# Accessibility bug reports — data.medicaid.gov, week 2026-W40

12 issue type(s) from 2550 pages scanned. Generated 2026-09-30 by [vital-scans](https://github.com/mgifford/vital-core), following [accessibility bug-reporting best practices](https://mgifford.github.io/ACCESSIBILITY.md/examples/ACCESSIBILITY_BUG_REPORTING_BEST_PRACTICES.html).

> Automated checks find roughly a third of accessibility barriers. Fields marked "requires manual testing" cannot be observed by an automated scan and need a human with assistive technology.

---
## Accessible name of link or button matches visible label (WCAG 2.5.3)

**Bug ID:** `VS-4944c17c`  
**Pattern ID:** `VS-f7dba940`  
**URL:** https://data.medicaid.gov/medicaid-chip-eligibility-enrollment-snapshot-data?page=36  
**XPath / selector:** `<a class="dc-c-newtab" aria-label="link opens in a new tab" href="https://www.medicaid.gov/medicaid-and-chip-eligibility-operations-and-enrollment-snapshot" target="_blank">`  
**WCAG SC:** 2.5.3 — Label in Name (Level A)  
**Rule:** Siteimprove Alfa — `sia-r14` ([reference](https://alfa.siteimprove.com/rules/sia-r14))  
**Severity:** Moderate  
**Frequency:** 11 instances; 11 of 2550 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W40 (17 weeks)

### Description
Accessible name of link or button matches visible label. Detected by Siteimprove Alfa rule sia-r14 on 11 of 2550 scanned pages (11 instances).

### Steps to reproduce
1. Open https://data.medicaid.gov/medicaid-chip-eligibility-enrollment-snapshot-data?page=36.
2. Locate the element: <a class="dc-c-newtab" aria-label="link opens in a new tab" href="https://www.medicaid.gov/medicaid-and-chip-eligibility-operations-and-enrollment-snapshot" target="_blank">
3. Confirm the Siteimprove Alfa finding for rule sia-r14 against WCAG 2.5.3 Label in Name.

### Impact
Affects Without vision (1.0%), Without speech (0.5%).
- **Without vision** (1.0% of population)
- **Without speech** (0.5% of population)

### Affected pages
- https://data.medicaid.gov/medicaid-chip-eligibility-enrollment-snapshot-data?page=36
- https://data.medicaid.gov/eligibility-enrollment-snapshot-data?page=37
- https://data.medicaid.gov/medicaid-chip-eligibility-enrollment-snapshot-data?page=3
- https://data.medicaid.gov/medicaid-chip-eligibility-enrollment-snapshot-data
- https://data.medicaid.gov/medicaid-chip-eligibility-enrollment-snapshot-data?page=39
- https://data.medicaid.gov/medicaid-chip-eligibility-enrollment-snapshot-data?page=40
- https://data.medicaid.gov/eligibility-enrollment-snapshot-data?page=5
- https://data.medicaid.gov/eligibility-enrollment-snapshot-data?page=40
- https://data.medicaid.gov/medicaid-chip-eligibility-enrollment-snapshot-data?page=4
- https://data.medicaid.gov/eligibility-enrollment-snapshot-data?page=39
- https://data.medicaid.gov/eligibility-enrollment-snapshot-data?page=3

### Testing environment
Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.

### Suggested fix
See remediation guidance: https://alfa.siteimprove.com/rules/sia-r14

### Example pages
- https://data.medicaid.gov/medicaid-chip-eligibility-enrollment-snapshot-data?page=36
- https://data.medicaid.gov/eligibility-enrollment-snapshot-data?page=37
- https://data.medicaid.gov/medicaid-chip-eligibility-enrollment-snapshot-data?page=3

---

## <svg> elements with an img role must have alternative text (WCAG 1.1.1)

**Bug ID:** `VS-5530ec8b`  
**Pattern ID:** `VS-cc981723`  
**URL:** https://data.medicaid.gov/home  
**XPath / selector:** `path[fill="#862074"]`  
**WCAG SC:** 1.1.1 — Non-text Content (Level A)  
**Rule:** axe-core — `svg-img-alt` ([reference](https://dequeuniversity.com/rules/axe/4.12/svg-img-alt?application=axeAPI))  
**Severity:** Serious  
**Frequency:** 10 instances; 1 of 2550 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W40 (17 weeks)

### HTML snippet
```html
<path role="graphics-symbol" fill="#862074" d="M2.5,-158.314A158.333,158.333,0,0,1,154.756,33.465L14.23,0.747A14.25,14.25,0,0,0,2.5,-14.029Z" style="cursor: pointer;"></path>
```

### Description
<svg> elements with an img role must have alternative text. Detected by axe-core rule svg-img-alt on 1 of 2550 scanned pages (10 instances).

### Steps to reproduce
1. Open https://data.medicaid.gov/home.
2. Locate the element: path[fill="#862074"]
3. Confirm the axe-core finding for rule svg-img-alt against WCAG 1.1.1 Non-text Content.

### Impact
Affects Without vision (1.0%), Limited vision (2.4%), Limited cognitive, language, or learning ability (11.0%).
- **Without vision** (1.0% of population)
- **Limited vision** (2.4% of population)
- **Limited cognitive, language, or learning ability** (11.0% of population)

### Affected pages
- https://data.medicaid.gov/home

### Testing environment
Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.

### Suggested fix
**How to fix:** Give the <svg> with an image role an accessible name (<title> or aria-label).

See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/svg-img-alt?application=axeAPI

---

## <ul> and <ol> must only directly contain <li>, <script> or <template> elements (WCAG 1.3.1)

**Bug ID:** `VS-6cd1600d`  
**Pattern ID:** `VS-a0bdbdf6`  
**URL:** https://data.medicaid.gov/datasets?keyword%5B%5D=mltss  
**XPath / selector:** `ol[data-testid="results-list"]`  
**WCAG SC:** 1.3.1 — Info and Relationships (Level A)  
**Rule:** axe-core — `list` ([reference](https://dequeuniversity.com/rules/axe/4.12/list?application=axeAPI))  
**Severity:** Serious  
**Frequency:** 50 instances; 50 of 2550 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W40 (17 weeks)

### HTML snippet
```html
<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">
```

### Description
<ul> and <ol> must only directly contain <li>, <script> or <template> elements. Detected by axe-core rule list on 50 of 2550 scanned pages (50 instances).

### Steps to reproduce
1. Open https://data.medicaid.gov/datasets?keyword%5B%5D=mltss.
2. Locate the element: ol[data-testid="results-list"]
3. Confirm the axe-core finding for rule list against WCAG 1.3.1 Info and Relationships.

### Impact
Affects Without vision (1.0%), Limited vision (2.4%), Limited cognitive, language, or learning ability (11.0%).
- **Without vision** (1.0% of population)
- **Limited vision** (2.4% of population)
- **Limited cognitive, language, or learning ability** (11.0% of population)

### Affected pages
- https://data.medicaid.gov/datasets?keyword%5B%5D=mltss
- https://data.medicaid.gov/datasets?keyword%5B0%5D=drug+acquisition+cost
- https://data.medicaid.gov/datasets?keyword%5B0%5D=DQ+Atlas&page=3
- https://data.medicaid.gov/datasets?keyword%5B0%5D=DQ+Atlas
- https://data.medicaid.gov/datasets?keyword%5B0%5D=t-msis+analytic+files
- https://data.medicaid.gov/datasets?keyword%5B%5D=dqatlas_implAuto
- https://data.medicaid.gov/datasets?keyword%5B0%5D=chip&page=7
- https://data.medicaid.gov/datasets?keyword%5B0%5D=t-msis+analytic+files&page=2
- https://data.medicaid.gov/datasets?keyword%5B%5D=pccm
- https://data.medicaid.gov/datasets?keyword%5B0%5D=nadac
- https://data.medicaid.gov/datasets?keyword%5B%5D=federal+poverty+level
- https://data.medicaid.gov/datasets?keyword%5B%5D=average+manufacturer+price
- https://data.medicaid.gov/datasets?keyword%5B%5D=neonatal+abstinence+syndrome
- https://data.medicaid.gov/datasets?keyword%5B%5D=transitions+in+coverage
- https://data.medicaid.gov/datasets?keyword%5B%5D=service+use
- https://data.medicaid.gov/datasets?keyword%5B0%5D=chip&page=9
- https://data.medicaid.gov/datasets?keyword%5B%5D=nadac+comparison
- https://data.medicaid.gov/datasets?keyword%5B%5D=eligibility
- https://data.medicaid.gov/datasets?keyword%5B0%5D=chip&page=6
- https://data.medicaid.gov/datasets?keyword%5B%5D=Utility
- https://data.medicaid.gov/datasets?keyword%5B0%5D=nadac&page=2
- https://data.medicaid.gov/datasets?keyword%5B%5D=t-msis+analytic+files
- https://data.medicaid.gov/datasets?keyword%5B%5D=pace
- https://data.medicaid.gov/datasets?keyword%5B%5D=mbes
- https://data.medicaid.gov/datasets?keyword%5B%5D=epsdt

…and more — 50 pages total ([download CSV](csv/axe-core__list.csv)).

### Testing environment
Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.

### Suggested fix
**How to fix:** Use <ul>/<ol> with only <li> children for lists; don't fake lists with <div>s.

See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/list?application=axeAPI

### Example pages
- https://data.medicaid.gov/datasets?keyword%5B%5D=mltss
- https://data.medicaid.gov/datasets?keyword%5B0%5D=drug+acquisition+cost
- https://data.medicaid.gov/datasets?keyword%5B0%5D=DQ+Atlas&page=3

---

## Presentational children of an element are not focusable (WCAG 1.3.1)

**Bug ID:** `VS-18c49f9d`  
**Pattern ID:** `VS-d6097011`  
**URL:** https://data.medicaid.gov/datasets?keyword%5B0%5D=DQ+Atlas&page=3  
**XPath / selector:** `<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 — Info and Relationships (Level A)  
**Rule:** Siteimprove Alfa — `sia-r68` ([reference](https://alfa.siteimprove.com/rules/sia-r68))  
**Severity:** Moderate  
**Frequency:** 34 instances; 34 of 2550 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W40 (17 weeks)

### Description
Presentational children of an element are not focusable. Detected by Siteimprove Alfa rule sia-r68 on 34 of 2550 scanned pages (34 instances).

### Steps to reproduce
1. Open https://data.medicaid.gov/datasets?keyword%5B0%5D=DQ+Atlas&page=3.
2. Locate the element: <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">
3. Confirm the Siteimprove Alfa finding for rule sia-r68 against WCAG 1.3.1 Info and Relationships.

### Impact
Affects Without vision (1.0%), Limited vision (2.4%), Limited cognitive, language, or learning ability (11.0%).
- **Without vision** (1.0% of population)
- **Limited vision** (2.4% of population)
- **Limited cognitive, language, or learning ability** (11.0% of population)

### Affected pages
- https://data.medicaid.gov/datasets?keyword%5B0%5D=DQ+Atlas&page=3
- https://data.medicaid.gov/datasets?page=33
- https://data.medicaid.gov/datasets?keyword%5B%5D=dqatlas_implAuto
- https://data.medicaid.gov/datasets?keyword%5B0%5D=chip&page=7
- https://data.medicaid.gov/datasets?keyword%5B0%5D=t-msis+analytic+files&page=2
- https://data.medicaid.gov/datasets?keyword%5B0%5D=drug+rebate+program&page=17
- https://data.medicaid.gov/datasets?keyword%5B%5D=average+manufacturer+price
- https://data.medicaid.gov/datasets?keyword%5B%5D=neonatal+abstinence+syndrome
- https://data.medicaid.gov/datasets?keyword%5B0%5D=drug+rebate+program&page=15
- https://data.medicaid.gov/datasets?page=29
- https://data.medicaid.gov/datasets?keyword%5B0%5D=chip&page=6
- https://data.medicaid.gov/datasets?keyword%5B%5D=Utility
- https://data.medicaid.gov/datasets?page=30
- https://data.medicaid.gov/datasets?keyword%5B%5D=t-msis+analytic+files
- https://data.medicaid.gov/datasets?keyword%5B%5D=pace
- https://data.medicaid.gov/datasets?keyword%5B%5D=epsdt
- https://data.medicaid.gov/datasets?keyword%5B%5D=dqatlas_featAuto
- https://data.medicaid.gov/datasets?keyword%5B0%5D=t-msis+analytic+files&page=3
- https://data.medicaid.gov/datasets?keyword%5B%5D=home+and+community-based+services
- https://data.medicaid.gov/datasets?keyword%5B%5D=magi
- https://data.medicaid.gov/datasets?keyword%5B%5D=bho
- https://data.medicaid.gov/datasets?keyword%5B0%5D=Drug+Rebate+Program&page=18
- https://data.medicaid.gov/datasets?keyword%5B0%5D=drug+rebate+program&page=13
- https://data.medicaid.gov/datasets?page=32
- https://data.medicaid.gov/datasets?keyword%5B%5D=magi+application+processing

…and more — 34 pages total ([download CSV](csv/alfa__sia-r68.csv)).

### Testing environment
Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.

### Suggested fix
See remediation guidance: https://alfa.siteimprove.com/rules/sia-r68

### Example pages
- https://data.medicaid.gov/datasets?keyword%5B0%5D=DQ+Atlas&page=3
- https://data.medicaid.gov/datasets?page=33
- https://data.medicaid.gov/datasets?keyword%5B%5D=dqatlas_implAuto

---

## aria-hidden element does not contain focusable elements (WCAG 4.1.2)

**Bug ID:** `VS-22cb2178`  
**Pattern ID:** `VS-f6cf30ff`  
**URL:** https://data.medicaid.gov/dataset/e3af839d-8175-5be0-b94e-4a302ed7a035?page=53  
**XPath / selector:** `<div aria-labelledby="overview__tab" aria-hidden="true" class="ds-c-tabs__panel" id="overview">`  
**WCAG SC:** 4.1.2 — Name, Role, Value (Level A)  
**Rule:** Siteimprove Alfa — `sia-r17` ([reference](https://alfa.siteimprove.com/rules/sia-r17))  
**Severity:** Moderate  
**Frequency:** 2094 instances; 863 of 2550 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W40 (17 weeks)

### Description
aria-hidden element does not contain focusable elements. Detected by Siteimprove Alfa rule sia-r17 on 863 of 2550 scanned pages (2094 instances).

### Steps to reproduce
1. Open https://data.medicaid.gov/dataset/e3af839d-8175-5be0-b94e-4a302ed7a035?page=53.
2. Locate the element: <div aria-labelledby="overview__tab" aria-hidden="true" class="ds-c-tabs__panel" id="overview">
3. Confirm the Siteimprove Alfa finding for rule sia-r17 against WCAG 4.1.2 Name, Role, Value.

### Impact
Affects Without vision (1.0%), Limited vision (2.4%), Limited manipulation/strength (13.0%).
- **Without vision** (1.0% of population)
- **Limited vision** (2.4% of population)
- **Limited manipulation/strength** (13.0% of population)

### Affected pages
- https://data.medicaid.gov/dataset/e3af839d-8175-5be0-b94e-4a302ed7a035?page=53
- https://data.medicaid.gov/dataset/6165f45b-ca93-5bb5-9d06-db29c692a360?page=437
- https://data.medicaid.gov/dataset/d9fb4ebc-7ff5-5376-ae96-f7d08c294929?page=3
- https://data.medicaid.gov/dataset/babb47a8-0cbb-420b-bed5-0bc7df3e053b?page=4
- https://data.medicaid.gov/dataset/0563d88c-8fe5-42a8-9d69-f67fd21c0e91?page=2
- https://data.medicaid.gov/dataset/5abea2e0-3f8e-4b49-a50d-d63d5fd9103c
- https://data.medicaid.gov/dataset/b51bbd15-c6c7-4158-9365-54fe40a7d351?page=4
- https://data.medicaid.gov/dataset/fbb83258-11c7-47f5-8b18-5f8e79f7e704?page=5
- https://data.medicaid.gov/dataset/cc318bfb-a9b2-55f3-a924-d47376b32ea3?page=197389
- https://data.medicaid.gov/dataset/99315a95-37ac-4eee-946a-3c523b4c481e?page=3
- https://data.medicaid.gov/dataset/8483cef4-972a-4c39-8290-c9d19bead88d?page=4
- https://data.medicaid.gov/dataset/49948457-e2d0-55a4-be39-82f0de8d72e1?page=5
- https://data.medicaid.gov/dataset/bbdcd2d0-13ac-4c1f-8670-914acb43b81e?page=2
- https://data.medicaid.gov/dataset/91d4309d-3ca8-5a1e-8f78-79984027392d?page=4
- https://data.medicaid.gov/dataset/b7cf4576-a930-59b4-86c8-c8685aaa5c2c?page=2
- https://data.medicaid.gov/dataset/ebcfc16f-8291-4c61-82a4-055846d72f3a?page=3
- https://data.medicaid.gov/dataset/6c114b2c-cb83-559b-832f-4d8b06d6c1b9?page=315
- https://data.medicaid.gov/dataset/5abea2e0-3f8e-4b49-a50d-d63d5fd9103c?page=4
- https://data.medicaid.gov/dataset/53cf9f05-97e3-5bd6-a237-bc971e3642d9?page=5
- https://data.medicaid.gov/dataset/78950031-dea0-53d7-9247-d5affba75d96?page=5
- https://data.medicaid.gov/dataset/5b19d1d4-ae43-5fcd-ba14-3cecd99f473f
- https://data.medicaid.gov/dataset/19233349-77b4-5f99-8e60-beb0aa1165de
- https://data.medicaid.gov/dataset/e0c7b1d9-44a1-565a-b975-1a4c61855914
- https://data.medicaid.gov/dataset/f7162680-b174-48b4-b3e3-3f0f735264ab?page=189680
- https://data.medicaid.gov/dataset/fbb83258-11c7-47f5-8b18-5f8e79f7e704?page=39934

…and more — 863 pages total ([download CSV](csv/alfa__sia-r17.csv)).

### Testing environment
Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.

### Suggested fix
See remediation guidance: https://alfa.siteimprove.com/rules/sia-r17

### Example pages
- https://data.medicaid.gov/dataset/e3af839d-8175-5be0-b94e-4a302ed7a035?page=53
- https://data.medicaid.gov/dataset/6165f45b-ca93-5bb5-9d06-db29c692a360?page=437
- https://data.medicaid.gov/dataset/d9fb4ebc-7ff5-5376-ae96-f7d08c294929?page=3

---

## Text has minimum contrast ratio of 4.5:1 (WCAG 1.4.8)

**Bug ID:** `VS-e21a8265`  
**Pattern ID:** `VS-2208081b`  
**URL:** https://data.medicaid.gov/dataset/e3af839d-8175-5be0-b94e-4a302ed7a035?page=53  
**XPath / selector:** `<p class="ds-c-usa-banner__header-text">`  
**WCAG SC:** 1.4.8 — Visual Presentation (Level AAA)  
**Rule:** Siteimprove Alfa — `sia-r73` ([reference](https://alfa.siteimprove.com/rules/sia-r73))  
**Severity:** Moderate  
**Frequency:** 8087 instances; 1029 of 2550 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W40 (17 weeks)

### Description
Text has minimum contrast ratio of 4.5:1. Detected by Siteimprove Alfa rule sia-r73 on 1029 of 2550 scanned pages (8087 instances).

### Steps to reproduce
1. Open https://data.medicaid.gov/dataset/e3af839d-8175-5be0-b94e-4a302ed7a035?page=53.
2. Locate the element: <p class="ds-c-usa-banner__header-text">
3. Confirm the Siteimprove Alfa finding for rule sia-r73 against WCAG 1.4.8 Visual Presentation.

### Impact
Not captured by automated scan — requires manual testing.

### Affected pages
- https://data.medicaid.gov/dataset/e3af839d-8175-5be0-b94e-4a302ed7a035?page=53
- https://data.medicaid.gov/dataset/6165f45b-ca93-5bb5-9d06-db29c692a360?page=437
- https://data.medicaid.gov/dataset/d9fb4ebc-7ff5-5376-ae96-f7d08c294929?page=3
- https://data.medicaid.gov/datasets?theme%5B%5D=State+Drug+Utilization
- https://data.medicaid.gov/datasets?page=11
- https://data.medicaid.gov/dataset/babb47a8-0cbb-420b-bed5-0bc7df3e053b?page=4
- https://data.medicaid.gov/dataset/0563d88c-8fe5-42a8-9d69-f67fd21c0e91?page=2
- https://data.medicaid.gov/dataset/5abea2e0-3f8e-4b49-a50d-d63d5fd9103c
- https://data.medicaid.gov/dataset/b51bbd15-c6c7-4158-9365-54fe40a7d351?page=4
- https://data.medicaid.gov/dataset/fbb83258-11c7-47f5-8b18-5f8e79f7e704?page=5
- https://data.medicaid.gov/dataset/cc318bfb-a9b2-55f3-a924-d47376b32ea3?page=197389
- https://data.medicaid.gov/dataset/99315a95-37ac-4eee-946a-3c523b4c481e?page=3
- https://data.medicaid.gov/dataset/8483cef4-972a-4c39-8290-c9d19bead88d?page=4
- https://data.medicaid.gov/dataset/49948457-e2d0-55a4-be39-82f0de8d72e1?page=5
- https://data.medicaid.gov/dataset/bbdcd2d0-13ac-4c1f-8670-914acb43b81e?page=2
- https://data.medicaid.gov/dataset/91d4309d-3ca8-5a1e-8f78-79984027392d?page=4
- https://data.medicaid.gov/datasets?keyword%5B0%5D=Pharmacy
- https://data.medicaid.gov/dataset/b7cf4576-a930-59b4-86c8-c8685aaa5c2c?page=2
- https://data.medicaid.gov/dataset/ebcfc16f-8291-4c61-82a4-055846d72f3a?page=3
- https://data.medicaid.gov/datasets?keyword%5B%5D=section+1915%28c%29+waivers
- https://data.medicaid.gov/dataset/6c114b2c-cb83-559b-832f-4d8b06d6c1b9?page=315
- https://data.medicaid.gov/dataset/5abea2e0-3f8e-4b49-a50d-d63d5fd9103c?page=4
- https://data.medicaid.gov/dataset/53cf9f05-97e3-5bd6-a237-bc971e3642d9?page=5
- https://data.medicaid.gov/datasets?keyword%5B0%5D=drug+utilization&page=2
- https://data.medicaid.gov/dataset/78950031-dea0-53d7-9247-d5affba75d96?page=5

…and more — 1029 pages total ([download CSV](csv/alfa__sia-r73.csv)).

### Testing environment
Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.

### Suggested fix
See remediation guidance: https://alfa.siteimprove.com/rules/sia-r73

### Example pages
- https://data.medicaid.gov/dataset/e3af839d-8175-5be0-b94e-4a302ed7a035?page=53
- https://data.medicaid.gov/dataset/6165f45b-ca93-5bb5-9d06-db29c692a360?page=437
- https://data.medicaid.gov/dataset/d9fb4ebc-7ff5-5376-ae96-f7d08c294929?page=3

---

## Target size is at least 44×44 CSS pixels (Enhanced) (WCAG 2.5.5)

**Bug ID:** `VS-b080aabe`  
**Pattern ID:** `VS-cb53cc4d`  
**URL:** https://data.medicaid.gov/dataset/e3af839d-8175-5be0-b94e-4a302ed7a035?page=53  
**XPath / selector:** `<a href="/" title="Open Data">`  
**WCAG SC:** 2.5.5 — Target Size (Enhanced) (Level AAA)  
**Rule:** Siteimprove Alfa — `sia-r111` ([reference](https://alfa.siteimprove.com/rules/sia-r111))  
**Severity:** Moderate  
**Frequency:** 30690 instances; 1029 of 2550 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W40 (17 weeks)

### Description
Target size is at least 44×44 CSS pixels (Enhanced). Detected by Siteimprove Alfa rule sia-r111 on 1029 of 2550 scanned pages (30690 instances).

### Steps to reproduce
1. Open https://data.medicaid.gov/dataset/e3af839d-8175-5be0-b94e-4a302ed7a035?page=53.
2. Locate the element: <a href="/" title="Open Data">
3. Confirm the Siteimprove Alfa finding for rule sia-r111 against WCAG 2.5.5 Target Size (Enhanced).

### Impact
Not captured by automated scan — requires manual testing.

### Affected pages
- https://data.medicaid.gov/dataset/e3af839d-8175-5be0-b94e-4a302ed7a035?page=53
- https://data.medicaid.gov/dataset/6165f45b-ca93-5bb5-9d06-db29c692a360?page=437
- https://data.medicaid.gov/dataset/d9fb4ebc-7ff5-5376-ae96-f7d08c294929?page=3
- https://data.medicaid.gov/datasets?theme%5B%5D=State+Drug+Utilization
- https://data.medicaid.gov/datasets?page=11
- https://data.medicaid.gov/dataset/babb47a8-0cbb-420b-bed5-0bc7df3e053b?page=4
- https://data.medicaid.gov/dataset/0563d88c-8fe5-42a8-9d69-f67fd21c0e91?page=2
- https://data.medicaid.gov/dataset/5abea2e0-3f8e-4b49-a50d-d63d5fd9103c
- https://data.medicaid.gov/dataset/b51bbd15-c6c7-4158-9365-54fe40a7d351?page=4
- https://data.medicaid.gov/dataset/fbb83258-11c7-47f5-8b18-5f8e79f7e704?page=5
- https://data.medicaid.gov/dataset/cc318bfb-a9b2-55f3-a924-d47376b32ea3?page=197389
- https://data.medicaid.gov/dataset/99315a95-37ac-4eee-946a-3c523b4c481e?page=3
- https://data.medicaid.gov/dataset/8483cef4-972a-4c39-8290-c9d19bead88d?page=4
- https://data.medicaid.gov/dataset/49948457-e2d0-55a4-be39-82f0de8d72e1?page=5
- https://data.medicaid.gov/dataset/bbdcd2d0-13ac-4c1f-8670-914acb43b81e?page=2
- https://data.medicaid.gov/dataset/91d4309d-3ca8-5a1e-8f78-79984027392d?page=4
- https://data.medicaid.gov/datasets?keyword%5B0%5D=Pharmacy
- https://data.medicaid.gov/dataset/b7cf4576-a930-59b4-86c8-c8685aaa5c2c?page=2
- https://data.medicaid.gov/dataset/ebcfc16f-8291-4c61-82a4-055846d72f3a?page=3
- https://data.medicaid.gov/datasets?keyword%5B%5D=section+1915%28c%29+waivers
- https://data.medicaid.gov/dataset/6c114b2c-cb83-559b-832f-4d8b06d6c1b9?page=315
- https://data.medicaid.gov/dataset/5abea2e0-3f8e-4b49-a50d-d63d5fd9103c?page=4
- https://data.medicaid.gov/dataset/53cf9f05-97e3-5bd6-a237-bc971e3642d9?page=5
- https://data.medicaid.gov/datasets?keyword%5B0%5D=drug+utilization&page=2
- https://data.medicaid.gov/dataset/78950031-dea0-53d7-9247-d5affba75d96?page=5

…and more — 1029 pages total ([download CSV](csv/alfa__sia-r111.csv)).

### Testing environment
Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.

### Suggested fix
See remediation guidance: https://alfa.siteimprove.com/rules/sia-r111

### Example pages
- https://data.medicaid.gov/dataset/e3af839d-8175-5be0-b94e-4a302ed7a035?page=53
- https://data.medicaid.gov/dataset/6165f45b-ca93-5bb5-9d06-db29c692a360?page=437
- https://data.medicaid.gov/dataset/d9fb4ebc-7ff5-5376-ae96-f7d08c294929?page=3

---

## Landmarks should have a unique role or role/label/title (i.e. accessible name) c (WCAG criterion undetermined)

**Bug ID:** `VS-d1c9e587`  
**Pattern ID:** `VS-8806389c`  
**URL:** https://data.medicaid.gov/about/api  
**XPath / selector:** `.dkan-c-main-nav`  
**WCAG SC:** _undetermined_  
**Rule:** axe-core — `landmark-unique` ([reference](https://dequeuniversity.com/rules/axe/4.12/landmark-unique?application=axeAPI))  
**Severity:** Moderate  
**Frequency:** 7 instances; 5 of 2550 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W40 (17 weeks)

### HTML snippet
```html
<nav class="dkan-c-main-nav">
```

### Description
Landmarks should have a unique role or role/label/title (i.e. accessible name) c. Detected by axe-core rule landmark-unique on 5 of 2550 scanned pages (7 instances).

### Steps to reproduce
1. Open https://data.medicaid.gov/about/api.
2. Locate the element: .dkan-c-main-nav
3. Confirm the axe-core finding for rule landmark-unique.

### Impact
Not captured by automated scan — requires manual testing.

### Affected pages
- https://data.medicaid.gov/about/api
- https://data.medicaid.gov/about/program-overview
- https://data.medicaid.gov/api
- https://data.medicaid.gov/about/faq
- https://data.medicaid.gov/about/contact-us

### Testing environment
Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.

### Suggested fix
**How to fix:** 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.

See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/landmark-unique?application=axeAPI

### Example pages
- https://data.medicaid.gov/about/api
- https://data.medicaid.gov/about/program-overview
- https://data.medicaid.gov/api

---

## Main landmark should not be contained in another landmark (WCAG criterion undetermined)

**Bug ID:** `VS-9d3c89d4`  
**Pattern ID:** `VS-ff3ceb19`  
**URL:** https://data.medicaid.gov/about/api  
**XPath / selector:** `#operations`  
**WCAG SC:** _undetermined_  
**Rule:** axe-core — `landmark-main-is-top-level` ([reference](https://dequeuniversity.com/rules/axe/4.12/landmark-main-is-top-level?application=axeAPI))  
**Severity:** Moderate  
**Frequency:** 2 instances; 2 of 2550 pages affected
  
**History:** first seen 2026-W39, last seen 2026-W40 (2 weeks)

### HTML snippet
```html
<main id="operations" tabindex="-1" style="outline: none;">
```

### Description
Main landmark should not be contained in another landmark. Detected by axe-core rule landmark-main-is-top-level on 2 of 2550 scanned pages (2 instances).

### Steps to reproduce
1. Open https://data.medicaid.gov/about/api.
2. Locate the element: #operations
3. Confirm the axe-core finding for rule landmark-main-is-top-level.

### Impact
Not captured by automated scan — requires manual testing.

### Affected pages
- https://data.medicaid.gov/about/api
- https://data.medicaid.gov/api

### Testing environment
Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.

### Suggested fix
See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/landmark-main-is-top-level?application=axeAPI

### Example pages
- https://data.medicaid.gov/about/api
- https://data.medicaid.gov/api

---

## Document should not have more than one main landmark (WCAG criterion undetermined)

**Bug ID:** `VS-d470c9b2`  
**Pattern ID:** `VS-cd69be3a`  
**URL:** https://data.medicaid.gov/about/api  
**XPath / selector:** `#main-content`  
**WCAG SC:** _undetermined_  
**Rule:** axe-core — `landmark-no-duplicate-main` ([reference](https://dequeuniversity.com/rules/axe/4.12/landmark-no-duplicate-main?application=axeAPI))  
**Severity:** Moderate  
**Frequency:** 2 instances; 2 of 2550 pages affected
  
**History:** first seen 2026-W39, last seen 2026-W40 (2 weeks)

### HTML snippet
```html
<main id="main-content" class="ds-u-padding-top--4" tabindex="-1">
```

### Description
Document should not have more than one main landmark. Detected by axe-core rule landmark-no-duplicate-main on 2 of 2550 scanned pages (2 instances).

### Steps to reproduce
1. Open https://data.medicaid.gov/about/api.
2. Locate the element: #main-content
3. Confirm the axe-core finding for rule landmark-no-duplicate-main.

### Impact
Not captured by automated scan — requires manual testing.

### Affected pages
- https://data.medicaid.gov/about/api
- https://data.medicaid.gov/api

### Testing environment
Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.

### Suggested fix
See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/landmark-no-duplicate-main?application=axeAPI

### Example pages
- https://data.medicaid.gov/about/api
- https://data.medicaid.gov/api

---

## Table header has scope (WCAG criterion undetermined)

**Bug ID:** `VS-91fcf8cd`  
**Pattern ID:** `VS-2cd767ca`  
**URL:** https://data.medicaid.gov/datasets?keyword%5B0%5D=DQ+Atlas&page=3  
**XPath / selector:** `<h2 class="ds-c-alert__heading">`  
**WCAG SC:** _undetermined_  
**Rule:** Siteimprove Alfa — `sia-r78` ([reference](https://alfa.siteimprove.com/rules/sia-r78))  
**Severity:** Moderate  
**Frequency:** 23 instances; 23 of 2550 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W40 (17 weeks)

### Description
Table header has scope. Detected by Siteimprove Alfa rule sia-r78 on 23 of 2550 scanned pages (23 instances).

### Steps to reproduce
1. Open https://data.medicaid.gov/datasets?keyword%5B0%5D=DQ+Atlas&page=3.
2. Locate the element: <h2 class="ds-c-alert__heading">
3. Confirm the Siteimprove Alfa finding for rule sia-r78.

### Impact
Not captured by automated scan — requires manual testing.

### Affected pages
- https://data.medicaid.gov/datasets?keyword%5B0%5D=DQ+Atlas&page=3
- https://data.medicaid.gov/datasets?keyword%5B%5D=dqatlas_implAuto
- https://data.medicaid.gov/datasets?keyword%5B0%5D=chip&page=7
- https://data.medicaid.gov/datasets?keyword%5B0%5D=t-msis+analytic+files&page=2
- https://data.medicaid.gov/datasets?keyword%5B%5D=average+manufacturer+price
- https://data.medicaid.gov/datasets?keyword%5B%5D=neonatal+abstinence+syndrome
- https://data.medicaid.gov/datasets?keyword%5B0%5D=chip&page=6
- https://data.medicaid.gov/datasets?keyword%5B%5D=Utility
- https://data.medicaid.gov/datasets?keyword%5B%5D=t-msis+analytic+files
- https://data.medicaid.gov/datasets?keyword%5B%5D=pace
- https://data.medicaid.gov/datasets?keyword%5B%5D=epsdt
- https://data.medicaid.gov/datasets?keyword%5B%5D=dqatlas_featAuto
- https://data.medicaid.gov/datasets?keyword%5B0%5D=t-msis+analytic+files&page=3
- https://data.medicaid.gov/datasets?keyword%5B%5D=home+and+community-based+services
- https://data.medicaid.gov/datasets?keyword%5B%5D=magi
- https://data.medicaid.gov/datasets?keyword%5B%5D=bho
- https://data.medicaid.gov/datasets?keyword%5B%5D=magi+application+processing
- https://data.medicaid.gov/datasets?keyword%5B0%5D=drug+acquisition+cost&page=2
- https://data.medicaid.gov/datasets?keyword%5B0%5D=chip&page=3
- https://data.medicaid.gov/datasets?keyword%5B%5D=chip
- https://data.medicaid.gov/datasets?keyword%5B%5D=dqatlas_devAuto
- https://data.medicaid.gov/datasets?keyword%5B%5D=utility
- https://data.medicaid.gov/datasets?keyword%5B%5D=DQ+Atlas

### Testing environment
Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.

### Suggested fix
See remediation guidance: https://alfa.siteimprove.com/rules/sia-r78

### Example pages
- https://data.medicaid.gov/datasets?keyword%5B0%5D=DQ+Atlas&page=3
- https://data.medicaid.gov/datasets?keyword%5B%5D=dqatlas_implAuto
- https://data.medicaid.gov/datasets?keyword%5B0%5D=chip&page=7

---

## Form field label is visible (WCAG criterion undetermined)

**Bug ID:** `VS-385c6a6c`  
**Pattern ID:** `VS-7118fead`  
**URL:** https://data.medicaid.gov/about/api  
**XPath / selector:** `{"type":"document","children":[{"type":"type","name":"html","publicId":null,"sys`  
**WCAG SC:** _undetermined_  
**Rule:** Siteimprove Alfa — `sia-r61` ([reference](https://alfa.siteimprove.com/rules/sia-r61))  
**Severity:** Moderate  
**Frequency:** 2 instances; 2 of 2550 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W40 (17 weeks)

### Description
Form field label is visible. Detected by Siteimprove Alfa rule sia-r61 on 2 of 2550 scanned pages (2 instances).

### Steps to reproduce
1. Open https://data.medicaid.gov/about/api.
2. Locate the element: {"type":"document","children":[{"type":"type","name":"html","publicId":null,"sys
3. Confirm the Siteimprove Alfa finding for rule sia-r61.

### Impact
Not captured by automated scan — requires manual testing.

### Affected pages
- https://data.medicaid.gov/about/api
- https://data.medicaid.gov/about/faq

### Testing environment
Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.

### Suggested fix
See remediation guidance: https://alfa.siteimprove.com/rules/sia-r61

### Example pages
- https://data.medicaid.gov/about/api
- https://data.medicaid.gov/about/faq