule sia-r87 on 805 of 2500 scanned pages (805 instances).",
   "examples": [
    {
     "url": "https://data.cms.gov/resources/mcbs-summary-tables-glossary",
     "xpath": "{\"type\":\"document\",\"children\":[{\"type\":\"type\",\"name\":\"html\",\"publicId\":null,\"sys",
     "html_snippet": null
    },
    {
     "url": "https://data.cms.gov/medicare-current-beneficiary-survey-mcbs/income-and-asset-ownership/data",
     "xpath": "{\"type\":\"document\",\"children\":[{\"type\":\"type\",\"name\":\"html\",\"publicId\":null,\"sys",
     "html_snippet": null
    },
    {
     "url": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments/api-docs",
     "xpath": "{\"type\":\"document\",\"children\":[{\"type\":\"type\",\"name\":\"html\",\"publicId\":null,\"sys",
     "html_snippet": null
    },
    {
     "url": "https://data.cms.gov/resources/public-reporting-of-missing-digital-contact-information-data-dictionary",
     "xpath": "{\"type\":\"document\",\"children\":[{\"type\":\"type\",\"name\":\"html\",\"publicId\":null,\"sys",
     "html_snippet": null
    },
    {
     "url": "https://data.cms.gov/summary-statistics-on-use-and-payments/medicare-medicaid-service-type-reports/medicare-telehealth-trends/api-docs",
     "xpath": "{\"type\":\"document\",\"children\":[{\"type\":\"type\",\"name\":\"html\",\"publicId\":null,\"sys",
     "html_snippet": null
    }
   ],
   "example_pages": [
    "https://data.cms.gov/resources/mcbs-summary-tables-glossary",
    "https://data.cms.gov/medicare-current-beneficiary-survey-mcbs/income-and-asset-ownership/data",
    "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments/api-docs"
   ],
   "affected_pages": [
    "https://data.cms.gov/resources/mcbs-summary-tables-glossary",
    "https://data.cms.gov/medicare-current-beneficiary-survey-mcbs/income-and-asset-ownership/data",
    "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments/api-docs",
    "https://data.cms.gov/resources/public-reporting-of-missing-digital-contact-information-data-dictionary",
    "https://data.cms.gov/summary-statistics-on-use-and-payments/medicare-medicaid-service-type-reports/medicare-telehealth-trends/api-docs",
    "https://data.cms.gov/quality-of-care/long-term-care-facility-characteristics",
    "https://data.cms.gov/resources/number-of-accountable-care-organization-assigned-beneficiaries-by-county-data-dictionary-2023",
    "https://data.cms.gov/provider-summary-by-type-of-service/medicare-inpatient-hospitals/medicare-inpatient-hospitals-by-provider",
    "https://data.cms.gov/provider-summary-by-type-of-service/medicare-outpatient-hospitals/medicare-outpatient-hospitals-by-geography-and-service/data/2020",
    "https://data.cms.gov/cms-innovation-center-programs/cms-innovation-models-overview/innovation-center-model-summary-information",
    "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-internet-quality-improvement-and-evaluation-system/data/q1-2025",
    "https://data.cms.gov/provider-characteristics/medicare-provider-supplier-enrollment/opt-out-affidavits",
    "https://data.cms.gov/resources/value-modifier-data-dictionary",
    "https://data.cms.gov/tools/medicare-part-d-prescriber-look-up-tool",
    "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/federally-qualified-health-center-all-owners",
    "https://data.cms.gov/resources/aco-reach-financial-and-quality-results-data-dictionary",
    "https://data.cms.gov/resources/minimum-data-set-frequency-methodology",
    "https://data.cms.gov/resources/county-level-aggregate-expenditure-and-risk-score-data-on-assignable-beneficiaries-methodology-2021-2023",
    "https://data.cms.gov/summary-statistics-on-beneficiary-enrollment",
    "https://data.cms.gov/resources/medicare-part-d-prescribers-by-provider-and-drug-data-dictionary",
    "https://data.cms.gov/provider-summary-by-type-of-service/medicare-post-acute-care-hospice/medicare-post-acute-care-utilization-home-health-agency-by-geography-and-provider",
    "https://data.cms.gov/cms-innovation-center-programs/accountable-care-models/aco-reach-providers/api-docs",
    "https://data.cms.gov/cms-innovation-center-programs/accountable-care-models/next-generation-accountable-care-organization-model-data/api-docs",
    "https://data.cms.gov/resources/medicare-covid-19-hospitalization-trends-methodology-2023",
    "https://data.cms.gov/resources/medicare-service-type-reports-methodology"
   ],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   },
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://data.cms.gov/resources/mcbs-summary-tables-glossary.",
    "Locate the element: {\"type\":\"document\",\"children\":[{\"type\":\"type\",\"name\":\"html\",\"publicId\":null,\"sys",
    "Confirm the Siteimprove Alfa finding for rule sia-r87."
   ],
   "remediation_tip": null,
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r87",
   "obligation": "unmapped",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W24",
   "last_seen": "2026-W24",
   "weeks_seen": 1,
   "affected_pages_csv": "csv/alfa__sia-r87.csv"
  },
  {
   "instance_id": "VS-eb852c30",
   "pattern_id": "VS-e05344b9",
   "a11y_pattern_fingerprint": "4ac52ded3bf66febbe7bf3a4aec6ee295e7a003a44421fc906c5566c30ee92f4",
   "a11y_pattern_display_id": "A11Y-PAT-4AC52DED3BF6",
   "a11y_occurrence_fingerprint": "2bb98efce6f290f1ab9d50d6f0011cae506b6444cec11f91247a1405d6166e9c",
   "a11y_occurrence_display_id": "A11Y-OCC-2BB98EFCE6F2",
   "url": "https://data.cms.gov/resources/mcbs-summary-tables-glossary",
   "xpath": "@aria-label=\"Open Income and Asset Ownership\"",
   "html_snippet": null,
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Undetermined",
   "evidence_status": "automated-indicator",
   "rule_id": "sia-r18",
   "rule_label": "aria attribute is permitted for element role",
   "engine_key": "alfa",
   "tool": "Siteimprove Alfa",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r18",
   "severity": "Moderate",
   "frequency": {
    "instances": 1764,
    "pages_affected": 392,
    "total_pages_scanned": 2500
   },
   "likely_source": "template",
   "summary": "aria attribute is permitted for element role (WCAG criterion undetermined)",
   "description": "aria attribute is permitted for element role. Detected by Siteimprove Alfa rule sia-r18 on 392 of 2500 scanned pages (1764 instances).",
   "examples": [
    {
     "url": "https://data.cms.gov/resources/mcbs-summary-tables-glossary",
     "xpath": "@aria-label=\"Open Income and Asset Ownership\"",
     "html_snippet": null
    },
    {
     "url": "https://data.cms.gov/resources/mcbs-summary-tables-glossary",
     "xpath": "@aria-label=\"Open Income and Asset Ownership\"",
     "html_snippet": null
    },
    {
     "url": "https://data.cms.gov/resources/public-reporting-of-missing-digital-contact-information-data-dictionary",
     "xpath": "@aria-label=\"Open Public Reporting of Missing Digital Contact Information\"",
     "html_snippet": null
    },
    {
     "url": "https://data.cms.gov/resources/public-reporting-of-missing-digital-contact-information-data-dictionary",
     "xpath": "@aria-label=\"Open Public Reporting of Missing Digital Contact Information\"",
     "html_snippet": null
    },
    {
     "url": "https://data.cms.gov/quality-of-care/long-term-care-facility-characteristics",
     "xpath": "@aria-label=\"Open Nursing Home Chain Performance Measures\"",
     "html_snippet": null
    }
   ],
   "example_pages": [
    "https://data.cms.gov/resources/mcbs-summary-tables-glossary",
    "https://data.cms.gov/resources/public-reporting-of-missing-digital-contact-information-data-dictionary",
    "https://data.cms.gov/quality-of-care/long-term-care-facility-characteristics"
   ],
   "affected_pages": [
    "https://data.cms.gov/resources/mcbs-summary-tables-glossary",
    "https://data.cms.gov/resources/public-reporting-of-missing-digital-contact-information-data-dictionary",
    "https://data.cms.gov/quality-of-care/long-term-care-facility-characteristics",
    "https://data.cms.gov/resources/number-of-accountable-care-organization-assigned-beneficiaries-by-county-data-dictionary-2023",
    "https://data.cms.gov/provider-summary-by-type-of-service/medicare-inpatient-hospitals/medicare-inpatient-hospitals-by-provider",
    "https://data.cms.gov/cms-innovation-center-programs/cms-innovation-models-overview/innovation-center-model-summary-information",
    "https://data.cms.gov/provider-characteristics/medicare-provider-supplier-enrollment/opt-out-affidavits",
    "https://data.cms.gov/resources/value-modifier-data-dictionary",
    "https://data.cms.gov/tools/medicare-part-d-prescriber-look-up-tool",
    "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/federally-qualified-health-center-all-owners",
    "https://data.cms.gov/resources/aco-reach-financial-and-quality-results-data-dictionary",
    "https://data.cms.gov/resources/minimum-data-set-frequency-methodology",
    "https://data.cms.gov/summary-statistics-on-beneficiary-enrollment",
    "https://data.cms.gov/resources/medicare-part-d-prescribers-by-provider-and-drug-data-dictionary",
    "https://data.cms.gov/provider-summary-by-type-of-service/medicare-post-acute-care-hospice/medicare-post-acute-care-utilization-home-health-agency-by-geography-and-provider",
    "https://data.cms.gov/resources/medicare-covid-19-hospitalization-trends-methodology-2023",
    "https://data.cms.gov/resources/medicare-clinical-laboratory-fee-schedule-private-payer-rates-and-volumes-data-dictionary",
    "https://data.cms.gov/summary-statistics-on-use-and-payments/medicare-premium-reports/cms-program-statistics-medicare-premiums",
    "https://data.cms.gov/resources/2018-value-modifier-performance-year-2016-methodology",
    "https://data.cms.gov/resources/medicare-pac-utilization-snf-by-geography-and-provider-data-dictionary",
    "https://data.cms.gov/resources/comprehensive-care-for-joint-replacement-model-msa-data-dictionary",
    "https://data.cms.gov/resources/provider-of-services-file-clinical-laboratories-methodology",
    "https://data.cms.gov/provider-compliance/public-reporting-of-missing-digital-contact-information",
    "https://data.cms.gov/resources/deficit-reduction-act-dra-hospital-acquired-condition-hac-measures-methodology",
    "https://data.cms.gov/resources/medicaid-spending-by-drug-methodology"
   ],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   },
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://data.cms.gov/resources/mcbs-summary-tables-glossary.",
    "Locate the element: @aria-label=\"Open Income and Asset Ownership\"",
    "Confirm the Siteimprove Alfa finding for rule sia-r18."
   ],
   "remediation_tip": "Only use ARIA states/properties that are allowed on this element/role.",
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r18",
   "obligation": "unmapped",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W24",
   "last_seen": "2026-W24",
   "weeks_seen": 1,
   "affected_pages_csv": "csv/alfa__sia-r18.csv"
  },
  {
   "instance_id": "VS-ebd64f11",
   "pattern_id": "VS-f054f4a4",
   "a11y_pattern_fingerprint": "c3f2a8569e4ec31558a432331ac8feb1d9dc9ef3ca547a1efbe39bf6e1dc0a62",
   "a11y_pattern_display_id": "A11Y-PAT-C3F2A8569E4E",
   "a11y_occurrence_fingerprint": "e8d9bb0eed064b6369c3c59fa20b2e8e86ca25831afbbd893447c6a9f9f88fee",
   "a11y_occurrence_display_id": "A11Y-OCC-E8D9BB0EED06",
   "url": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments/api-docs",
   "xpath": "<h3>",
   "html_snippet": null,
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Undetermined",
   "evidence_status": "automated-indicator",
   "rule_id": "sia-r53",
   "rule_label": "Headings are structured hierarchically",
   "engine_key": "alfa",
   "tool": "Siteimprove Alfa",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r53",
   "severity": "Moderate",
   "frequency": {
    "instances": 296,
    "pages_affected": 231,
    "total_pages_scanned": 2500
   },
   "likely_source": "template",
   "summary": "Headings are structured hierarchically (WCAG criterion undetermined)",
   "description": "Headings are structured hierarchically. Detected by Siteimprove Alfa rule sia-r53 on 231 of 2500 scanned pages (296 instances).",
   "examples": [
    {
     "url": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments/api-docs",
     "xpath": "<h3>",
     "html_snippet": null
    },
    {
     "url": "https://data.cms.gov/summary-statistics-on-use-and-payments/medicare-medicaid-service-type-reports/medicare-telehealth-trends/api-docs",
     "xpath": "<h3>",
     "html_snippet": null
    },
    {
     "url": "https://data.cms.gov/summary-statistics-on-beneficiary-enrollment",
     "xpath": "<h5 class=\"typeface-05-h5-desktop-regular-white MoreTopicCarouselCard__count\">",
     "html_snippet": null
    },
    {
     "url": "https://data.cms.gov/summary-statistics-on-beneficiary-enrollment",
     "xpath": "<h5 class=\"typeface-05-h5-desktop-regular-white MoreTopicCarouselCard__count\">",
     "html_snippet": null
    },
    {
     "url": "https://data.cms.gov/cms-innovation-center-programs/accountable-care-models/aco-reach-providers/api-docs",
     "xpath": "<h3>",
     "html_snippet": null
    }
   ],
   "example_pages": [
    "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments/api-docs",
    "https://data.cms.gov/summary-statistics-on-use-and-payments/medicare-medicaid-service-type-reports/medicare-telehealth-trends/api-docs",
    "https://data.cms.gov/summary-statistics-on-beneficiary-enrollment"
   ],
   "affected_pages": [
    "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments/api-docs",
    "https://data.cms.gov/summary-statistics-on-use-and-payments/medicare-medicaid-service-type-reports/medicare-telehealth-trends/api-docs",
    "https://data.cms.gov/summary-statistics-on-beneficiary-enrollment",
    "https://data.cms.gov/cms-innovation-center-programs/accountable-care-models/aco-reach-providers/api-docs",
    "https://data.cms.gov/cms-innovation-center-programs/accountable-care-models/next-generation-accountable-care-organization-model-data/api-docs",
    "https://data.cms.gov/resources/medicare-service-type-reports-methodology",
    "https://data.cms.gov/provider-summary-by-type-of-service/medicare-post-acute-care-hospice/medicare-post-acute-care-utilization-hospice-by-geography-and-provider/api-docs",
    "https://data.cms.gov/provider-summary-by-type-of-service/medicare-durable-medical-equipment-devices-supplies/medicare-durable-medical-equipment-devices-supplies-by-supplier/api-docs",
    "https://data.cms.gov/resources/2018-value-modifier-performance-year-2016-methodology",
    "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/medicare-clinical-laboratory-fee-schedule-private-payer-rates-and-volumes/api-docs",
    "https://data.cms.gov/resources/nursing-home-affiliated-entity-performance-measures-methodology",
    "https://data.cms.gov/resources/next-generation-aco-model-data-methodology",
    "https://data.cms.gov/resources/fee-for-service-public-provider-enrollment-methodology-q1-2023-q2-2025",
    "https://data.cms.gov/resources/medicare-inpatient-hospitals-by-provider-data-dictionary-2013-2016",
    "https://data.cms.gov/resources/medicare-covid-19-cases-hospitalizations-data-dictionary",
    "https://data.cms.gov/quality-of-care/payroll-based-journal-employee-detail-nursing-home-staffing/api-docs",
    "https://data.cms.gov/quality-of-care/medicare-dialysis-facilities/api-docs",
    "https://data.cms.gov/quality-of-care/dialysis-facilities",
    "https://data.cms.gov/resources/medicare-telehealth-trends-data-dictionary-q3-2024",
    "https://data.cms.gov/provider-summary-by-type-of-service/medicare-inpatient-hospitals/medicare-inpatient-hospitals-by-provider/api-docs",
    "https://data.cms.gov/provider-characteristics/medicare-provider-supplier-enrollment/order-and-referring/api-docs",
    "https://data.cms.gov/resources/hospital-provider-cost-report-methodology",
    "https://data.cms.gov/medicare-current-beneficiary-survey-mcbs",
    "https://data.cms.gov/resources/aco-reach-model-data-dictionary-2021-2023",
    "https://data.cms.gov/provider-characteristics/medicare-provider-supplier-enrollment/pending-initial-logging-and-tracking-non-physicians/api-docs"
   ],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   },
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments/api-docs.",
    "Locate the element: <h3>",
    "Confirm the Siteimprove Alfa finding for rule sia-r53."
   ],
   "remediation_tip": "Use headings in a logical, non-skipping order.",
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r53",
   "obligation": "unmapped",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W24",
   "last_seen": "2026-W24",
   "weeks_seen": 1,
   "affected_pages_csv": "csv/alfa__sia-r53.csv"
  },
  {
   "instance_id": "VS-a693f90a",
   "pattern_id": "VS-2cd767ca",
   "a11y_pattern_fingerprint": "45565c3d0e7b22c381851d96383f98551082474b63178712f715661ff17c650d",
   "a11y_pattern_display_id": "A11Y-PAT-45565C3D0E7B",
   "a11y_occurrence_fingerprint": "31a08b04199cf75627e224cb1e15c0bd3692d769c81e243a55939333976a227b",
   "a11y_occurrence_display_id": "A11Y-OCC-31A08B04199C",
   "url": "https://data.cms.gov/summary-statistics-on-beneficiary-enrollment",
   "xpath": "<h5 class=\"typeface-05-h5-desktop-regular-white MoreTopicCarouselCard__count\">",
   "html_snippet": null,
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Undetermined",
   "evidence_status": "automated-indicator",
   "rule_id": "sia-r78",
   "rule_label": "Table header has scope",
   "engine_key": "alfa",
   "tool": "Siteimprove Alfa",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r78",
   "severity": "Moderate",
   "frequency": {
    "instances": 217,
    "pages_affected": 19,
    "total_pages_scanned": 2500
   },
   "likely_source": "template",
   "summary": "Table header has scope (WCAG criterion undetermined)",
   "description": "Table header has scope. Detected by Siteimprove Alfa rule sia-r78 on 19 of 2500 scanned pages (217 instances).",
   "examples": [
    {
     "url": "https://data.cms.gov/summary-statistics-on-beneficiary-enrollment",
     "xpath": "<h5 class=\"typeface-05-h5-desktop-regular-white MoreTopicCarouselCard__count\">",
     "html_snippet": null
    },
    {
     "url": "https://data.cms.gov/summary-statistics-on-beneficiary-enrollment",
     "xpath": "<h5 class=\"typeface-05-h5-desktop-regular-white MoreTopicCarouselCard__count\">",
     "html_snippet": null
    },
    {
     "url": "https://data.cms.gov/provider-data/topics/hospitals/timely-effective-care",
     "xpath": "<h2 id=\"hospital-harm\">",
     "html_snippet": null
    },
    {
     "url": "https://data.cms.gov/provider-data/topics/hospitals/linking-quality-to-payment",
     "xpath": "<h4>",
     "html_snippet": null
    },
    {
     "url": "https://data.cms.gov/provider-data/topics/hospitals/linking-quality-to-payment",
     "xpath": "<h4>",
     "html_snippet": null
    }
   ],
   "example_pages": [
    "https://data.cms.gov/summary-statistics-on-beneficiary-enrollment",
    "https://data.cms.gov/provider-data/topics/hospitals/timely-effective-care",
    "https://data.cms.gov/provider-data/topics/hospitals/linking-quality-to-payment"
   ],
   "affected_pages": [
    "https://data.cms.gov/summary-statistics-on-beneficiary-enrollment",
    "https://data.cms.gov/provider-data/topics/hospitals/timely-effective-care",
    "https://data.cms.gov/provider-data/topics/hospitals/linking-quality-to-payment",
    "https://data.cms.gov/medicare-current-beneficiary-survey-mcbs",
    "https://data.cms.gov/provider-summary-by-type-of-service",
    "https://data.cms.gov/provider-characteristics",
    "https://data.cms.gov/summary-statistics-on-use-and-payments",
    "https://data.cms.gov/quality-of-care",
    "https://data.cms.gov/",
    "https://data.cms.gov/sitemap",
    "https://data.cms.gov/cms-innovation-center-programs",
    "https://data.cms.gov/summary-statistics-on-provider-enrollment",
    "https://data.cms.gov/medicare-chronic-conditions",
    "https://data.cms.gov/provider-compliance",
    "https://data.cms.gov/browse-data-categories",
    "https://data.cms.gov/medicare-value-based-payment-modifier-program",
    "https://data.cms.gov/covid-19",
    "https://data.cms.gov/collection/synthetic-medicare-enrollment-fee-for-service-claims-and-prescription-drug-event",
    "https://data.cms.gov/medicare-shared-savings-program"
   ],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   },
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://data.cms.gov/summary-statistics-on-beneficiary-enrollment.",
    "Locate the element: <h5 class=\"typeface-05-h5-desktop-regular-white MoreTopicCarouselCard__count\">",
    "Confirm the Siteimprove Alfa finding for rule sia-r78."
   ],
   "remediation_tip": null,
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r78",
   "obligation": "unmapped",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W24",
   "last_seen": "2026-W24",
   "weeks_seen": 1,
   "affected_pages_csv": "csv/alfa__sia-r78.csv"
  },
  {
   "instance_id": "VS-74505bb8",
   "pattern_id": "VS-04a9d28c",
   "a11y_pattern_fingerprint": "d4da11d5e99c1572ee733a65ea9dedbd1723444c2fafbe02679731b830c63007",
   "a11y_pattern_display_id": "A11Y-PAT-D4DA11D5E99C",
   "a11y_occurrence_fingerprint": "7acc35d5432d82e5afeb91bbff306b26b67486d3e583bb4356959b6d0a0c0fc9",
   "a11y_occurrence_display_id": "A11Y-OCC-7ACC35D5432D",
   "url": "https://data.cms.gov/provider-data/topics/long-term-care-hospitals/measures",
   "xpath": "table",
   "html_snippet": "<table cellpadding=\"0\" cellspacing=\"0\" class=\"table\"><thead><tr><th><strong><span>Measure ID</span></strong></th><th><strong><span>Quality measure</span></strong></th><th><strong><span>Technical Measu",
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Undetermined",
   "evidence_status": "automated-indicator",
   "rule_id": "presentational-attr",
   "rule_label": "Presentational attribute (use CSS)",
   "engine_key": "deprecated-html",
   "tool": "deprecated-html",
   "rule_url": null,
   "severity": "Moderate",
   "frequency": {
    "instances": 1448,
    "pages_affected": 15,
    "total_pages_scanned": 2500
   },
   "likely_source": "template",
   "summary": "Presentational attribute (use CSS) (WCAG criterion undetermined)",
   "description": "Presentational attribute (use CSS). Detected by deprecated-html rule presentational-attr on 15 of 2500 scanned pages (1448 instances).",
   "examples": [
    {
     "url": "https://data.cms.gov/provider-data/topics/long-term-care-hospitals/measures",
     "xpath": "table",
     "html_snippet": "<table cellpadding=\"0\" cellspacing=\"0\" class=\"table\"><thead><tr><th><strong><span>Measure ID</span></strong></th><th><strong><span>Quality measure</span></strong></th><th><strong><span>Technical Measu"
    },
    {
     "url": "https://data.cms.gov/provider-data/topics/long-term-care-hospitals/measures",
     "xpath": "td",
     "html_snippet": "<td valign=\"top\"><span>L021.01</span></td>"
    },
    {
     "url": "https://data.cms.gov/provider-data/topics/long-term-care-hospitals/measures",
     "xpath": "td",
     "html_snippet": "<td valign=\"top\"><span>Percentage of patients with pressure ulcers/pressure injuries that are new or worsened</span></td>"
    },
    {
     "url": "https://data.cms.gov/provider-data/topics/hospitals/timely-effective-care",
     "xpath": "td",
     "html_snippet": "<td valign=\"top\"><strong><span>Average (median) time all patients spent in the emergency department before leaving from the visit</span></strong></td>"
    },
    {
     "url": "https://data.cms.gov/provider-data/topics/hospitals/timely-effective-care",
     "xpath": "td",
     "html_snippet": "<td valign=\"top\"><ul><li><span>This measure shows the average (median) time all patients spent in the emergency department before leaving from the visit, including psychiatric/mental health patients a"
    }
   ],
   "example_pages": [
    "https://data.cms.gov/provider-data/topics/long-term-care-hospitals/measures",
    "https://data.cms.gov/provider-data/topics/hospitals/timely-effective-care",
    "https://data.cms.gov/provider-data/topics/hospitals/overall-hospital-quality-star-rating"
   ],
   "affected_pages": [
    "https://data.cms.gov/provider-data/topics/long-term-care-hospitals/measures",
    "https://data.cms.gov/provider-data/topics/hospitals/timely-effective-care",
    "https://data.cms.gov/provider-data/topics/hospitals/overall-hospital-quality-star-rating",
    "https://data.cms.gov/provider-data/topics/dialysis-facilities/measures",
    "https://data.cms.gov/provider-data/topics/hospitals/about-data",
    "https://data.cms.gov/provider-data/topics/hospitals/complications-deaths",
    "https://data.cms.gov/provider-data/topics/hospice-care/measures",
    "https://data.cms.gov/provider-data/topics/inpatient-rehabilitation-facilities/measures",
    "https://data.cms.gov/provider-data/topics/hospitals/ambulatory-surgical-centers",
    "https://data.cms.gov/provider-data/topics/nursing-homes/quality-measures",
    "https://data.cms.gov/provider-data/topics/hospitals/unplanned-hospital-visits",
    "https://data.cms.gov/provider-data/topics/nursing-homes/technical-details",
    "https://data.cms.gov/provider-data/topics/hospitals/measures-and-current-data-collection-periods",
    "https://data.cms.gov/provider-data/topics/home-health-services/measuring-agency-performance",
    "https://data.cms.gov/provider-data/topics/hospitals/rural-emergency-hospitals"
   ],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   },
   "testing_environment": "Automated: deprecated-html, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://data.cms.gov/provider-data/topics/long-term-care-hospitals/measures.",
    "Locate the element: table",
    "Confirm the deprecated-html finding for rule presentational-attr."
   ],
   "remediation_tip": null,
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "Not captured by automated scan — requires manual testing.",
   "obligation": "unmapped",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W24",
   "last_seen": "2026-W24",
   "weeks_seen": 1,
   "affected_pages_csv": "csv/deprecated-html__presentational-attr.csv"
  },
  {
   "instance_id": "VS-3afdf6f4",
   "pattern_id": "VS-c18be945",
   "a11y_pattern_fingerprint": "a8b155590fc0f826863168a6849218077c38958f6586e96c628cbad1c9673efb",
   "a11y_pattern_display_id": "A11Y-PAT-A8B155590FC0",
   "a11y_occurrence_fingerprint": "fd8d41764d0284c3342f3b79cf9b8fdd7d080a730b55c644bed46af730609e46",
   "a11y_occurrence_display_id": "A11Y-OCC-FD8D41764D02",
   "url": "https://data.cms.gov/tools/mapping-medicare-disparities-by-population",
   "xpath": "text: \"Population View\"",
   "html_snippet": null,
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Undetermined",
   "evidence_status": "automated-indicator",
   "rule_id": "sia-r57",
   "rule_label": "Scrolling content can be accessed by keyboard",
   "engine_key": "alfa",
   "tool": "Siteimprove Alfa",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r57",
   "severity": "Moderate",
   "frequency": {
    "instances": 97286,
    "pages_affected": 3,
    "total_pages_scanned": 2500
   },
   "likely_source": "unknown",
   "summary": "Scrolling content can be accessed by keyboard (WCAG criterion undetermined)",
   "description": "Scrolling content can be accessed by keyboard. Detected by Siteimprove Alfa rule sia-r57 on 3 of 2500 scanned pages (97286 instances).",
   "examples": [
    {
     "url": "https://data.cms.gov/tools/mapping-medicare-disparities-by-population",
     "xpath": "text: \"Population View\"",
     "html_snippet": null
    },
    {
     "url": "https://data.cms.gov/tools/mapping-medicare-disparities-by-population",
     "xpath": "text: \"Hospital View\"",
     "html_snippet": null
    },
    {
     "url": "https://data.cms.gov/tools/mapping-medicare-disparities-by-population",
     "xpath": "text: \"Social Determinants of Health View\"",
     "html_snippet": null
    },
    {
     "url": "https://data.cms.gov/tools/mapping-disparities-by-social-determinants-of-health",
     "xpath": "text: \"Population View\"",
     "html_snippet": null
    },
    {
     "url": "https://data.cms.gov/tools/mapping-disparities-by-social-determinants-of-health",
     "xpath": "text: \"Hospital View\"",
     "html_snippet": null
    }
   ],
   "example_pages": [
    "https://data.cms.gov/tools/mapping-medicare-disparities-by-population",
    "https://data.cms.gov/tools/mapping-disparities-by-social-determinants-of-health",
    "https://data.cms.gov/tools/mapping-medicare-disparities-by-hospital"
   ],
   "affected_pages": [
    "https://data.cms.gov/tools/mapping-medicare-disparities-by-population",
    "https://data.cms.gov/tools/mapping-disparities-by-social-determinants-of-health",
    "https://data.cms.gov/tools/mapping-medicare-disparities-by-hospital"
   ],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   },
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://data.cms.gov/tools/mapping-medicare-disparities-by-population.",
    "Locate the element: text: \"Population View\"",
    "Confirm the Siteimprove Alfa finding for rule sia-r57."
   ],
   "remediation_tip": null,
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r57",
   "obligation": "unmapped",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W24",
   "last_seen": "2026-W24",
   "weeks_seen": 1,
   "affected_pages_csv": "csv/alfa__sia-r57.csv"
  },
  {
   "instance_id": "VS-1ac5f2bd",
   "pattern_id": "VS-7118fead",
   "a11y_pattern_fingerprint": "80ecde8c21641cb79fa6c46b97fe0636b3bbbf202f5d7c5df1a2cbd68c1f31fd",
   "a11y_pattern_display_id": "A11Y-PAT-80ECDE8C2164",
   "a11y_occurrence_fingerprint": "e6133a3da6bdce6532e68557ce2974cccfe470842e0fef1181e1a10c4846c358",
   "a11y_occurrence_display_id": "A11Y-OCC-E6133A3DA6BD",
   "url": "https://data.cms.gov/browse-data-categories",
   "xpath": "{\"type\":\"document\",\"children\":[{\"type\":\"type\",\"name\":\"html\",\"publicId\":null,\"sys",
   "html_snippet": null,
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Undetermined",
   "evidence_status": "automated-indicator",
   "rule_id": "sia-r61",
   "rule_label": "Form field label is visible",
   "engine_key": "alfa",
   "tool": "Siteimprove Alfa",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r61",
   "severity": "Moderate",
   "frequency": {
    "instances": 1,
    "pages_affected": 1,
    "total_pages_scanned": 2500
   },
   "likely_source": "content",
   "summary": "Form field label is visible (WCAG criterion undetermined)",
   "description": "Form field label is visible. Detected by Siteimprove Alfa rule sia-r61 on 1 of 2500 scanned pages (1 instances).",
   "examples": [
    {
     "url": "https://data.cms.gov/browse-data-categories",
     "xpath": "{\"type\":\"document\",\"children\":[{\"type\":\"type\",\"name\":\"html\",\"publicId\":null,\"sys",
     "html_snippet": null
    }
   ],
   "example_pages": [
    "https://data.cms.gov/browse-data-categories"
   ],
   "affected_pages": [
    "https://data.cms.gov/browse-data-categories"
   ],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   },
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://data.cms.gov/browse-data-categories.",
    "Locate the element: {\"type\":\"document\",\"children\":[{\"type\":\"type\",\"name\":\"html\",\"publicId\":null,\"sys",
    "Confirm the Siteimprove Alfa finding for rule sia-r61."
   ],
   "remediation_tip": null,
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r61",
   "obligation": "unmapped",
   "handling": "review",
   "policy_source": "default",
   "policy_reason": null,
   "policy_evidence": [],
   "policy_owner": null,
   "policy_expires": null,
   "included_in_primary_score": false,
   "first_seen": "2026-W24",
   "last_seen": "2026-W24",
   "weeks_seen": 1,
   "affected_pages_csv": "csv/alfa__sia-r61.csv"
  }
 ],
 "policy": {
  "suppression": {
   "patterns": 0,
   "pages": 0,
   "occurrences": 0,
   "entries": []
  }
 }
}