# Accessibility bug reports — www.cms.gov, week 2026-W25

58 issue type(s) from 8304 pages scanned. Generated 2026-07-12 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.

---
## Target size is at least 24×24 CSS pixels or has spacing (Minimum) (WCAG 2.5.8)

**Bug ID:** `VS-76dae7c4`  
**Pattern ID:** `VS-179ad9b3`  
**URL:** https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleId=55533&ver=2  
**XPath / selector:** `<a href="#lblRelatedNationalSubheader" data-href="lblRelatedNationalSubheader" class="nav-link toc-link no-link log-click" title="Jump to Related National Coverage Documents">`  
**WCAG SC:** 2.5.8 — Target Size (Minimum) (Level AA)  
**Rule:** Siteimprove Alfa — `sia-r113` ([reference](https://alfa.siteimprove.com/rules/sia-r113))  
**Severity:** Moderate  
**Frequency:** 1134 instances; 659 of 8304 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W25 (2 weeks)

### Description
Target size is at least 24×24 CSS pixels or has spacing (Minimum). Detected by Siteimprove Alfa rule sia-r113 on 659 of 8304 scanned pages (1134 instances).

### Steps to reproduce
1. Open https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleId=55533&ver=2.
2. Locate the element: <a href="#lblRelatedNationalSubheader" data-href="lblRelatedNationalSubheader" class="nav-link toc-link no-link log-click" title="Jump to Related National Coverage Documents">
3. Confirm the Siteimprove Alfa finding for rule sia-r113 against WCAG 2.5.8 Target Size (Minimum).

### Impact
Affects Limited manipulation/strength (13.0%), Limited reach (2.0%), Limited vision (2.4%).
- **Limited manipulation/strength** (13.0% of population)
- **Limited reach** (2.0% of population)
- **Limited vision** (2.4% of population)

### Affected pages
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleId=55533&ver=2
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=54480&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=11
- https://www.cms.gov/icd10m/version372-fullcode-cms/fullcode_cms/P0732.html
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=57326&articleStatus=all&bc=3&sortBy=title&ver=40
- https://www.cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0240.html
- https://www.cms.gov/icd10m/FY2026-nprm-version43-fullcode-cms/fullcode_cms/P0757.html
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=55715&articleStatus=all&bc=3&sortBy=title&ver=12
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=57583&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=7
- http://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=57864&articleStatus=all&bc=4&contractorName=all&contractorNumber=all&sortBy=title&ver=36
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=58695&articleStatus=all&bc=3&sortBy=title&ver=9
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=52399&articleStatus=all&bc=3&sortBy=title&ver=71
- https://www.cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0246.html
- http://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=57238&articleStatus=all&bc=4&contractorName=all&contractorNumber=all&sortBy=title&ver=10
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=52960&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=11
- https://www.cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0207.html
- http://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=59480&articleStatus=all&bc=4&contractorName=all&contractorNumber=all&sortBy=title&ver=7
- http://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=57083&articleStatus=all&bc=4&contractorName=all&contractorNumber=all&sortBy=title&ver=7
- http://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=52850&articleStatus=all&bc=4&contractorName=all&contractorNumber=all&sortBy=title&ver=52
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=56124&articleStatus=all&bc=3&sortBy=title&ver=32
- http://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=56537&articleStatus=all&bc=4&contractorName=all&contractorNumber=all&sortBy=title&ver=40
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=59674&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=18
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=58695&articleStatus=all&bc=3&sortBy=title&ver=11
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=55770&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=11
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=55146&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=17
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=56952&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=50

…and more — 659 pages total ([download CSV](csv/alfa__sia-r113.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-r113

### Example pages
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleId=55533&ver=2
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=54480&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=11
- https://www.cms.gov/icd10m/version372-fullcode-cms/fullcode_cms/P0732.html

---

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

**Bug ID:** `VS-11483670`  
**Pattern ID:** `VS-f7dba940`  
**URL:** https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=52516&articleStatus=all&bc=3&sortBy=title&ver=26  
**XPath / selector:** `<a id="aBasketManuButton" class="basket-icon log-click " title="View documents in your Basket" data-page-action="Clicked the Basket navbar link.">`  
**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:** 3365 instances; 1179 of 8304 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W25 (2 weeks)

### Description
Accessible name of link or button matches visible label. Detected by Siteimprove Alfa rule sia-r14 on 1179 of 8304 scanned pages (3365 instances).

### Steps to reproduce
1. Open https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=52516&articleStatus=all&bc=3&sortBy=title&ver=26.
2. Locate the element: <a id="aBasketManuButton" class="basket-icon log-click " title="View documents in your Basket" data-page-action="Clicked the Basket navbar link.">
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://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=52516&articleStatus=all&bc=3&sortBy=title&ver=26
- http://www.cms.gov/medicare-coverage-database/view/medcac-meeting.aspx?bc=15&medcacid=30&sortBy=meetingdate&year=all
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=58944&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=2
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleId=55533&ver=2
- http://www.cms.gov/medicare-coverage-database/view/nca.aspx?bc=17&ncacaldoctype=all&ncaid=174&sortBy=status&status=all
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=57503&bc=0&ver=10
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=54480&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=11
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=59815&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=4
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=57326&articleStatus=all&bc=3&sortBy=title&ver=40
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=55715&articleStatus=all&bc=3&sortBy=title&ver=12
- http://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=52754&articleStatus=all&bc=4&contractorName=all&contractorNumber=all&sortBy=title&ver=6
- http://www.cms.gov/medicare-coverage-database/view/ncd.aspx?ncdid=61&ncdver=1
- http://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=34760&lcdStatus=all&sortBy=title&ver=27
- http://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=36715&lcdStatus=all&sortBy=title&ver=58
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=57583&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=7
- http://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=57864&articleStatus=all&bc=4&contractorName=all&contractorNumber=all&sortBy=title&ver=36
- http://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=59197&articleStatus=all&bc=4&contractorName=all&contractorNumber=all&sortBy=title&ver=7
- http://www.cms.gov/medicare-coverage-database/view/nca.aspx?bc=17&ncacaldoctype=all&ncaid=45&sortBy=status&status=all
- https://www.cms.gov/medicare-coverage-database/view/ncd.aspx?NCDId=14&NCDver=1
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=58695&articleStatus=all&bc=3&sortBy=title&ver=9
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=52399&articleStatus=all&bc=3&sortBy=title&ver=71
- http://www.cms.gov/medicare-coverage-database/reports/local-coverage-final-lcds-contractor-report.aspx?contractorName=all&contractorNumber=all&lcdid=38274&lcdStatus=all&sortBy=title
- http://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=57238&articleStatus=all&bc=4&contractorName=all&contractorNumber=all&sortBy=title&ver=10
- http://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=34356&lcdStatus=all&sortBy=title&ver=31
- http://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=33619&lcdStatus=all&sortBy=title&ver=24

…and more — 1179 pages total ([download CSV](csv/alfa__sia-r14.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-r14

### Example pages
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=52516&articleStatus=all&bc=3&sortBy=title&ver=26
- http://www.cms.gov/medicare-coverage-database/view/medcac-meeting.aspx?bc=15&medcacid=30&sortBy=meetingdate&year=all
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=58944&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=2

---

## Images must have alternative text (WCAG 1.1.1)

**Bug ID:** `VS-39087fc9`  
**Pattern ID:** `VS-9074b4dd`  
**URL:** https://www.cms.gov/icd10m/version35-fullcode-cms/fullcode_cms/P0009.html  
**XPath / selector:** `img[src$="cms-site-logo.png"]`  
**WCAG SC:** 1.1.1 — Non-text Content (Level A)  
**Rule:** axe-core — `image-alt` ([reference](https://dequeuniversity.com/rules/axe/4.12/image-alt?application=axeAPI))  
**Severity:** Critical  
**Frequency:** 273 instances; 273 of 8304 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W25 (2 weeks)

### HTML snippet
```html
<img src="cms-site-logo.png">
```

### Description
Images must have alternative text. Detected by axe-core rule image-alt on 273 of 8304 scanned pages (273 instances).

### Steps to reproduce
1. Open https://www.cms.gov/icd10m/version35-fullcode-cms/fullcode_cms/P0009.html.
2. Locate the element: img[src$="cms-site-logo.png"]
3. Confirm the axe-core finding for rule image-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://www.cms.gov/icd10m/version35-fullcode-cms/fullcode_cms/P0009.html
- https://www.cms.gov/icd10m/version372-fullcode-cms/fullcode_cms/P0732.html
- https://www.cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0240.html
- https://www.cms.gov/icd10m/FY2026-nprm-version43-fullcode-cms/fullcode_cms/P0757.html
- https://www.cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0688.html
- https://www.cms.gov/icd10m/FY2026-nprm-version43-fullcode-cms/fullcode_cms/P0035.html
- https://www.cms.gov/icd10m/FY2024-nprmversion41.0-fullcode-cms/fullcode_cms/P0105.html
- https://www.cms.gov/icd10m/FY2024-nprmversion41.0-fullcode-cms/fullcode_cms/P0140.html
- https://www.cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0246.html
- https://www.cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0207.html
- https://www.cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0335.html
- https://www.cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0413.html
- https://www.cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0291.html
- https://www.cms.gov/icd10m/FY2024-nprmversion41.0-fullcode-cms/fullcode_cms/P0007.html
- https://www.cms.gov/icd10m/version372-fullcode-cms/fullcode_cms/P0030.html
- https://www.cms.gov/icd10m/FY2026-nprm-version43-fullcode-cms/fullcode_cms/P0403.html
- https://www.cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0306.html
- https://www.cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0538.html
- https://www.cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0678.html
- https://www.cms.gov/icd10m/version39-fullcode-cms/fullcode_cms/P0148.html
- https://www.cms.gov/icd10m/FY2025-NPRM-Version42-fullcode-cms/fullcode_cms/P0457.html
- https://www.cms.gov/icd10m/version35-fullcode-cms/fullcode_cms/P0035.html
- https://www.cms.gov/icd10m/FY2024-nprmversion41.0-fullcode-cms/fullcode_cms/P0185.html
- https://www.cms.gov/icd10m/FY2024-nprmversion41.0-fullcode-cms/fullcode_cms/P0254.html
- https://www.cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0110.html

…and more — 273 pages total ([download CSV](csv/axe-core__image-alt.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:** Give every <img> a meaningful alt attribute. Use alt="" only for decorative images so screen readers skip them.

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

### Example pages
- https://www.cms.gov/icd10m/version35-fullcode-cms/fullcode_cms/P0009.html
- https://www.cms.gov/icd10m/version372-fullcode-cms/fullcode_cms/P0732.html
- https://www.cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0240.html

---

## Image has accessible name (WCAG 1.1.1)

**Bug ID:** `VS-dfbb4585`  
**Pattern ID:** `VS-a24eaa8c`  
**URL:** https://www.cms.gov/icd10m/version372-fullcode-cms/fullcode_cms/P0732.html  
**XPath / selector:** `<img src="cms-site-logo.png">`  
**WCAG SC:** 1.1.1 — Non-text Content (Level A)  
**Rule:** Siteimprove Alfa — `sia-r2` ([reference](https://alfa.siteimprove.com/rules/sia-r2))  
**Severity:** Moderate  
**Frequency:** 96 instances; 96 of 8304 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W25 (2 weeks)

### Description
Image has accessible name. Detected by Siteimprove Alfa rule sia-r2 on 96 of 8304 scanned pages (96 instances).

### Steps to reproduce
1. Open https://www.cms.gov/icd10m/version372-fullcode-cms/fullcode_cms/P0732.html.
2. Locate the element: <img src="cms-site-logo.png">
3. Confirm the Siteimprove Alfa finding for rule sia-r2 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://www.cms.gov/icd10m/version372-fullcode-cms/fullcode_cms/P0732.html
- https://www.cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0240.html
- https://www.cms.gov/icd10m/FY2026-nprm-version43-fullcode-cms/fullcode_cms/P0757.html
- https://www.cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0246.html
- https://www.cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0207.html
- https://www.cms.gov/icd10m/FY2025-NPRM-Version42-fullcode-cms/fullcode_cms/P0457.html
- https://www.cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0239.html
- https://www.cms.gov/icd10m/FY2026-nprm-version43-fullcode-cms/fullcode_cms/P0272.html
- https://www.cms.gov/icd10m/version39-fullcode-cms/fullcode_cms/P0143.html
- https://www.cms.gov/icd10m/version35-fullcode-cms/fullcode_cms/P0306.html
- https://www.cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0475.html
- http://www.cms.gov/icd10m/version39.1-fullcode-cms/fullcode_cms/P0284.html
- https://www.cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0560.html
- https://www.cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0020.html
- https://www.cms.gov/icd10m/FY2023-version40-fullcode-cms/fullcode_cms/P0079.html
- https://www.cms.gov/icd10m/FY2024-nprmversion41.0-fullcode-cms/fullcode_cms/P0471.html
- https://www.cms.gov/icd10m/FY2025-NPRM-Version42-fullcode-cms/fullcode_cms/P0093.html
- https://www.cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0161.html
- https://www.cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0224.html
- https://www.cms.gov/icd10m/FY2026-nprm-version43-fullcode-cms/fullcode_cms/P0276.html
- https://www.cms.gov/icd10m/FY2025-NPRM-Version42-fullcode-cms/fullcode_cms/P0025.html
- https://www.cms.gov/icd10m/FY2024-nprmversion41.0-fullcode-cms/fullcode_cms/P0001.html
- https://www.cms.gov/icd10m/version35-fullcode-cms/fullcode_cms/P0050.html
- https://www.cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0754.html
- https://www.cms.gov/icd10m/version35-fullcode-cms/fullcode_cms/P0370.html

…and more — 96 pages total ([download CSV](csv/alfa__sia-r2.csv)).

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

### Suggested fix
**How to fix:** Give every <img> an accessible name (alt text), or alt="" if purely decorative.

See remediation guidance: https://alfa.siteimprove.com/rules/sia-r2

### Example pages
- https://www.cms.gov/icd10m/version372-fullcode-cms/fullcode_cms/P0732.html
- https://www.cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0240.html
- https://www.cms.gov/icd10m/FY2026-nprm-version43-fullcode-cms/fullcode_cms/P0757.html

---

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

**Bug ID:** `VS-f092c5cc`  
**Pattern ID:** `VS-a0bdbdf6`  
**URL:** https://www.cms.gov/newsroom/search?f%5B0%5D=topic%3A61&f%5B1%5D=topic%3A176&items_per_page=10&search_api_language=en&sort_by=field_date&sort_order=DESC  
**XPath / selector:** `.pager__items`  
**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:** 1440 instances; 519 of 8304 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W25 (2 weeks)

### HTML snippet
```html
<ul class="pager__items js-pager__items cms-evo-unstyled-list ds-u-display--flex ds-u-justify-content--center">
```

### Description
<ul> and <ol> must only directly contain <li>, <script> or <template> elements. Detected by axe-core rule list on 519 of 8304 scanned pages (1440 instances).

### Steps to reproduce
1. Open https://www.cms.gov/newsroom/search?f%5B0%5D=topic%3A61&f%5B1%5D=topic%3A176&items_per_page=10&search_api_language=en&sort_by=field_date&sort_order=DESC.
2. Locate the element: .pager__items
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://www.cms.gov/newsroom/search?f%5B0%5D=topic%3A61&f%5B1%5D=topic%3A176&items_per_page=10&search_api_language=en&sort_by=field_date&sort_order=DESC
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleId=55533&ver=2
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=54480&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=11
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=57145&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=32
- https://www.cms.gov/newsroom/search?f%5B0%5D=newsroom_article_type%3A29586&f%5B1%5D=topic%3A101&items_per_page=10&search_api_language=en&sort_by=field_date&sort_order=DESC
- http://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=34520&lcdStatus=all&sortBy=title&ver=32
- http://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=57526&articleStatus=all&bc=4&contractorName=all&contractorNumber=all&sortBy=title&ver=90
- http://www.cms.gov/medicare-coverage-database/view/ncd.aspx?ncdid=61&ncdver=1
- http://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=36715&lcdStatus=all&sortBy=title&ver=58
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=58695&articleStatus=all&bc=3&sortBy=title&ver=9
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=52399&articleStatus=all&bc=3&sortBy=title&ver=71
- http://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=57238&articleStatus=all&bc=4&contractorName=all&contractorNumber=all&sortBy=title&ver=10
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=55230&articleStatus=all&bc=3&sortBy=title&ver=16
- http://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=33619&lcdStatus=all&sortBy=title&ver=24
- https://www.cms.gov/newsroom/search?f%5B0%5D=topic%3A21&f%5B1%5D=topic%3A71&items_per_page=10&search_api_language=en&sort_by=field_date&sort_order=DESC
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=57050&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=13
- https://www.cms.gov/newsroom/search?f%5B0%5D=newsroom_article_type%3A29581&f%5B1%5D=topic%3A101&items_per_page=10&search_api_language=en&sort_by=field_date&sort_order=DESC
- https://www.cms.gov/newsroom/search?f%5B0%5D=newsroom_article_type%3A29586&f%5B1%5D=topic%3A33506&items_per_page=10&page=1&sort_by=search_api_relevance&sort_order=DESC
- http://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=37800&lcdStatus=all&sortBy=title&ver=19
- https://www.cms.gov/newsroom/search?f%5B0%5D=newsroom_article_type%3A29586&f%5B1%5D=topic%3A33506&items_per_page=10&sort_by=search_api_relevance&sort_order=DESC
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=58695&articleStatus=all&bc=3&sortBy=title&ver=11
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=55146&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=17
- https://www.cms.gov/newsroom/search?f%5B0%5D=topic%3A111&f%5B1%5D=topic%3A436&items_per_page=10&search_api_language=en&sort_by=field_date&sort_order=DESC
- https://www.cms.gov/newsroom/search?f%5B0%5D=newsroom_article_type%3A29586&f%5B1%5D=topic%3A66&items_per_page=10&search_api_language=en&sort_by=field_date&sort_order=DESC
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=56615&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=36

…and more — 519 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://www.cms.gov/newsroom/search?f%5B0%5D=topic%3A61&f%5B1%5D=topic%3A176&items_per_page=10&search_api_language=en&sort_by=field_date&sort_order=DESC
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleId=55533&ver=2
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=54480&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=11

---

## <li> elements must be contained in a <ul> or <ol> (WCAG 1.3.1)

**Bug ID:** `VS-dec56e7b`  
**Pattern ID:** `VS-6175596b`  
**URL:** https://www.cms.gov/medicare-coverage-database/view/medcac-meeting.aspx?bc=15&medcacid=81&sortBy=meetingdate&year=all  
**XPath / selector:** `div:nth-child(29) > li:nth-child(4)`  
**WCAG SC:** 1.3.1 — Info and Relationships (Level A)  
**Rule:** axe-core — `listitem` ([reference](https://dequeuniversity.com/rules/axe/4.12/listitem?application=axeAPI))  
**Severity:** Serious  
**Frequency:** 197 instances; 18 of 8304 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W25 (2 weeks)

### HTML snippet
```html
<li>	Specific Measures
</li>
```

### Description
<li> elements must be contained in a <ul> or <ol>. Detected by axe-core rule listitem on 18 of 8304 scanned pages (197 instances).

### Steps to reproduce
1. Open https://www.cms.gov/medicare-coverage-database/view/medcac-meeting.aspx?bc=15&medcacid=81&sortBy=meetingdate&year=all.
2. Locate the element: div:nth-child(29) > li:nth-child(4)
3. Confirm the axe-core finding for rule listitem 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://www.cms.gov/medicare-coverage-database/view/medcac-meeting.aspx?bc=15&medcacid=81&sortBy=meetingdate&year=all
- http://www.cms.gov/medicare-coverage-database/view/medcac-meeting.aspx?bc=15&medcacid=71&sortBy=meetingdate&year=all
- https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=314&proposed=Y
- https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?bc=17&fromTracking=Y&ncacaldoctype=all&ncaid=246&proposed=N&sortBy=status&status=all
- http://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?bc=17&ncacaldoctype=all&ncaid=263&proposed=N&sortBy=status&status=all
- https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?bc=17&fromTracking=Y&ncacaldoctype=all&ncaid=56&proposed=N&sortBy=status&status=all
- http://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?bc=17&ncacaldoctype=all&ncaid=299&proposed=Y&sortBy=status&status=all
- https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?bc=17&fromTracking=Y&ncacaldoctype=all&ncaid=289&proposed=N&sortBy=status&status=all
- http://www.cms.gov/medicare-coverage-database/view/medcac-meeting.aspx?bc=15&medcacid=78&sortBy=meetingdate&year=all
- http://www.cms.gov/medicare-coverage-database/view/medcac-meeting.aspx?bc=15&medcacid=82&sortBy=meetingdate&year=all
- https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?bc=17&ncacaldoctype=all&ncaid=263&proposed=N&sortBy=status&status=all
- https://www.cms.gov/medicare-coverage-database/details/nca-decision-memo.aspx?NCAId=255
- https://www.cms.gov/medicare-coverage-database/view/medicare-coverage-document.aspx?bc=16&docTypeId=-1&mcdid=35&sortBy=title&status=all
- https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=306&proposed=N
- https://www.cms.gov/medicare-coverage-database/details/nca-decision-memo.aspx?fromdb=true&NCAId=56
- http://www.cms.gov/medicare-coverage-database/view/ncacal-tracking-sheet.aspx?bc=17&ncacaldoctype=all&ncaid=27&sortBy=status&status=all
- http://www.cms.gov/medicare-coverage-database/view/medcac-meeting.aspx?bc=15&medcacid=80&sortBy=meetingdate&year=all
- http://www.cms.gov/medicare-coverage-database/view/medcac-meeting.aspx?bc=15&medcacid=70&sortBy=meetingdate&year=all

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

### Suggested fix
**How to fix:** <li> must be inside a <ul> or <ol>.

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

### Example pages
- https://www.cms.gov/medicare-coverage-database/view/medcac-meeting.aspx?bc=15&medcacid=81&sortBy=meetingdate&year=all
- http://www.cms.gov/medicare-coverage-database/view/medcac-meeting.aspx?bc=15&medcacid=71&sortBy=meetingdate&year=all
- https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=314&proposed=Y

---

## Table cell headers attributes must refer to other <th> elements in the same tabl (WCAG 1.3.1)

**Bug ID:** `VS-bd919a2a`  
**Pattern ID:** `VS-07ba3b17`  
**URL:** https://www.cms.gov/medicare/regulations-guidance/transmittals/2022-transmittals?items_per_page=25&order=field_dyna_issue_date&page=2&sort=asc  
**XPath / selector:** `.MsoTableGrid`  
**WCAG SC:** 1.3.1 — Info and Relationships (Level A)  
**Rule:** axe-core — `td-headers-attr` ([reference](https://dequeuniversity.com/rules/axe/4.12/td-headers-attr?application=axeAPI))  
**Severity:** Serious  
**Frequency:** 3 instances; 3 of 8304 pages affected
  
**History:** first seen 2026-W25, last seen 2026-W25 (1 week)

### HTML snippet
```html
<table class="MsoTableGrid">
```

### Description
Table cell headers attributes must refer to other <th> elements in the same tabl. Detected by axe-core rule td-headers-attr on 3 of 8304 scanned pages (3 instances).

### Steps to reproduce
1. Open https://www.cms.gov/medicare/regulations-guidance/transmittals/2022-transmittals?items_per_page=25&order=field_dyna_issue_date&page=2&sort=asc.
2. Locate the element: .MsoTableGrid
3. Confirm the axe-core finding for rule td-headers-attr 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://www.cms.gov/medicare/regulations-guidance/transmittals/2022-transmittals?items_per_page=25&order=field_dyna_issue_date&page=2&sort=asc
- https://www.cms.gov/medicare/regulations-guidance/transmittals/2022-transmittals?items_per_page=25&order=field_dyna_pe_number&page=6&sort=asc
- https://www.cms.gov/medicare/regulations-guidance/transmittals/2022-transmittals?items_per_page=25&order=field_dyna_transmittal_number&page=16&sort=asc

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

### Suggested fix
**How to fix:** Associate data cells with their headers correctly using headers/id or scope.

See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/td-headers-attr?application=axeAPI

### Example pages
- https://www.cms.gov/medicare/regulations-guidance/transmittals/2022-transmittals?items_per_page=25&order=field_dyna_issue_date&page=2&sort=asc
- https://www.cms.gov/medicare/regulations-guidance/transmittals/2022-transmittals?items_per_page=25&order=field_dyna_pe_number&page=6&sort=asc
- https://www.cms.gov/medicare/regulations-guidance/transmittals/2022-transmittals?items_per_page=25&order=field_dyna_transmittal_number&page=16&sort=asc

---

## <dl> elements must only directly contain properly-ordered <dt> and <dd> groups,  (WCAG 1.3.1)

**Bug ID:** `VS-b7510180`  
**Pattern ID:** `VS-4bcaa7bf`  
**URL:** https://www.cms.gov/training-education/partner-outreach-resources/american-indian/alaska-native/behavioral-health/substance-use-disorders  
**XPath / selector:** `.ds-l-col--12 > dl`  
**WCAG SC:** 1.3.1 — Info and Relationships (Level A)  
**Rule:** axe-core — `definition-list` ([reference](https://dequeuniversity.com/rules/axe/4.12/definition-list?application=axeAPI))  
**Severity:** Serious  
**Frequency:** 1 instances; 1 of 8304 pages affected
  
**History:** first seen 2026-W25, last seen 2026-W25 (1 week)

### HTML snippet
```html
<dl><dt><p>What you can do if you think someone has an addiction?</p></dt></dl>
```

### Description
<dl> elements must only directly contain properly-ordered <dt> and <dd> groups, . Detected by axe-core rule definition-list on 1 of 8304 scanned pages (1 instances).

### Steps to reproduce
1. Open https://www.cms.gov/training-education/partner-outreach-resources/american-indian/alaska-native/behavioral-health/substance-use-disorders.
2. Locate the element: .ds-l-col--12 > dl
3. Confirm the axe-core finding for rule definition-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://www.cms.gov/training-education/partner-outreach-resources/american-indian/alaska-native/behavioral-health/substance-use-disorders

### 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/definition-list?application=axeAPI

---

## Element has required aria-owns (WCAG 1.3.1)

**Bug ID:** `VS-b3ac30dd`  
**Pattern ID:** `VS-4408605e`  
**URL:** https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=57326&articleStatus=all&bc=3&sortBy=title&ver=40  
**XPath / selector:** `<th scope="col">`  
**WCAG SC:** 1.3.1 — Info and Relationships (Level A)  
**Rule:** Siteimprove Alfa — `sia-r46` ([reference](https://alfa.siteimprove.com/rules/sia-r46))  
**Severity:** Moderate  
**Frequency:** 311 instances; 189 of 8304 pages affected
  
**History:** first seen 2026-W25, last seen 2026-W25 (1 week)

### Description
Element has required aria-owns. Detected by Siteimprove Alfa rule sia-r46 on 189 of 8304 scanned pages (311 instances).

### Steps to reproduce
1. Open https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=57326&articleStatus=all&bc=3&sortBy=title&ver=40.
2. Locate the element: <th scope="col">
3. Confirm the Siteimprove Alfa finding for rule sia-r46 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://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=57326&articleStatus=all&bc=3&sortBy=title&ver=40
- http://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=57864&articleStatus=all&bc=4&contractorName=all&contractorNumber=all&sortBy=title&ver=36
- http://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=57238&articleStatus=all&bc=4&contractorName=all&contractorNumber=all&sortBy=title&ver=10
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleId=57191&ver=10
- http://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=59480&articleStatus=all&bc=4&contractorName=all&contractorNumber=all&sortBy=title&ver=7
- http://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=57083&articleStatus=all&bc=4&contractorName=all&contractorNumber=all&sortBy=title&ver=7
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=56124&articleStatus=all&bc=3&sortBy=title&ver=32
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=59674&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=18
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=56952&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=50
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=53028&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=58
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=56615&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=36
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=52993&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=54
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=57130&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=51
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=55597&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=24
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=56515&articleStatus=all&bc=3&sortBy=title&ver=21
- http://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=55531&articleStatus=all&bc=4&contractorName=all&contractorNumber=all&sortBy=title&ver=34
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleId=56572&ver=22
- http://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=58423&articleStatus=all&bc=4&contractorName=all&contractorNumber=all&sortBy=title&ver=48
- http://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=57130&articleStatus=all&bc=4&contractorName=all&contractorNumber=all&sortBy=title&ver=51
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=57361&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=46
- http://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=57597&articleStatus=all&bc=4&contractorName=all&contractorNumber=all&sortBy=title&ver=22
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=56433&articleStatus=all&bc=3&sortBy=title&ver=85
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=57037&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=23
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=57496&articleStatus=all&bc=3&sortBy=title&ver=14
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=56542&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=18

…and more — 189 pages total ([download CSV](csv/alfa__sia-r46.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-r46

### Example pages
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=57326&articleStatus=all&bc=3&sortBy=title&ver=40
- http://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=57864&articleStatus=all&bc=4&contractorName=all&contractorNumber=all&sortBy=title&ver=36
- http://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=57238&articleStatus=all&bc=4&contractorName=all&contractorNumber=all&sortBy=title&ver=10

---

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

**Bug ID:** `VS-0c49c30c`  
**Pattern ID:** `VS-d6097011`  
**URL:** https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleId=55533&ver=2  
**XPath / selector:** `<ul>`  
**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:** 430 instances; 166 of 8304 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W25 (2 weeks)

### Description
Presentational children of an element are not focusable. Detected by Siteimprove Alfa rule sia-r68 on 166 of 8304 scanned pages (430 instances).

### Steps to reproduce
1. Open https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleId=55533&ver=2.
2. Locate the element: <ul>
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://www.cms.gov/medicare-coverage-database/view/article.aspx?articleId=55533&ver=2
- http://www.cms.gov/medicare-coverage-database/view/nca.aspx?bc=17&ncacaldoctype=all&ncaid=174&sortBy=status&status=all
- http://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=36715&lcdStatus=all&sortBy=title&ver=58
- http://www.cms.gov/medicare-coverage-database/view/nca.aspx?bc=17&ncacaldoctype=all&ncaid=45&sortBy=status&status=all
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=52399&articleStatus=all&bc=3&sortBy=title&ver=71
- http://www.cms.gov/medicare-coverage-database/reports/local-coverage-final-lcds-contractor-report.aspx?contractorName=all&contractorNumber=all&lcdid=38274&lcdStatus=all&sortBy=title
- http://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=33619&lcdStatus=all&sortBy=title&ver=24
- https://www.cms.gov/medicare-coverage-database/view/nca.aspx?bc=17&ncacaldoctype=all&ncaid=65&sortBy=status&status=all
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=56615&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=36
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=57848&articleStatus=all&bc=3&sortBy=title&ver=19
- http://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=33394&lcdStatus=all&sortBy=title&ver=54
- https://www.cms.gov/medicare-coverage-database/view/nca.aspx?ncaid=43
- http://www.cms.gov/medicare-coverage-database/reports/local-coverage-final-lcds-contractor-report.aspx?contractorName=all&contractorNumber=all&lcdid=38045&lcdStatus=all&sortBy=title
- http://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=58423&articleStatus=all&bc=4&contractorName=all&contractorNumber=all&sortBy=title&ver=48
- http://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=33930&lcdStatus=all&sortBy=title&ver=49
- http://www.cms.gov/medicare-coverage-database/reports/local-coverage-final-lcds-contractor-report.aspx?contractorName=all&contractorNumber=all&lcdid=36850&lcdStatus=all&sortBy=title
- http://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=54919&articleStatus=all&bc=4&contractorName=all&contractorNumber=all&sortBy=title&ver=22
- https://cms.gov/medicare-coverage-database/reports/local-coverage-final-lcds-contractor-report.aspx?contractorName=all&contractorNumber=all&lcdStatus=all
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=57496&articleStatus=all&bc=3&sortBy=title&ver=14
- http://www.cms.gov/medicare-coverage-database/view/nca.aspx?ncaid=21
- http://www.cms.gov/medicare-coverage-database/reports/local-coverage-final-lcds-contractor-report.aspx?contractorName=all&contractorNumber=all&lcdid=38123&lcdStatus=all&sortBy=title
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdid=36524&ver=40
- http://www.cms.gov/medicare-coverage-database/view/nca.aspx?bc=17&ncacaldoctype=all&ncaid=180&sortBy=status&status=all
- http://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=57926&articleStatus=all&bc=4&contractorName=all&contractorNumber=all&sortBy=title&ver=25
- http://www.cms.gov/medicare-coverage-database/reports/local-coverage-final-lcds-contractor-report.aspx?contractorName=all&contractorNumber=all&lcdid=37863&lcdStatus=all&sortBy=title

…and more — 166 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://www.cms.gov/medicare-coverage-database/view/article.aspx?articleId=55533&ver=2
- http://www.cms.gov/medicare-coverage-database/view/nca.aspx?bc=17&ncacaldoctype=all&ncaid=174&sortBy=status&status=all
- http://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=36715&lcdStatus=all&sortBy=title&ver=58

---

## Element has required owned roles (WCAG 1.3.1)

**Bug ID:** `VS-62718435`  
**Pattern ID:** `VS-3c632d31`  
**URL:** https://www.cms.gov/icd10m/version372-fullcode-cms/fullcode_cms/P0732.html  
**XPath / selector:** `<h1>`  
**WCAG SC:** 1.3.1 — Info and Relationships (Level A)  
**Rule:** Siteimprove Alfa — `sia-r64` ([reference](https://alfa.siteimprove.com/rules/sia-r64))  
**Severity:** Moderate  
**Frequency:** 103 instances; 102 of 8304 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W25 (2 weeks)

### Description
Element has required owned roles. Detected by Siteimprove Alfa rule sia-r64 on 102 of 8304 scanned pages (103 instances).

### Steps to reproduce
1. Open https://www.cms.gov/icd10m/version372-fullcode-cms/fullcode_cms/P0732.html.
2. Locate the element: <h1>
3. Confirm the Siteimprove Alfa finding for rule sia-r64 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://www.cms.gov/icd10m/version372-fullcode-cms/fullcode_cms/P0732.html
- https://www.cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0240.html
- https://www.cms.gov/icd10m/FY2026-nprm-version43-fullcode-cms/fullcode_cms/P0757.html
- https://www.cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0246.html
- https://www.cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0207.html
- http://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=59480&articleStatus=all&bc=4&contractorName=all&contractorNumber=all&sortBy=title&ver=7
- https://www.cms.gov/icd10m/FY2025-NPRM-Version42-fullcode-cms/fullcode_cms/P0457.html
- https://www.cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0239.html
- https://www.cms.gov/icd10m/FY2026-nprm-version43-fullcode-cms/fullcode_cms/P0272.html
- https://www.cms.gov/icd10m/version39-fullcode-cms/fullcode_cms/P0143.html
- https://www.cms.gov/icd10m/version35-fullcode-cms/fullcode_cms/P0306.html
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=59632&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=13
- https://www.cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0475.html
- http://www.cms.gov/icd10m/version39.1-fullcode-cms/fullcode_cms/P0284.html
- https://www.cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0560.html
- https://www.cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0020.html
- http://cms.gov/priorities/innovation/files/access-api-impl-data-access-video
- https://www.cms.gov/icd10m/FY2023-version40-fullcode-cms/fullcode_cms/P0079.html
- https://www.cms.gov/icd10m/FY2024-nprmversion41.0-fullcode-cms/fullcode_cms/P0471.html
- https://www.cms.gov/icd10m/FY2025-NPRM-Version42-fullcode-cms/fullcode_cms/P0093.html
- https://www.cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0161.html
- https://www.cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0224.html
- https://www.cms.gov/icd10m/FY2026-nprm-version43-fullcode-cms/fullcode_cms/P0276.html
- https://www.cms.gov/icd10m/FY2025-NPRM-Version42-fullcode-cms/fullcode_cms/P0025.html
- https://www.cms.gov/icd10m/FY2024-nprmversion41.0-fullcode-cms/fullcode_cms/P0001.html

…and more — 102 pages total ([download CSV](csv/alfa__sia-r64.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-r64

### Example pages
- https://www.cms.gov/icd10m/version372-fullcode-cms/fullcode_cms/P0732.html
- https://www.cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0240.html
- https://www.cms.gov/icd10m/FY2026-nprm-version43-fullcode-cms/fullcode_cms/P0757.html

---

## Table cell has header (WCAG 1.3.1)

**Bug ID:** `VS-a3fe82a9`  
**Pattern ID:** `VS-3f067795`  
**URL:** https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=314&proposed=Y  
**XPath / selector:** `<td width="198" valign="top" style="width:148.25pt;border:solid windowtext 1.0pt; border-top:none;padding:0in 5.4pt 0in 5.4pt">`  
**WCAG SC:** 1.3.1 — Info and Relationships (Level A)  
**Rule:** Siteimprove Alfa — `sia-r77` ([reference](https://alfa.siteimprove.com/rules/sia-r77))  
**Severity:** Moderate  
**Frequency:** 258 instances; 11 of 8304 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W25 (2 weeks)

### Description
Table cell has header. Detected by Siteimprove Alfa rule sia-r77 on 11 of 8304 scanned pages (258 instances).

### Steps to reproduce
1. Open https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=314&proposed=Y.
2. Locate the element: <td width="198" valign="top" style="width:148.25pt;border:solid windowtext 1.0pt; border-top:none;padding:0in 5.4pt 0in 5.4pt">
3. Confirm the Siteimprove Alfa finding for rule sia-r77 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://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=314&proposed=Y
- http://www.cms.gov/medicare-coverage-database/view/ncd.aspx?ncdid=190&ncdver=3
- https://www.cms.gov/newsroom/fact-sheets/proposed-pathways-success-medicare-shared-savings-program
- http://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?bc=17&fromTracking=Y&ncacaldoctype=all&ncaid=218&proposed=N&sortBy=status&status=all
- http://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?bc=17&ncacaldoctype=all&ncaid=299&proposed=Y&sortBy=status&status=all
- https://www.cms.gov/medicare-coverage-database/view/medcac-meeting.aspx?bc=15&medcacid=76&sortBy=meetingdate&year=all
- https://www.cms.gov/medicare-coverage-database/reports/national-coverage-medicare-coverage-documents-report.aspx?docTypeId=-1
- https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?bc=17&fromTracking=Y&ncacaldoctype=all&ncaid=285&proposed=Y&sortBy=status&status=all
- https://www.cms.gov/medicare-coverage-database/details/nca-decision-memo.aspx?bc=ACAAAAAAAgAQAA%3D%3D&docName=Decision+Memo+for+Cardiac+Pacemakers+%28CAG-00063R2%29&NCAId=17
- https://www.cms.gov/medicare-coverage-database/view/medcac-meeting.aspx?medcacid=76
- http://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=56104&articleStatus=all&bc=4&contractorName=all&contractorNumber=all&sortBy=title&ver=17

### 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-r77

### Example pages
- https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=314&proposed=Y
- http://www.cms.gov/medicare-coverage-database/view/ncd.aspx?ncdid=190&ncdver=3
- https://www.cms.gov/newsroom/fact-sheets/proposed-pathways-success-medicare-shared-savings-program

---

## Element has required parent role (WCAG 1.3.1)

**Bug ID:** `VS-b20d2a9f`  
**Pattern ID:** `VS-f155eeec`  
**URL:** http://cms.gov/priorities/innovation/files/access-api-impl-data-access-video  
**XPath / selector:** `@role="text"`  
**WCAG SC:** 1.3.1 — Info and Relationships (Level A)  
**Rule:** Siteimprove Alfa — `sia-r110` ([reference](https://alfa.siteimprove.com/rules/sia-r110))  
**Severity:** Moderate  
**Frequency:** 101 instances; 1 of 8304 pages affected
  
**History:** first seen 2026-W25, last seen 2026-W25 (1 week)

### Description
Element has required parent role. Detected by Siteimprove Alfa rule sia-r110 on 1 of 8304 scanned pages (101 instances).

### Steps to reproduce
1. Open http://cms.gov/priorities/innovation/files/access-api-impl-data-access-video.
2. Locate the element: @role="text"
3. Confirm the Siteimprove Alfa finding for rule sia-r110 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
- http://cms.gov/priorities/innovation/files/access-api-impl-data-access-video

### 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-r110

---

## Info and Relationships (WCAG 1.3.1)

**Bug ID:** `VS-07621d6a`  
**Pattern ID:** `VS-33b49e3b`  
**URL:** https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=314&proposed=Y  
**XPath / selector:** `<th bgcolor="#DEEAF6" rowspan="2" border="1">`  
**WCAG SC:** 1.3.1 — Info and Relationships (Level A)  
**Rule:** Siteimprove Alfa — `sia-r76` ([reference](https://alfa.siteimprove.com/rules/sia-r76))  
**Severity:** Moderate  
**Frequency:** 2 instances; 1 of 8304 pages affected
  
**History:** first seen 2026-W25, last seen 2026-W25 (1 week)

### Description
Info and Relationships. Detected by Siteimprove Alfa rule sia-r76 on 1 of 8304 scanned pages (2 instances).

### Steps to reproduce
1. Open https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=314&proposed=Y.
2. Locate the element: <th bgcolor="#DEEAF6" rowspan="2" border="1">
3. Confirm the Siteimprove Alfa finding for rule sia-r76 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://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=314&proposed=Y

### 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-r76

---

## Links must be distinguishable without relying on color (WCAG 1.4.1)

**Bug ID:** `VS-5b2b007c`  
**Pattern ID:** `VS-8ade3360`  
**URL:** http://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=39770&lcdStatus=all&sortBy=title&ver=13  
**XPath / selector:** `#lblProposedLcd > .system-link.log-click[target="_blank"]`  
**WCAG SC:** 1.4.1 — Use of Color (Level A)  
**Rule:** axe-core — `link-in-text-block` ([reference](https://dequeuniversity.com/rules/axe/4.12/link-in-text-block?application=axeAPI))  
**Severity:** Serious  
**Frequency:** 1136 instances; 503 of 8304 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W25 (2 weeks)

### HTML snippet
```html
<a href="https://localcoverage.cms.gov/mcd_archive/view/lcd.aspx?lcdInfo=39769:5" target="_blank" class="log-click system-link" data-page-action="Clicked the Source Proposed LCD link">DL39770</a>
```

### Description
Links must be distinguishable without relying on color. Detected by axe-core rule link-in-text-block on 503 of 8304 scanned pages (1136 instances).

### Steps to reproduce
1. Open http://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=39770&lcdStatus=all&sortBy=title&ver=13.
2. Locate the element: #lblProposedLcd > .system-link.log-click[target="_blank"]
3. Confirm the axe-core finding for rule link-in-text-block against WCAG 1.4.1 Use of Color.

### Impact
Affects Without color perception (4.5%), Limited vision (2.4%).
- **Without color perception** (4.5% of population)
- **Limited vision** (2.4% of population)

### Affected pages
- http://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=39770&lcdStatus=all&sortBy=title&ver=13
- http://www.cms.gov/medicare-coverage-database/view/nca.aspx?bc=17&ncacaldoctype=all&ncaid=174&sortBy=status&status=all
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=57503&bc=0&ver=10
- https://www.cms.gov/medicare-coverage-database/view/nca.aspx?bc=17&ncacaldoctype=all&ncaid=196&sortBy=status&status=all
- http://www.cms.gov/medicare-coverage-database/view/nca.aspx?bc=17&ncacaldoctype=all&ncaid=255&sortBy=status&status=all
- https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=11&contractorNumber=all&lcdid=40327&proposedStatus=all&sortBy=title&stateRegion=all&ver=4
- http://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=36715&lcdStatus=all&sortBy=title&ver=58
- https://www.cms.gov/medicare-coverage-database/details/nca-details.aspx?amp%3Bbc=&NCAId=286
- http://www.cms.gov/medicare-coverage-database/view/nca.aspx?bc=17&ncacaldoctype=all&ncaid=45&sortBy=status&status=all
- http://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=34356&lcdStatus=all&sortBy=title&ver=31
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdid=40049&ver=3
- http://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=36129&lcdStatus=all&sortBy=title&ver=54
- http://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=37800&lcdStatus=all&sortBy=title&ver=19
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=59656&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=3
- https://www.cms.gov/medicare-coverage-database/view/nca.aspx?NCAId=134
- http://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=13&contractorName=all&contractorNumber=all&lcdid=39658&sortBy=updated&updatePeriod=1204&ver=5
- https://www.cms.gov/medicare-coverage-database/view/nca.aspx?bc=17&ncacaldoctype=all&ncaid=65&sortBy=status&status=all
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdId=36805&ver=27
- http://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=39923&lcdStatus=all&sortBy=title&ver=9
- http://www.cms.gov/medicare-coverage-database/view/nca.aspx?bc=17&ncacaldoctype=all&ncaid=293&sortBy=status&status=all
- http://www.cms.gov/medicare-coverage-database/view/ncacal-tracking-sheet.aspx?bc=17&ncacaldoctype=all&ncaid=38&sortBy=status&status=all
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdId=34434&ver=68
- http://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=58178&articleStatus=all&bc=4&contractorName=all&contractorNumber=all&sortBy=title&ver=3
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdId=39662&ver=5
- https://www.cms.gov/medicare-coverage-database/view/cal.aspx?bc=17&calid=100&ncacaldoctype=all&sortBy=status&status=all

…and more — 503 pages total ([download CSV](csv/axe-core__link-in-text-block.csv)).

### 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/link-in-text-block?application=axeAPI

### Example pages
- http://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=39770&lcdStatus=all&sortBy=title&ver=13
- http://www.cms.gov/medicare-coverage-database/view/nca.aspx?bc=17&ncacaldoctype=all&ncaid=174&sortBy=status&status=all
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=57503&bc=0&ver=10

---

## Link in text block is visually distinguishable without color (WCAG 1.4.1)

**Bug ID:** `VS-07e8d295`  
**Pattern ID:** `VS-efd91fdd`  
**URL:** https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=57503&bc=0&ver=10  
**XPath / selector:** `<a href="#" data-bs-toggle="modal" data-bs-target="#MCDNoticeBoadModal" id="aBoardItemLink_2">`  
**WCAG SC:** 1.4.1 — Use of Color (Level A)  
**Rule:** Siteimprove Alfa — `sia-r62` ([reference](https://alfa.siteimprove.com/rules/sia-r62))  
**Severity:** Moderate  
**Frequency:** 2 instances; 2 of 8304 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W25 (2 weeks)

### Description
Link in text block is visually distinguishable without color. Detected by Siteimprove Alfa rule sia-r62 on 2 of 8304 scanned pages (2 instances).

### Steps to reproduce
1. Open https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=57503&bc=0&ver=10.
2. Locate the element: <a href="#" data-bs-toggle="modal" data-bs-target="#MCDNoticeBoadModal" id="aBoardItemLink_2">
3. Confirm the Siteimprove Alfa finding for rule sia-r62 against WCAG 1.4.1 Use of Color.

### Impact
Affects Without color perception (4.5%), Limited vision (2.4%).
- **Without color perception** (4.5% of population)
- **Limited vision** (2.4% of population)

### Affected pages
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=57503&bc=0&ver=10
- https://cms.gov/medicare-coverage-database/overview-and-quick-search.aspx

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

### Suggested fix
**How to fix:** Make links visually distinguishable from surrounding text (not by color alone).

See remediation guidance: https://alfa.siteimprove.com/rules/sia-r62

### Example pages
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=57503&bc=0&ver=10
- https://cms.gov/medicare-coverage-database/overview-and-quick-search.aspx

---

## Scrollable region must have keyboard access (WCAG 2.1.1)

**Bug ID:** `VS-f56d2216`  
**Pattern ID:** `VS-c613c153`  
**URL:** http://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?bc=17&ncacaldoctype=all&ncaid=311&proposed=Y&sortBy=status&status=all  
**XPath / selector:** `pre`  
**WCAG SC:** 2.1.1 — Keyboard (Level A)  
**Rule:** axe-core — `scrollable-region-focusable` ([reference](https://dequeuniversity.com/rules/axe/4.12/scrollable-region-focusable?application=axeAPI))  
**Severity:** Serious  
**Frequency:** 3 instances; 3 of 8304 pages affected
  
**History:** first seen 2026-W25, last seen 2026-W25 (1 week)

### HTML snippet
```html
<pre>TO: 		 Administrative File: &nbsp;CAG-00085R8 

FROM:		Coverage and Analysis Group (CAG)

SUBJECT: 	Proposed National Coverage Determination for Percutaneous Transluminal Angioplasty (PTA) of the
```

### Description
Scrollable region must have keyboard access. Detected by axe-core rule scrollable-region-focusable on 3 of 8304 scanned pages (3 instances).

### Steps to reproduce
1. Open http://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?bc=17&ncacaldoctype=all&ncaid=311&proposed=Y&sortBy=status&status=all.
2. Locate the element: pre
3. Confirm the axe-core finding for rule scrollable-region-focusable against WCAG 2.1.1 Keyboard.

### Impact
Affects Without vision (1.0%), Limited manipulation/strength (13.0%), Limited reach (2.0%).
- **Without vision** (1.0% of population)
- **Limited manipulation/strength** (13.0% of population)
- **Limited reach** (2.0% of population)

### Affected pages
- http://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?bc=17&ncacaldoctype=all&ncaid=311&proposed=Y&sortBy=status&status=all
- https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?bc=17&ncacaldoctype=all&ncaid=92&proposed=N&sortBy=status&status=all
- https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?NCAId=203&proposed=Y

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

### Suggested fix
**How to fix:** Make scrollable regions keyboard-focusable (tabindex="0") so keyboard users can scroll them.

See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/scrollable-region-focusable?application=axeAPI

### Example pages
- http://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?bc=17&ncacaldoctype=all&ncaid=311&proposed=Y&sortBy=status&status=all
- https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?bc=17&ncacaldoctype=all&ncaid=92&proposed=N&sortBy=status&status=all
- https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?NCAId=203&proposed=Y

---

## Links must have discernible text (WCAG 2.4.4)

**Bug ID:** `VS-e17dc66b`  
**Pattern ID:** `VS-e9fe47ac`  
**URL:** https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=314&proposed=Y  
**XPath / selector:** `ol[type="A"] > a[href="#3"]`  
**WCAG SC:** 2.4.4 — Link Purpose (In Context) (Level A)  
**Rule:** axe-core — `link-name` ([reference](https://dequeuniversity.com/rules/axe/4.12/link-name?application=axeAPI))  
**Severity:** Serious  
**Frequency:** 23 instances; 10 of 8304 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W25 (2 weeks)

### HTML snippet
```html
<a href="#3"></a>
```

### Description
Links must have discernible text. Detected by axe-core rule link-name on 10 of 8304 scanned pages (23 instances).

### Steps to reproduce
1. Open https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=314&proposed=Y.
2. Locate the element: ol[type="A"] > a[href="#3"]
3. Confirm the axe-core finding for rule link-name against WCAG 2.4.4 Link Purpose (In Context).

### 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://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=314&proposed=Y
- http://cms.gov/data-research/cms-data/learn-more-about-cms-data
- http://cms.gov/data-research/monitoring-programs/medicare-fee-service-compliance-programs/medical-review-education/hospice
- http://www.cms.gov/medicare/quality/clinical-laboratory-improvement-amendments
- https://www.cms.gov/medicare/quality/clinical-laboratory-improvement-amendments
- https://www.cms.gov/medicare-coverage-database/view/medicare-coverage-document.aspx?bc=16&docTypeId=-1&mcdid=35&sortBy=title&status=all
- http://cms.gov/training-education/partner-outreach-resources/american-indian/alaska-native/ltss-ta-center/information/state-resources-map
- http://cms.gov/medicare/appeals-grievances/fee-for-service/fourth-level-appeal
- http://cms.gov/training-education/partner-outreach-resources/american-indian-alaska-native/outreach-education-resources
- https://www.cms.gov/newsroom/fact-sheets/fiscal-year-2021-final-medicare-payment-and-policy-changes-inpatient-psychiatric-facilities-cms-1731

### 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 link discernible text. Avoid empty links and icon-only links without an aria-label.

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

### Example pages
- https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=314&proposed=Y
- http://cms.gov/data-research/cms-data/learn-more-about-cms-data
- http://cms.gov/data-research/monitoring-programs/medicare-fee-service-compliance-programs/medical-review-education/hospice

---

## Link has accessible name (WCAG 2.4.4)

**Bug ID:** `VS-a173534c`  
**Pattern ID:** `VS-28ebd979`  
**URL:** https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=314&proposed=Y  
**XPath / selector:** `<a href="#3">`  
**WCAG SC:** 2.4.4 — Link Purpose (In Context) (Level A)  
**Rule:** Siteimprove Alfa — `sia-r11` ([reference](https://alfa.siteimprove.com/rules/sia-r11))  
**Severity:** Moderate  
**Frequency:** 4 instances; 2 of 8304 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W25 (2 weeks)

### Description
Link has accessible name. Detected by Siteimprove Alfa rule sia-r11 on 2 of 8304 scanned pages (4 instances).

### Steps to reproduce
1. Open https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=314&proposed=Y.
2. Locate the element: <a href="#3">
3. Confirm the Siteimprove Alfa finding for rule sia-r11 against WCAG 2.4.4 Link Purpose (In Context).

### 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://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=314&proposed=Y
- https://www.cms.gov/medicare-coverage-database/view/medicare-coverage-document.aspx?bc=16&docTypeId=-1&mcdid=35&sortBy=title&status=all

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

### Suggested fix
**How to fix:** Give the link an accessible name via text content or aria-label.

See remediation guidance: https://alfa.siteimprove.com/rules/sia-r11

### Example pages
- https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=314&proposed=Y
- https://www.cms.gov/medicare-coverage-database/view/medicare-coverage-document.aspx?bc=16&docTypeId=-1&mcdid=35&sortBy=title&status=all

---

## <html> element must have a lang attribute (WCAG 3.1.1)

**Bug ID:** `VS-a80ade6a`  
**Pattern ID:** `VS-c126b6a6`  
**URL:** https://www.cms.gov/icd10m/version35-fullcode-cms/fullcode_cms/P0009.html  
**XPath / selector:** `html`  
**WCAG SC:** 3.1.1 — Language of Page (Level A)  
**Rule:** axe-core — `html-has-lang` ([reference](https://dequeuniversity.com/rules/axe/4.12/html-has-lang?application=axeAPI))  
**Severity:** Serious  
**Frequency:** 273 instances; 273 of 8304 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W25 (2 weeks)

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

### Description
<html> element must have a lang attribute. Detected by axe-core rule html-has-lang on 273 of 8304 scanned pages (273 instances).

### Steps to reproduce
1. Open https://www.cms.gov/icd10m/version35-fullcode-cms/fullcode_cms/P0009.html.
2. Locate the element: html
3. Confirm the axe-core finding for rule html-has-lang against WCAG 3.1.1 Language of Page.

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

### Affected pages
- https://www.cms.gov/icd10m/version35-fullcode-cms/fullcode_cms/P0009.html
- https://www.cms.gov/icd10m/version372-fullcode-cms/fullcode_cms/P0732.html
- https://www.cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0240.html
- https://www.cms.gov/icd10m/FY2026-nprm-version43-fullcode-cms/fullcode_cms/P0757.html
- https://www.cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0688.html
- https://www.cms.gov/icd10m/FY2026-nprm-version43-fullcode-cms/fullcode_cms/P0035.html
- https://www.cms.gov/icd10m/FY2024-nprmversion41.0-fullcode-cms/fullcode_cms/P0105.html
- https://www.cms.gov/icd10m/FY2024-nprmversion41.0-fullcode-cms/fullcode_cms/P0140.html
- https://www.cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0246.html
- https://www.cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0207.html
- https://www.cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0335.html
- https://www.cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0413.html
- https://www.cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0291.html
- https://www.cms.gov/icd10m/FY2024-nprmversion41.0-fullcode-cms/fullcode_cms/P0007.html
- https://www.cms.gov/icd10m/version372-fullcode-cms/fullcode_cms/P0030.html
- https://www.cms.gov/icd10m/FY2026-nprm-version43-fullcode-cms/fullcode_cms/P0403.html
- https://www.cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0306.html
- https://www.cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0538.html
- https://www.cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0678.html
- https://www.cms.gov/icd10m/version39-fullcode-cms/fullcode_cms/P0148.html
- https://www.cms.gov/icd10m/FY2025-NPRM-Version42-fullcode-cms/fullcode_cms/P0457.html
- https://www.cms.gov/icd10m/version35-fullcode-cms/fullcode_cms/P0035.html
- https://www.cms.gov/icd10m/FY2024-nprmversion41.0-fullcode-cms/fullcode_cms/P0185.html
- https://www.cms.gov/icd10m/FY2024-nprmversion41.0-fullcode-cms/fullcode_cms/P0254.html
- https://www.cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0110.html

…and more — 273 pages total ([download CSV](csv/axe-core__html-has-lang.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:** Add a lang attribute to <html> (e.g. lang="en").

See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/html-has-lang?application=axeAPI

### Example pages
- https://www.cms.gov/icd10m/version35-fullcode-cms/fullcode_cms/P0009.html
- https://www.cms.gov/icd10m/version372-fullcode-cms/fullcode_cms/P0732.html
- https://www.cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0240.html

---

## Document has a valid lang attribute (WCAG 3.1.1)

**Bug ID:** `VS-2ed8f8ba`  
**Pattern ID:** `VS-7a0e5645`  
**URL:** https://www.cms.gov/icd10m/version372-fullcode-cms/fullcode_cms/P0732.html  
**XPath / selector:** `<html>`  
**WCAG SC:** 3.1.1 — Language of Page (Level A)  
**Rule:** Siteimprove Alfa — `sia-r4` ([reference](https://alfa.siteimprove.com/rules/sia-r4))  
**Severity:** Moderate  
**Frequency:** 96 instances; 96 of 8304 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W25 (2 weeks)

### Description
Document has a valid lang attribute. Detected by Siteimprove Alfa rule sia-r4 on 96 of 8304 scanned pages (96 instances).

### Steps to reproduce
1. Open https://www.cms.gov/icd10m/version372-fullcode-cms/fullcode_cms/P0732.html.
2. Locate the element: <html>
3. Confirm the Siteimprove Alfa finding for rule sia-r4 against WCAG 3.1.1 Language of Page.

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

### Affected pages
- https://www.cms.gov/icd10m/version372-fullcode-cms/fullcode_cms/P0732.html
- https://www.cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0240.html
- https://www.cms.gov/icd10m/FY2026-nprm-version43-fullcode-cms/fullcode_cms/P0757.html
- https://www.cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0246.html
- https://www.cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0207.html
- https://www.cms.gov/icd10m/FY2025-NPRM-Version42-fullcode-cms/fullcode_cms/P0457.html
- https://www.cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0239.html
- https://www.cms.gov/icd10m/FY2026-nprm-version43-fullcode-cms/fullcode_cms/P0272.html
- https://www.cms.gov/icd10m/version39-fullcode-cms/fullcode_cms/P0143.html
- https://www.cms.gov/icd10m/version35-fullcode-cms/fullcode_cms/P0306.html
- https://www.cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0475.html
- http://www.cms.gov/icd10m/version39.1-fullcode-cms/fullcode_cms/P0284.html
- https://www.cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0560.html
- https://www.cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0020.html
- https://www.cms.gov/icd10m/FY2023-version40-fullcode-cms/fullcode_cms/P0079.html
- https://www.cms.gov/icd10m/FY2024-nprmversion41.0-fullcode-cms/fullcode_cms/P0471.html
- https://www.cms.gov/icd10m/FY2025-NPRM-Version42-fullcode-cms/fullcode_cms/P0093.html
- https://www.cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0161.html
- https://www.cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0224.html
- https://www.cms.gov/icd10m/FY2026-nprm-version43-fullcode-cms/fullcode_cms/P0276.html
- https://www.cms.gov/icd10m/FY2025-NPRM-Version42-fullcode-cms/fullcode_cms/P0025.html
- https://www.cms.gov/icd10m/FY2024-nprmversion41.0-fullcode-cms/fullcode_cms/P0001.html
- https://www.cms.gov/icd10m/version35-fullcode-cms/fullcode_cms/P0050.html
- https://www.cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0754.html
- https://www.cms.gov/icd10m/version35-fullcode-cms/fullcode_cms/P0370.html

…and more — 96 pages total ([download CSV](csv/alfa__sia-r4.csv)).

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

### Suggested fix
**How to fix:** Add a valid lang attribute to <html>.

See remediation guidance: https://alfa.siteimprove.com/rules/sia-r4

### Example pages
- https://www.cms.gov/icd10m/version372-fullcode-cms/fullcode_cms/P0732.html
- https://www.cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0240.html
- https://www.cms.gov/icd10m/FY2026-nprm-version43-fullcode-cms/fullcode_cms/P0757.html

---

## Elements must only use supported ARIA attributes (WCAG 4.1.2)

**Bug ID:** `VS-f6b01f33`  
**Pattern ID:** `VS-1467ea8a`  
**URL:** http://cms.gov/files/linked-video-files/new-features-medicare-gov  
**XPath / selector:** `a[title="Home"]`  
**WCAG SC:** 4.1.2 — Name, Role, Value (Level A)  
**Rule:** axe-core — `aria-allowed-attr` ([reference](https://dequeuniversity.com/rules/axe/4.12/aria-allowed-attr?application=axeAPI))  
**Severity:** Critical  
**Frequency:** 6 instances; 3 of 8304 pages affected
  
**History:** first seen 2026-W25, last seen 2026-W25 (1 week)

### HTML snippet
```html
<a id="endpoint" class="yt-simple-endpoint style-scope ytd-mini-guide-entry-renderer" aria-selected="false" aria-label="Home" title="Home" href="/">
```

### Description
Elements must only use supported ARIA attributes. Detected by axe-core rule aria-allowed-attr on 3 of 8304 scanned pages (6 instances).

### Steps to reproduce
1. Open http://cms.gov/files/linked-video-files/new-features-medicare-gov.
2. Locate the element: a[title="Home"]
3. Confirm the axe-core finding for rule aria-allowed-attr 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
- http://cms.gov/files/linked-video-files/new-features-medicare-gov
- http://cms.gov/medicare/health-drug-plans/provider-complaints-form
- https://cms.gov/medicare/health-drug-plans/provider-complaints-form

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

### Suggested fix
**How to fix:** Remove ARIA attributes that aren't allowed on this role/element.

See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/aria-allowed-attr?application=axeAPI

### Example pages
- http://cms.gov/files/linked-video-files/new-features-medicare-gov
- http://cms.gov/medicare/health-drug-plans/provider-complaints-form
- https://cms.gov/medicare/health-drug-plans/provider-complaints-form

---

## Button has accessible name (WCAG 4.1.2)

**Bug ID:** `VS-62f680fc`  
**Pattern ID:** `VS-29f9f921`  
**URL:** http://cms.gov/priorities/innovation/files/access-api-impl-data-access-video  
**XPath / selector:** `<button id="button" class="style-scope yt-icon-button" aria-pressed="true">`  
**WCAG SC:** 4.1.2 — Name, Role, Value (Level A)  
**Rule:** Siteimprove Alfa — `sia-r12` ([reference](https://alfa.siteimprove.com/rules/sia-r12))  
**Severity:** Moderate  
**Frequency:** 3 instances; 1 of 8304 pages affected
  
**History:** first seen 2026-W25, last seen 2026-W25 (1 week)

### Description
Button has accessible name. Detected by Siteimprove Alfa rule sia-r12 on 1 of 8304 scanned pages (3 instances).

### Steps to reproduce
1. Open http://cms.gov/priorities/innovation/files/access-api-impl-data-access-video.
2. Locate the element: <button id="button" class="style-scope yt-icon-button" aria-pressed="true">
3. Confirm the Siteimprove Alfa finding for rule sia-r12 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
- http://cms.gov/priorities/innovation/files/access-api-impl-data-access-video

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

### Suggested fix
**How to fix:** Give the button an accessible name via text, aria-label, or aria-labelledby.

See remediation guidance: https://alfa.siteimprove.com/rules/sia-r12

---

## Form field has accessible name (WCAG 4.1.2)

**Bug ID:** `VS-ee1076f7`  
**Pattern ID:** `VS-a48e6078`  
**URL:** http://cms.gov/medicare/health-drug-plans/provider-complaints-form  
**XPath / selector:** `<div class="choices__list" role="listbox">`  
**WCAG SC:** 4.1.2 — Name, Role, Value (Level A)  
**Rule:** Siteimprove Alfa — `sia-r8` ([reference](https://alfa.siteimprove.com/rules/sia-r8))  
**Severity:** Moderate  
**Frequency:** 1 instances; 1 of 8304 pages affected
  
**History:** first seen 2026-W25, last seen 2026-W25 (1 week)

### Description
Form field has accessible name. Detected by Siteimprove Alfa rule sia-r8 on 1 of 8304 scanned pages (1 instances).

### Steps to reproduce
1. Open http://cms.gov/medicare/health-drug-plans/provider-complaints-form.
2. Locate the element: <div class="choices__list" role="listbox">
3. Confirm the Siteimprove Alfa finding for rule sia-r8 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
- http://cms.gov/medicare/health-drug-plans/provider-complaints-form

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

### Suggested fix
**How to fix:** Associate the form field with a label.

See remediation guidance: https://alfa.siteimprove.com/rules/sia-r8

---

## Elements must meet minimum color contrast ratio thresholds (WCAG 1.4.3)

**Bug ID:** `VS-0f035432`  
**Pattern ID:** `VS-be8d563e`  
**URL:** https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=52516&articleStatus=all&bc=3&sortBy=title&ver=26  
**XPath / selector:** `tr:nth-child(1) > td[width="50%"] > p`  
**WCAG SC:** 1.4.3 — Contrast (Minimum) (Level AA)  
**Rule:** axe-core — `color-contrast` ([reference](https://dequeuniversity.com/rules/axe/4.12/color-contrast?application=axeAPI))  
**Severity:** Serious  
**Frequency:** 643 instances; 107 of 8304 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W25 (2 weeks)

### HTML snippet
```html
<p style="line-height: normal;">Column I</p>
```

### Description
Elements must meet minimum color contrast ratio thresholds. Detected by axe-core rule color-contrast on 107 of 8304 scanned pages (643 instances).

### Steps to reproduce
1. Open https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=52516&articleStatus=all&bc=3&sortBy=title&ver=26.
2. Locate the element: tr:nth-child(1) > td[width="50%"] > p
3. Confirm the axe-core finding for rule color-contrast against WCAG 1.4.3 Contrast (Minimum).

### Impact
Affects Limited vision (2.4%), Without color perception (4.5%).
- **Limited vision** (2.4% of population)
- **Without color perception** (4.5% of population)

### Affected pages
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=52516&articleStatus=all&bc=3&sortBy=title&ver=26
- https://www.cms.gov/icd10m/FY2026-nprm-version43-fullcode-cms/fullcode_cms/P0757.html
- https://www.cms.gov/icd10m/FY2026-nprm-version43-fullcode-cms/fullcode_cms/P0035.html
- https://www.cms.gov/icd10m/FY2024-nprmversion41.0-fullcode-cms/fullcode_cms/P0105.html
- https://www.cms.gov/icd10m/FY2024-nprmversion41.0-fullcode-cms/fullcode_cms/P0140.html
- https://www.cms.gov/icd10m/FY2024-nprmversion41.0-fullcode-cms/fullcode_cms/P0007.html
- https://www.cms.gov/icd10m/FY2026-nprm-version43-fullcode-cms/fullcode_cms/P0403.html
- https://www.cms.gov/icd10m/FY2024-nprmversion41.0-fullcode-cms/fullcode_cms/P0185.html
- https://www.cms.gov/icd10m/FY2024-nprmversion41.0-fullcode-cms/fullcode_cms/P0254.html
- https://www.cms.gov/icd10m/FY2026-nprm-version43-fullcode-cms/fullcode_cms/P0021.html
- https://www.cms.gov/icd10m/FY2026-nprm-version43-fullcode-cms/fullcode_cms/P0272.html
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=52465&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=72
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=52492&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=22
- http://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=52521&articleStatus=all&bc=4&contractorName=all&contractorNumber=all&sortBy=title&ver=55
- https://www.cms.gov/icd10m/FY2024-nprmversion41.0-fullcode-cms/fullcode_cms/P0101.html
- https://www.cms.gov/icd10m/FY2026-nprm-version43-fullcode-cms/fullcode_cms/P0756.html
- https://www.cms.gov/icd10m/FY2026-nprm-version43-fullcode-cms/fullcode_cms/P0268.html
- https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=306&proposed=Y
- https://www.cms.gov/icd10m/FY2024-nprmversion41.0-fullcode-cms/fullcode_cms/P0155.html
- https://www.cms.gov/icd10m/FY2024-nprmversion41.0-fullcode-cms/fullcode_cms/P0336.html
- https://www.cms.gov/icd10m/FY2024-nprmversion41.0-fullcode-cms/fullcode_cms/P0471.html
- http://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?bc=17&ncacaldoctype=all&ncaid=269&proposed=N&sortBy=status&status=all
- https://www.cms.gov/icd10m/FY2026-nprm-version43-fullcode-cms/fullcode_cms/P0276.html
- http://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=36665&lcdStatus=all&sortBy=title&ver=19
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdId=37870&ver=19

…and more — 107 pages total ([download CSV](csv/axe-core__color-contrast.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:** 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.

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

### Example pages
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=52516&articleStatus=all&bc=3&sortBy=title&ver=26
- https://www.cms.gov/icd10m/FY2026-nprm-version43-fullcode-cms/fullcode_cms/P0757.html
- https://www.cms.gov/icd10m/FY2026-nprm-version43-fullcode-cms/fullcode_cms/P0035.html

---

## Text has sufficient color contrast (Enhanced) (WCAG 1.4.3)

**Bug ID:** `VS-5886030a`  
**Pattern ID:** `VS-f7e99f4b`  
**URL:** https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=52516&articleStatus=all&bc=3&sortBy=title&ver=26  
**XPath / selector:** `text: "Column I"`  
**WCAG SC:** 1.4.3 — Contrast (Minimum) (Level AA)  
**Rule:** Siteimprove Alfa — `sia-r69` ([reference](https://alfa.siteimprove.com/rules/sia-r69))  
**Severity:** Moderate  
**Frequency:** 86 instances; 15 of 8304 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W25 (2 weeks)

### Description
Text has sufficient color contrast (Enhanced). Detected by Siteimprove Alfa rule sia-r69 on 15 of 8304 scanned pages (86 instances).

### Steps to reproduce
1. Open https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=52516&articleStatus=all&bc=3&sortBy=title&ver=26.
2. Locate the element: text: "Column I"
3. Confirm the Siteimprove Alfa finding for rule sia-r69 against WCAG 1.4.3 Contrast (Minimum).

### Impact
Affects Limited vision (2.4%), Without color perception (4.5%).
- **Limited vision** (2.4% of population)
- **Without color perception** (4.5% of population)

### Affected pages
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=52516&articleStatus=all&bc=3&sortBy=title&ver=26
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=52465&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=72
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdId=37870&ver=19
- http://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=36704&lcdStatus=all&sortBy=title&ver=23
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=52508&articleStatus=all&bc=3&sortBy=title&ver=39
- http://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=33718&lcdStatus=all&sortBy=title&ver=52
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleId=52492&ver=22
- https://www.cms.gov/priorities/innovation/innovation-models/maryland-all-payer-model
- https://www.cms.gov/priorities/innovation/innovation-models/gpdc-model
- http://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?bc=17&ncacaldoctype=all&ncaid=311&proposed=Y&sortBy=status&status=all
- http://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=33803&lcdStatus=all&sortBy=title&ver=47
- https://cms.gov/priorities/innovation/innovation-models/gpdc-model
- http://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=39383&lcdStatus=all&sortBy=title&ver=13
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=52492&articleStatus=all&bc=3&sortBy=title&ver=22
- http://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=56233&articleStatus=all&bc=4&contractorName=all&contractorNumber=all&sortBy=title&ver=5

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

### Suggested fix
**How to fix:** Increase text contrast to meet WCAG AA (4.5:1, or 3:1 for large text).

See remediation guidance: https://alfa.siteimprove.com/rules/sia-r69

### Example pages
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=52516&articleStatus=all&bc=3&sortBy=title&ver=26
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=52465&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=72
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdId=37870&ver=19

---

## Zooming and scaling must not be disabled (WCAG 1.4.4)

**Bug ID:** `VS-f90f0c24`  
**Pattern ID:** `VS-6c86a43a`  
**URL:** https://www.cms.gov/Outreach-and-Education/MLN/WBT/MLN3995723-MLNPartsCD/FWA/story.html  
**XPath / selector:** `meta[name="viewport"]`  
**WCAG SC:** 1.4.4 — Resize Text (Level AA)  
**Rule:** axe-core — `meta-viewport` ([reference](https://dequeuniversity.com/rules/axe/4.12/meta-viewport?application=axeAPI))  
**Severity:** Moderate  
**Frequency:** 1 instances; 1 of 8304 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W25 (2 weeks)

### HTML snippet
```html
<meta name="viewport" content="width=device-width,initial-scale=1,user-scalable=no,shrink-to-fit=no,minimal-ui">
```

### Description
Zooming and scaling must not be disabled. Detected by axe-core rule meta-viewport on 1 of 8304 scanned pages (1 instances).

### Steps to reproduce
1. Open https://www.cms.gov/Outreach-and-Education/MLN/WBT/MLN3995723-MLNPartsCD/FWA/story.html.
2. Locate the element: meta[name="viewport"]
3. Confirm the axe-core finding for rule meta-viewport against WCAG 1.4.4 Resize Text.

### Impact
Affects Limited vision (2.4%).
- **Limited vision** (2.4% of population)

### Affected pages
- https://www.cms.gov/Outreach-and-Education/MLN/WBT/MLN3995723-MLNPartsCD/FWA/story.html

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

### Suggested fix
**How to fix:** Don't disable zoom (user-scalable=no / maximum-scale=1); low-vision users need to zoom.

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

---

## lang attribute must have a valid value (WCAG 3.1.2)

**Bug ID:** `VS-8f470a84`  
**Pattern ID:** `VS-dd1c019f`  
**URL:** https://www.cms.gov/data-research/monitoring-programs/improper-payment-measurement-programs/exchange-improper-payment-measurement-eipm/improper-payment-findings  
**XPath / selector:** `a[href$="#_ftnref1"] > span[lang="X-NONE"]`  
**WCAG SC:** 3.1.2 — Language of Parts (Level AA)  
**Rule:** axe-core — `valid-lang` ([reference](https://dequeuniversity.com/rules/axe/4.12/valid-lang?application=axeAPI))  
**Severity:** Serious  
**Frequency:** 1 instances; 1 of 8304 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W25 (2 weeks)

### HTML snippet
```html
<span lang="X-NONE">[1]</span>
```

### Description
lang attribute must have a valid value. Detected by axe-core rule valid-lang on 1 of 8304 scanned pages (1 instances).

### Steps to reproduce
1. Open https://www.cms.gov/data-research/monitoring-programs/improper-payment-measurement-programs/exchange-improper-payment-measurement-eipm/improper-payment-findings.
2. Locate the element: a[href$="#_ftnref1"] > span[lang="X-NONE"]
3. Confirm the axe-core finding for rule valid-lang against WCAG 3.1.2 Language of Parts.

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

### Affected pages
- https://www.cms.gov/data-research/monitoring-programs/improper-payment-measurement-programs/exchange-improper-payment-measurement-eipm/improper-payment-findings

### 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/valid-lang?application=axeAPI

---

## Text has enhanced contrast (WCAG 1.4.6)

**Bug ID:** `VS-7f122307`  
**Pattern ID:** `VS-646b1e0b`  
**URL:** https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=52516&articleStatus=all&bc=3&sortBy=title&ver=26  
**XPath / selector:** `text: "Here's how you know"`  
**WCAG SC:** 1.4.6 — Contrast (Enhanced) (Level AAA)  
**Rule:** Siteimprove Alfa — `sia-r66` ([reference](https://alfa.siteimprove.com/rules/sia-r66))  
**Severity:** Moderate  
**Frequency:** 6288 instances; 1184 of 8304 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W25 (2 weeks)

### Description
Text has enhanced contrast. Detected by Siteimprove Alfa rule sia-r66 on 1184 of 8304 scanned pages (6288 instances).

### Steps to reproduce
1. Open https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=52516&articleStatus=all&bc=3&sortBy=title&ver=26.
2. Locate the element: text: "Here's how you know"
3. Confirm the Siteimprove Alfa finding for rule sia-r66 against WCAG 1.4.6 Contrast (Enhanced).

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

### Affected pages
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=52516&articleStatus=all&bc=3&sortBy=title&ver=26
- http://www.cms.gov/medicare-coverage-database/view/medcac-meeting.aspx?bc=15&medcacid=30&sortBy=meetingdate&year=all
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=58944&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=2
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleId=55533&ver=2
- http://www.cms.gov/medicare-coverage-database/view/nca.aspx?bc=17&ncacaldoctype=all&ncaid=174&sortBy=status&status=all
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=57503&bc=0&ver=10
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=54480&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=11
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=59815&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=4
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=57326&articleStatus=all&bc=3&sortBy=title&ver=40
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=55715&articleStatus=all&bc=3&sortBy=title&ver=12
- http://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=52754&articleStatus=all&bc=4&contractorName=all&contractorNumber=all&sortBy=title&ver=6
- http://www.cms.gov/medicare-coverage-database/view/ncd.aspx?ncdid=61&ncdver=1
- http://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=34760&lcdStatus=all&sortBy=title&ver=27
- http://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=36715&lcdStatus=all&sortBy=title&ver=58
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=57583&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=7
- http://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=57864&articleStatus=all&bc=4&contractorName=all&contractorNumber=all&sortBy=title&ver=36
- http://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=59197&articleStatus=all&bc=4&contractorName=all&contractorNumber=all&sortBy=title&ver=7
- http://www.cms.gov/medicare-coverage-database/view/nca.aspx?bc=17&ncacaldoctype=all&ncaid=45&sortBy=status&status=all
- https://www.cms.gov/medicare-coverage-database/view/ncd.aspx?NCDId=14&NCDver=1
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=58695&articleStatus=all&bc=3&sortBy=title&ver=9
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=52399&articleStatus=all&bc=3&sortBy=title&ver=71
- http://www.cms.gov/medicare-coverage-database/reports/local-coverage-final-lcds-contractor-report.aspx?contractorName=all&contractorNumber=all&lcdid=38274&lcdStatus=all&sortBy=title
- http://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=57238&articleStatus=all&bc=4&contractorName=all&contractorNumber=all&sortBy=title&ver=10
- http://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=34356&lcdStatus=all&sortBy=title&ver=31
- http://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=33619&lcdStatus=all&sortBy=title&ver=24

…and more — 1184 pages total ([download CSV](csv/alfa__sia-r66.csv)).

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

### Suggested fix
**How to fix:** Increase text contrast to meet WCAG AAA (7:1).

See remediation guidance: https://alfa.siteimprove.com/rules/sia-r66

### Example pages
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=52516&articleStatus=all&bc=3&sortBy=title&ver=26
- http://www.cms.gov/medicare-coverage-database/view/medcac-meeting.aspx?bc=15&medcacid=30&sortBy=meetingdate&year=all
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=58944&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=2

---

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

**Bug ID:** `VS-62a6ea03`  
**Pattern ID:** `VS-2208081b`  
**URL:** https://www.cms.gov/newsroom/press-releases/new-report-federal-health-insurance-options-helped-prevent-major-coverage-losses  
**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:** 29357 instances; 2802 of 8304 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W25 (2 weeks)

### Description
Text has minimum contrast ratio of 4.5:1. Detected by Siteimprove Alfa rule sia-r73 on 2802 of 8304 scanned pages (29357 instances).

### Steps to reproduce
1. Open https://www.cms.gov/newsroom/press-releases/new-report-federal-health-insurance-options-helped-prevent-major-coverage-losses.
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://www.cms.gov/newsroom/press-releases/new-report-federal-health-insurance-options-helped-prevent-major-coverage-losses
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=52516&articleStatus=all&bc=3&sortBy=title&ver=26
- https://www.cms.gov/newsroom/search?f%5B0%5D=topic%3A61&f%5B1%5D=topic%3A176&items_per_page=10&search_api_language=en&sort_by=field_date&sort_order=DESC
- http://www.cms.gov/medicare-coverage-database/view/medcac-meeting.aspx?bc=15&medcacid=30&sortBy=meetingdate&year=all
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=58944&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=2
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleId=55533&ver=2
- http://www.cms.gov/medicare-coverage-database/view/nca.aspx?bc=17&ncacaldoctype=all&ncaid=174&sortBy=status&status=all
- https://www.cms.gov/medicare/regulations-guidance/transmittals/2013-transmittals?items_per_page=25&order=field_dyna_release_date&page=5&sort=asc
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=57503&bc=0&ver=10
- http://www.cms.gov/cciioprograms-and-initiativeshealth-insurance-marketplacesgeneral-resources/2021-10-6
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=54480&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=11
- https://www.cms.gov/about-cms/information-systems/privacy/notice-privacy-practices-original-medicare
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=59815&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=4
- https://www.cms.gov/regulations-and-guidance/guidance/transmittals/2014-transmittals-items/r3034cp
- https://www.cms.gov/regulations-and-guidanceguidancetransmittals2020-transmittals/r4529cp
- https://www.cms.gov/medicare/regulations-guidance/transmittals/2021-transmittals?items_per_page=25&order=field_dyna_revision_date&page=5&sort=asc
- https://www.cms.gov/medicare/regulations-guidance/transmittals/2017-transmittals?items_per_page=25&order=field_dyna_pe_number&page=2&sort=desc
- https://www.cms.gov/newsroom/search?f%5B0%5D=topic%3A66&f%5B1%5D=topic%3A116&f%5B2%5D=topic%3A136&f%5B3%5D=topic%3A436&items_per_page=10&search_api_language=en&sort_by=field_date&sort_order=DESC
- https://www.cms.gov/newsroom/search?f%5B0%5D=newsroom_article_type%3A29586&f%5B1%5D=topic%3A101&items_per_page=10&search_api_language=en&sort_by=field_date&sort_order=DESC
- https://www.cms.gov/icd10m/version372-fullcode-cms/fullcode_cms/P0732.html
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=57326&articleStatus=all&bc=3&sortBy=title&ver=40
- https://www.cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0240.html
- https://www.cms.gov/icd10m/FY2026-nprm-version43-fullcode-cms/fullcode_cms/P0757.html
- https://www.cms.gov/nosurprises/help-resolve-payment-disputes/submit-feedback-on-certified-organizations
- https://www.cms.gov/regulations-and-guidance/guidance/transmittals/transmittals/r11761cp

…and more — 2802 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://www.cms.gov/newsroom/press-releases/new-report-federal-health-insurance-options-helped-prevent-major-coverage-losses
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=52516&articleStatus=all&bc=3&sortBy=title&ver=26
- https://www.cms.gov/newsroom/search?f%5B0%5D=topic%3A61&f%5B1%5D=topic%3A176&items_per_page=10&search_api_language=en&sort_by=field_date&sort_order=DESC

---

## Link is distinguishable without relying on color (WCAG 1.4.8)

**Bug ID:** `VS-d03b939a`  
**Pattern ID:** `VS-fbf54eba`  
**URL:** https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=52516&articleStatus=all&bc=3&sortBy=title&ver=26  
**XPath / selector:** `<p class="mb-2">`  
**WCAG SC:** 1.4.8 — Visual Presentation (Level AAA)  
**Rule:** Siteimprove Alfa — `sia-r74` ([reference](https://alfa.siteimprove.com/rules/sia-r74))  
**Severity:** Moderate  
**Frequency:** 77847 instances; 1181 of 8304 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W25 (2 weeks)

### Description
Link is distinguishable without relying on color. Detected by Siteimprove Alfa rule sia-r74 on 1181 of 8304 scanned pages (77847 instances).

### Steps to reproduce
1. Open https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=52516&articleStatus=all&bc=3&sortBy=title&ver=26.
2. Locate the element: <p class="mb-2">
3. Confirm the Siteimprove Alfa finding for rule sia-r74 against WCAG 1.4.8 Visual Presentation.

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

### Affected pages
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=52516&articleStatus=all&bc=3&sortBy=title&ver=26
- http://www.cms.gov/medicare-coverage-database/view/medcac-meeting.aspx?bc=15&medcacid=30&sortBy=meetingdate&year=all
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=58944&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=2
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleId=55533&ver=2
- http://www.cms.gov/medicare-coverage-database/view/nca.aspx?bc=17&ncacaldoctype=all&ncaid=174&sortBy=status&status=all
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=57503&bc=0&ver=10
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=54480&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=11
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=59815&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=4
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=57326&articleStatus=all&bc=3&sortBy=title&ver=40
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=55715&articleStatus=all&bc=3&sortBy=title&ver=12
- http://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=52754&articleStatus=all&bc=4&contractorName=all&contractorNumber=all&sortBy=title&ver=6
- http://www.cms.gov/medicare-coverage-database/view/ncd.aspx?ncdid=61&ncdver=1
- http://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=34760&lcdStatus=all&sortBy=title&ver=27
- http://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=36715&lcdStatus=all&sortBy=title&ver=58
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=57583&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=7
- http://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=57864&articleStatus=all&bc=4&contractorName=all&contractorNumber=all&sortBy=title&ver=36
- http://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=59197&articleStatus=all&bc=4&contractorName=all&contractorNumber=all&sortBy=title&ver=7
- http://www.cms.gov/medicare-coverage-database/view/nca.aspx?bc=17&ncacaldoctype=all&ncaid=45&sortBy=status&status=all
- https://www.cms.gov/medicare-coverage-database/view/ncd.aspx?NCDId=14&NCDver=1
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=58695&articleStatus=all&bc=3&sortBy=title&ver=9
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=52399&articleStatus=all&bc=3&sortBy=title&ver=71
- http://www.cms.gov/medicare-coverage-database/reports/local-coverage-final-lcds-contractor-report.aspx?contractorName=all&contractorNumber=all&lcdid=38274&lcdStatus=all&sortBy=title
- http://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=57238&articleStatus=all&bc=4&contractorName=all&contractorNumber=all&sortBy=title&ver=10
- http://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=34356&lcdStatus=all&sortBy=title&ver=31
- http://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=33619&lcdStatus=all&sortBy=title&ver=24

…and more — 1181 pages total ([download CSV](csv/alfa__sia-r74.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-r74

### Example pages
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=52516&articleStatus=all&bc=3&sortBy=title&ver=26
- http://www.cms.gov/medicare-coverage-database/view/medcac-meeting.aspx?bc=15&medcacid=30&sortBy=meetingdate&year=all
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=58944&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=2

---

## Scrollable element is keyboard accessible (WCAG 1.4.8)

**Bug ID:** `VS-56e83a3b`  
**Pattern ID:** `VS-388b5438`  
**URL:** http://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=58664&articleStatus=all&bc=4&contractorName=all&contractorNumber=all&sortBy=title&ver=9  
**XPath / selector:** `<p style="line-height: 15.0pt;">`  
**WCAG SC:** 1.4.8 — Visual Presentation (Level AAA)  
**Rule:** Siteimprove Alfa — `sia-r80` ([reference](https://alfa.siteimprove.com/rules/sia-r80))  
**Severity:** Moderate  
**Frequency:** 638 instances; 84 of 8304 pages affected
  
**History:** first seen 2026-W25, last seen 2026-W25 (1 week)

### Description
Scrollable element is keyboard accessible. Detected by Siteimprove Alfa rule sia-r80 on 84 of 8304 scanned pages (638 instances).

### Steps to reproduce
1. Open http://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=58664&articleStatus=all&bc=4&contractorName=all&contractorNumber=all&sortBy=title&ver=9.
2. Locate the element: <p style="line-height: 15.0pt;">
3. Confirm the Siteimprove Alfa finding for rule sia-r80 against WCAG 1.4.8 Visual Presentation.

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

### Affected pages
- http://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=58664&articleStatus=all&bc=4&contractorName=all&contractorNumber=all&sortBy=title&ver=9
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=58318&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=62
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=59884&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=5
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdid=38351&ver=8
- http://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=33930&lcdStatus=all&sortBy=title&ver=49
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=58456&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=36
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=59423&articleStatus=all&bc=3&sortBy=title&ver=3
- http://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=57141&articleStatus=all&bc=4&contractorName=all&contractorNumber=all&sortBy=title&ver=44
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=58185&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=20
- http://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=37761&lcdStatus=all&sortBy=title&ver=22
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=52465&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=72
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=59353&articleStatus=all&bc=3&sortBy=title&ver=5
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdId=39799&ver=16
- https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=37750&lcdStatus=all&sortBy=title&ver=32
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=58700&articleStatus=all&bc=3&sortBy=title&ver=14
- http://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=57141&articleStatus=all&bc=4&contractorName=all&contractorNumber=all&sortBy=title&ver=38
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleId=52509
- http://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=33689&lcdStatus=all&sortBy=title&ver=17
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=58318&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=56
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=59423&articleStatus=all&bc=3&sortBy=title&ver=4
- http://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=54795&articleStatus=all&bc=4&contractorName=all&contractorNumber=all&sortBy=title&ver=42
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=58710&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=90
- http://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=60286&articleStatus=all&bc=4&contractorName=all&contractorNumber=all&sortBy=title&ver=6
- http://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=52481&articleStatus=all&bc=4&contractorName=all&contractorNumber=all&sortBy=title&ver=30
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=59423&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=4

…and more — 84 pages total ([download CSV](csv/alfa__sia-r80.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-r80

### Example pages
- http://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=58664&articleStatus=all&bc=4&contractorName=all&contractorNumber=all&sortBy=title&ver=9
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=58318&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=62
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=59884&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=5

---

## iframe element is not empty (WCAG 1.4.8)

**Bug ID:** `VS-3f32eb85`  
**Pattern ID:** `VS-48291402`  
**URL:** https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=59815&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=4  
**XPath / selector:** `<p style="text-align: justify; line-height: 107%;">`  
**WCAG SC:** 1.4.8 — Visual Presentation (Level AAA)  
**Rule:** Siteimprove Alfa — `sia-r71` ([reference](https://alfa.siteimprove.com/rules/sia-r71))  
**Severity:** Moderate  
**Frequency:** 425 instances; 50 of 8304 pages affected
  
**History:** first seen 2026-W25, last seen 2026-W25 (1 week)

### Description
iframe element is not empty. Detected by Siteimprove Alfa rule sia-r71 on 50 of 8304 scanned pages (425 instances).

### Steps to reproduce
1. Open https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=59815&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=4.
2. Locate the element: <p style="text-align: justify; line-height: 107%;">
3. Confirm the Siteimprove Alfa finding for rule sia-r71 against WCAG 1.4.8 Visual Presentation.

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

### Affected pages
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=59815&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=4
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=58695&articleStatus=all&bc=3&sortBy=title&ver=9
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=58695&articleStatus=all&bc=3&sortBy=title&ver=11
- http://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=59134&articleStatus=all&bc=4&contractorName=all&contractorNumber=all&sortBy=title&ver=3
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=58456&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=36
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleId=56241&ver=8
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=58185&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=20
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=58456&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=43
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=59353&articleStatus=all&bc=3&sortBy=title&ver=5
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdId=39799&ver=16
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdid=33794
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=58996&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=31
- http://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=56392&articleStatus=all&bc=4&contractorName=all&contractorNumber=all&sortBy=title&ver=3
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=56224&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=94
- https://cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=40232&lcdStatus=all&sortBy=title&ver=5
- http://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=56239&articleStatus=all&bc=4&contractorName=all&contractorNumber=all&sortBy=title&ver=3
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=58185&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=18
- http://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=59707&articleStatus=all&bc=4&contractorName=all&contractorNumber=all&sortBy=title&ver=24
- http://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=39001&lcdStatus=all&sortBy=title&ver=13
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=59006&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=4
- http://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=57149&articleStatus=all&bc=4&contractorName=all&contractorNumber=all&sortBy=title&ver=20
- http://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=59353&articleStatus=all&bc=4&contractorName=all&contractorNumber=all&sortBy=title&ver=5
- http://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=56411&articleStatus=all&bc=4&contractorName=all&contractorNumber=all&sortBy=title&ver=4
- http://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=58028&articleStatus=all&bc=4&contractorName=all&contractorNumber=all&sortBy=title&ver=23
- http://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=59070&articleStatus=all&bc=4&contractorName=all&contractorNumber=all&sortBy=title&ver=4

…and more — 50 pages total ([download CSV](csv/alfa__sia-r71.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-r71

### Example pages
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=59815&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=4
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=58695&articleStatus=all&bc=3&sortBy=title&ver=9
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=58695&articleStatus=all&bc=3&sortBy=title&ver=11

---

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

**Bug ID:** `VS-69850ae6`  
**Pattern ID:** `VS-cb53cc4d`  
**URL:** https://www.cms.gov/newsroom/press-releases/new-report-federal-health-insurance-options-helped-prevent-major-coverage-losses  
**XPath / selector:** `<a href="/about-cms" class="menu-item-link" data-drupal-link-system-path="node/132926" data-once="navigationLinkMatch">`  
**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:** 97889 instances; 2811 of 8304 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W25 (2 weeks)

### Description
Target size is at least 44×44 CSS pixels (Enhanced). Detected by Siteimprove Alfa rule sia-r111 on 2811 of 8304 scanned pages (97889 instances).

### Steps to reproduce
1. Open https://www.cms.gov/newsroom/press-releases/new-report-federal-health-insurance-options-helped-prevent-major-coverage-losses.
2. Locate the element: <a href="/about-cms" class="menu-item-link" data-drupal-link-system-path="node/132926" data-once="navigationLinkMatch">
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://www.cms.gov/newsroom/press-releases/new-report-federal-health-insurance-options-helped-prevent-major-coverage-losses
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=52516&articleStatus=all&bc=3&sortBy=title&ver=26
- https://www.cms.gov/newsroom/search?f%5B0%5D=topic%3A61&f%5B1%5D=topic%3A176&items_per_page=10&search_api_language=en&sort_by=field_date&sort_order=DESC
- http://www.cms.gov/medicare-coverage-database/view/medcac-meeting.aspx?bc=15&medcacid=30&sortBy=meetingdate&year=all
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=58944&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=2
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleId=55533&ver=2
- http://www.cms.gov/medicare-coverage-database/view/nca.aspx?bc=17&ncacaldoctype=all&ncaid=174&sortBy=status&status=all
- https://www.cms.gov/medicare/regulations-guidance/transmittals/2013-transmittals?items_per_page=25&order=field_dyna_release_date&page=5&sort=asc
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=57503&bc=0&ver=10
- http://www.cms.gov/cciioprograms-and-initiativeshealth-insurance-marketplacesgeneral-resources/2021-10-6
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=54480&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=11
- https://www.cms.gov/about-cms/information-systems/privacy/notice-privacy-practices-original-medicare
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=59815&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=4
- https://www.cms.gov/regulations-and-guidance/guidance/transmittals/2014-transmittals-items/r3034cp
- https://www.cms.gov/regulations-and-guidanceguidancetransmittals2020-transmittals/r4529cp
- https://www.cms.gov/medicare/regulations-guidance/transmittals/2021-transmittals?items_per_page=25&order=field_dyna_revision_date&page=5&sort=asc
- https://www.cms.gov/medicare/regulations-guidance/transmittals/2017-transmittals?items_per_page=25&order=field_dyna_pe_number&page=2&sort=desc
- https://www.cms.gov/newsroom/search?f%5B0%5D=topic%3A66&f%5B1%5D=topic%3A116&f%5B2%5D=topic%3A136&f%5B3%5D=topic%3A436&items_per_page=10&search_api_language=en&sort_by=field_date&sort_order=DESC
- https://www.cms.gov/newsroom/search?f%5B0%5D=newsroom_article_type%3A29586&f%5B1%5D=topic%3A101&items_per_page=10&search_api_language=en&sort_by=field_date&sort_order=DESC
- https://www.cms.gov/icd10m/version372-fullcode-cms/fullcode_cms/P0732.html
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=57326&articleStatus=all&bc=3&sortBy=title&ver=40
- https://www.cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0240.html
- https://www.cms.gov/icd10m/FY2026-nprm-version43-fullcode-cms/fullcode_cms/P0757.html
- https://www.cms.gov/nosurprises/help-resolve-payment-disputes/submit-feedback-on-certified-organizations
- https://www.cms.gov/regulations-and-guidance/guidance/transmittals/transmittals/r11761cp

…and more — 2811 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://www.cms.gov/newsroom/press-releases/new-report-federal-health-insurance-options-helped-prevent-major-coverage-losses
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=52516&articleStatus=all&bc=3&sortBy=title&ver=26
- https://www.cms.gov/newsroom/search?f%5B0%5D=topic%3A61&f%5B1%5D=topic%3A176&items_per_page=10&search_api_language=en&sort_by=field_date&sort_order=DESC

---

## accesskey attribute value should be unique (WCAG criterion undetermined)

**Bug ID:** `VS-a0d4eb65`  
**Pattern ID:** `VS-bd13f00a`  
**URL:** https://www.cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0240.html  
**XPath / selector:** `td[width="31"]:nth-child(3) > a[accesskey="p"][href$="P0239.html"]`  
**WCAG SC:** _undetermined_  
**Rule:** axe-core — `accesskeys` ([reference](https://dequeuniversity.com/rules/axe/4.12/accesskeys?application=axeAPI))  
**Severity:** Serious  
**Frequency:** 352 instances; 119 of 8304 pages affected
  
**History:** first seen 2026-W25, last seen 2026-W25 (1 week)

### HTML snippet
```html
<a accesskey="p" id="prev_page" href="P0239.html"><img src="bakpg.png" alt="Previous Page [Alt-p]" height="14" width="31" vspace="0" hspace="0" align="bottom" border="0"></a>
```

### Description
accesskey attribute value should be unique. Detected by axe-core rule accesskeys on 119 of 8304 scanned pages (352 instances).

### Steps to reproduce
1. Open https://www.cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0240.html.
2. Locate the element: td[width="31"]:nth-child(3) > a[accesskey="p"][href$="P0239.html"]
3. Confirm the axe-core finding for rule accesskeys.

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

### Affected pages
- https://www.cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0240.html
- https://www.cms.gov/icd10m/FY2026-nprm-version43-fullcode-cms/fullcode_cms/P0757.html
- https://www.cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0688.html
- https://www.cms.gov/icd10m/FY2026-nprm-version43-fullcode-cms/fullcode_cms/P0035.html
- https://www.cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0246.html
- https://www.cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0207.html
- https://www.cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0335.html
- https://www.cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0291.html
- https://www.cms.gov/icd10m/FY2026-nprm-version43-fullcode-cms/fullcode_cms/P0403.html
- https://www.cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0306.html
- https://www.cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0678.html
- https://www.cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0110.html
- https://www.cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0321.html
- https://www.cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0239.html
- https://www.cms.gov/icd10m/FY2026-nprm-version43-fullcode-cms/fullcode_cms/P0021.html
- https://www.cms.gov/icd10m/FY2026-nprm-version43-fullcode-cms/fullcode_cms/P0272.html
- https://www.cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0281.html
- https://www.cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0160.html
- https://www.cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0051.html
- https://www.cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0099.html
- https://www.cms.gov/icd10m/FY2026-nprm-version43-fullcode-cms/fullcode_cms/P0756.html
- https://www.cms.gov/icd10m/FY2026-nprm-version43-fullcode-cms/fullcode_cms/P0268.html
- https://www.cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0475.html
- https://www.cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0060.html
- https://www.cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0020.html

…and more — 119 pages total ([download CSV](csv/axe-core__accesskeys.csv)).

### 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/accesskeys?application=axeAPI

### Example pages
- https://www.cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0240.html
- https://www.cms.gov/icd10m/FY2026-nprm-version43-fullcode-cms/fullcode_cms/P0757.html
- https://www.cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0688.html

---

## Heading levels should only increase by one (WCAG criterion undetermined)

**Bug ID:** `VS-6ff82f96`  
**Pattern ID:** `VS-d25f622d`  
**URL:** http://www.cms.gov/medicare-coverage-database/reports/local-coverage-final-lcds-contractor-report.aspx?contractorName=all&contractorNumber=all&lcdid=34356&lcdStatus=all&sortBy=title  
**XPath / selector:** `#navStickyHeader`  
**WCAG SC:** _undetermined_  
**Rule:** axe-core — `heading-order` ([reference](https://dequeuniversity.com/rules/axe/4.12/heading-order?application=axeAPI))  
**Severity:** Moderate  
**Frequency:** 367 instances; 365 of 8304 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W25 (2 weeks)

### HTML snippet
```html
<h3 id="navStickyHeader" class="bg-white d-inline expand-head-pad">Report Information</h3>
```

### Description
Heading levels should only increase by one. Detected by axe-core rule heading-order on 365 of 8304 scanned pages (367 instances).

### Steps to reproduce
1. Open http://www.cms.gov/medicare-coverage-database/reports/local-coverage-final-lcds-contractor-report.aspx?contractorName=all&contractorNumber=all&lcdid=34356&lcdStatus=all&sortBy=title.
2. Locate the element: #navStickyHeader
3. Confirm the axe-core finding for rule heading-order.

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

### Affected pages
- http://www.cms.gov/medicare-coverage-database/reports/local-coverage-final-lcds-contractor-report.aspx?contractorName=all&contractorNumber=all&lcdid=34356&lcdStatus=all&sortBy=title
- https://www.cms.gov/training-education/medicare-learning-networkr-mln/compliance/medicare-provider-compliance-tips/infusion-pumps
- http://www.cms.gov/medicare-coverage-database/reports/local-coverage-final-lcds-contractor-report.aspx?contractorName=all&contractorNumber=all&lcdid=38274&lcdStatus=all&sortBy=title
- https://www.cms.gov/apps/ama/license.asp?file=%2FMedicare%2FMedicare-Fee-for-Service-Part-B-Drugs%2FMcrPartBDrugAvgSalesPrice%2Fdownloads%2FOctober-2012-ASP-Pricing-File.zip
- https://cms.gov/medicare/settlements/ryan
- https://www.cms.gov/apps/ama/license.asp?file=%2FResearch-Statistics-Data-and-Systems%2FDownloadable-Public-Use-Files%2FPart-B-Carrier-Summary-Data-File%2FDownloads%2F2010AllCarriers.zip
- https://www.cms.gov/medicare/regulations-guidance/transmittals/2024-transmittals/r12795cp
- https://www.cms.gov/license/ama?file=%2Ffiles%2Fzip%2F2025-nprm-addendum-o.zip
- http://cms.gov/apps/physician-fee-schedule/overview.aspx
- https://www.cms.gov/medicare-coverage-database/details/nca-decision-memo.aspx?bc=BEAAAAAAEAAA&fromdb=true&NCAId=216&NcaName=Percutaneous+Transluminal+Angioplasty+%28PTA%29+of+the+Carotid+Artery+Concurrent+with+Stenting&ver=8
- https://www.cms.gov/newsroom/fact-sheets/contract-year-2026-policy-and-technical-changes-medicare-advantage-program-medicare-prescription-final
- https://www.cms.gov/flu-shot-outreach-media-material-more-languages
- https://www.cms.gov/apps/ama/license.asp?file=%2FMedicare%2FMedicare-Fee-for-Service-Part-B-Drugs%2FMcrPartBDrugAvgSalesPrice%2FDownloads%2F2017-October-ASP-Pricing-File.zip
- http://cms.gov/priorities/health-equity/minority-health/equity-programs/technical-assistance
- https://www.cms.gov/apps/aha/license.asp?file=%2Ffiles%2Fzip%2FIOCE-MF-Software-Package-V23R0.zip
- https://www.cms.gov/priorities/health-equity/minority-health/resource-center/language/portuguese-portugues
- https://cms.gov/priorities/health-equity/minority-health/resource-center/health-care-professionals-researchers/improving-access-care-people-disabilities
- https://www.cms.gov/apps/ama/license.asp?file=%2FMedicare%2FMedicare-Fee-for-Service-Payment%2FHospitalOutpatientPPS%2FDownloads%2F2019-Outlier-and-Rural-Table.pdf
- https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?calid=182&proposed=N
- http://www.cms.gov/about-cms/who-we-are/history
- http://www.cms.gov/medicare-coverage-database/reports/local-coverage-final-lcds-contractor-report.aspx?contractorName=all&contractorNumber=all&lcdid=38045&lcdStatus=all&sortBy=title
- https://www.cms.gov/apps/ama/license.asp?file=%2FMedicare%2FMedicare-Fee-for-Service-Part-B-Drugs%2FMcrPartBDrugAvgSalesPrice%2FDownloads%2F2018-Oct-ASP-Pricing-File.zip
- https://www.cms.gov/apps/ama/license.asp?file=%2FMedicare%2FMedicare-Fee-for-Service-Part-B-Drugs%2FMcrPartBDrugAvgSalesPrice%2FDownloads%2F2017-July-ASP-NDC-HCPCS-Crosswalk.zip
- https://www.cms.gov/apps/ama/license.asp?file=%2Ffiles%2Fzip%2Fcy-2023-final-asc-code-pair-crosswalk-table.zip
- https://www.cms.gov/medicare-coverage-database/reports/local-coverage-articles-alphabetical-report.aspx?articleStatus=all

…and more — 365 pages total ([download CSV](csv/axe-core__heading-order.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 heading levels in order (h1 → h2 → h3) without skipping; structure, not size.

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

### Example pages
- http://www.cms.gov/medicare-coverage-database/reports/local-coverage-final-lcds-contractor-report.aspx?contractorName=all&contractorNumber=all&lcdid=34356&lcdStatus=all&sortBy=title
- https://www.cms.gov/training-education/medicare-learning-networkr-mln/compliance/medicare-provider-compliance-tips/infusion-pumps
- http://www.cms.gov/medicare-coverage-database/reports/local-coverage-final-lcds-contractor-report.aspx?contractorName=all&contractorNumber=all&lcdid=38274&lcdStatus=all&sortBy=title

---

## All page content should be contained by landmarks (WCAG criterion undetermined)

**Bug ID:** `VS-0bc252c3`  
**Pattern ID:** `VS-f18df681`  
**URL:** https://www.cms.gov/icd10m/version35-fullcode-cms/fullcode_cms/P0009.html  
**XPath / selector:** `.arrows > tbody > tr:nth-child(1)`  
**WCAG SC:** _undetermined_  
**Rule:** axe-core — `region` ([reference](https://dequeuniversity.com/rules/axe/4.12/region?application=axeAPI))  
**Severity:** Moderate  
**Frequency:** 6064 instances; 275 of 8304 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W25 (2 weeks)

### HTML snippet
```html
<tr>
		<td><img src="cms-site-logo.png"></td>
		<td style="text-align:center;"><h1>ICD-10-CM/PCS MS-DRG v35.0 Definitions Manual</h1><h1></h1></td>
		<td></td>
		<td></td>
		<td></td>
	</tr>
```

### Description
All page content should be contained by landmarks. Detected by axe-core rule region on 275 of 8304 scanned pages (6064 instances).

### Steps to reproduce
1. Open https://www.cms.gov/icd10m/version35-fullcode-cms/fullcode_cms/P0009.html.
2. Locate the element: .arrows > tbody > tr:nth-child(1)
3. Confirm the axe-core finding for rule region.

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

### Affected pages
- https://www.cms.gov/icd10m/version35-fullcode-cms/fullcode_cms/P0009.html
- https://www.cms.gov/icd10m/version372-fullcode-cms/fullcode_cms/P0732.html
- https://www.cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0240.html
- https://www.cms.gov/icd10m/FY2026-nprm-version43-fullcode-cms/fullcode_cms/P0757.html
- https://www.cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0688.html
- https://www.cms.gov/icd10m/FY2026-nprm-version43-fullcode-cms/fullcode_cms/P0035.html
- https://www.cms.gov/icd10m/FY2024-nprmversion41.0-fullcode-cms/fullcode_cms/P0105.html
- https://www.cms.gov/icd10m/FY2024-nprmversion41.0-fullcode-cms/fullcode_cms/P0140.html
- https://www.cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0246.html
- https://www.cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0207.html
- https://www.cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0335.html
- https://www.cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0413.html
- https://www.cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0291.html
- https://www.cms.gov/icd10m/FY2024-nprmversion41.0-fullcode-cms/fullcode_cms/P0007.html
- https://www.cms.gov/icd10m/version372-fullcode-cms/fullcode_cms/P0030.html
- https://www.cms.gov/icd10m/FY2026-nprm-version43-fullcode-cms/fullcode_cms/P0403.html
- https://www.cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0306.html
- https://www.cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0538.html
- https://www.cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0678.html
- https://www.cms.gov/icd10m/version39-fullcode-cms/fullcode_cms/P0148.html
- https://www.cms.gov/icd10m/FY2025-NPRM-Version42-fullcode-cms/fullcode_cms/P0457.html
- https://www.cms.gov/icd10m/version35-fullcode-cms/fullcode_cms/P0035.html
- https://www.cms.gov/icd10m/FY2024-nprmversion41.0-fullcode-cms/fullcode_cms/P0185.html
- https://www.cms.gov/icd10m/FY2024-nprmversion41.0-fullcode-cms/fullcode_cms/P0254.html
- https://www.cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0110.html

…and more — 275 pages total ([download CSV](csv/axe-core__region.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:** Wrap all page content in landmarks (header, nav, main, footer) so users can navigate by region.

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

### Example pages
- https://www.cms.gov/icd10m/version35-fullcode-cms/fullcode_cms/P0009.html
- https://www.cms.gov/icd10m/version372-fullcode-cms/fullcode_cms/P0732.html
- https://www.cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0240.html

---

## Document should have one main landmark (WCAG criterion undetermined)

**Bug ID:** `VS-bab7376e`  
**Pattern ID:** `VS-d5d82446`  
**URL:** https://www.cms.gov/icd10m/version35-fullcode-cms/fullcode_cms/P0009.html  
**XPath / selector:** `html`  
**WCAG SC:** _undetermined_  
**Rule:** axe-core — `landmark-one-main` ([reference](https://dequeuniversity.com/rules/axe/4.12/landmark-one-main?application=axeAPI))  
**Severity:** Moderate  
**Frequency:** 274 instances; 274 of 8304 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W25 (2 weeks)

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

### Description
Document should have one main landmark. Detected by axe-core rule landmark-one-main on 274 of 8304 scanned pages (274 instances).

### Steps to reproduce
1. Open https://www.cms.gov/icd10m/version35-fullcode-cms/fullcode_cms/P0009.html.
2. Locate the element: html
3. Confirm the axe-core finding for rule landmark-one-main.

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

### Affected pages
- https://www.cms.gov/icd10m/version35-fullcode-cms/fullcode_cms/P0009.html
- https://www.cms.gov/icd10m/version372-fullcode-cms/fullcode_cms/P0732.html
- https://www.cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0240.html
- https://www.cms.gov/icd10m/FY2026-nprm-version43-fullcode-cms/fullcode_cms/P0757.html
- https://www.cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0688.html
- https://www.cms.gov/icd10m/FY2026-nprm-version43-fullcode-cms/fullcode_cms/P0035.html
- https://www.cms.gov/icd10m/FY2024-nprmversion41.0-fullcode-cms/fullcode_cms/P0105.html
- https://www.cms.gov/icd10m/FY2024-nprmversion41.0-fullcode-cms/fullcode_cms/P0140.html
- https://www.cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0246.html
- https://www.cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0207.html
- https://www.cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0335.html
- https://www.cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0413.html
- https://www.cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0291.html
- https://www.cms.gov/icd10m/FY2024-nprmversion41.0-fullcode-cms/fullcode_cms/P0007.html
- https://www.cms.gov/icd10m/version372-fullcode-cms/fullcode_cms/P0030.html
- https://www.cms.gov/icd10m/FY2026-nprm-version43-fullcode-cms/fullcode_cms/P0403.html
- https://www.cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0306.html
- https://www.cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0538.html
- https://www.cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0678.html
- https://www.cms.gov/icd10m/version39-fullcode-cms/fullcode_cms/P0148.html
- https://www.cms.gov/icd10m/FY2025-NPRM-Version42-fullcode-cms/fullcode_cms/P0457.html
- https://www.cms.gov/icd10m/version35-fullcode-cms/fullcode_cms/P0035.html
- https://www.cms.gov/icd10m/FY2024-nprmversion41.0-fullcode-cms/fullcode_cms/P0185.html
- https://www.cms.gov/icd10m/FY2024-nprmversion41.0-fullcode-cms/fullcode_cms/P0254.html
- https://www.cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0110.html

…and more — 274 pages total ([download CSV](csv/axe-core__landmark-one-main.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:** Each page should have exactly one <main> landmark.

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

### Example pages
- https://www.cms.gov/icd10m/version35-fullcode-cms/fullcode_cms/P0009.html
- https://www.cms.gov/icd10m/version372-fullcode-cms/fullcode_cms/P0732.html
- https://www.cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0240.html

---

## scope attribute should be used correctly (WCAG criterion undetermined)

**Bug ID:** `VS-c7bd3289`  
**Pattern ID:** `VS-0ba8ce9d`  
**URL:** https://www.cms.gov/medicare-coverage-database/details/nca-decision-memo.aspx?bc=BEAAAAAAEAAA&fromdb=true&NCAId=216&NcaName=Percutaneous+Transluminal+Angioplasty+%28PTA%29+of+the+Carotid+Artery+Concurrent+with+Stenting&ver=8  
**XPath / selector:** `tr:nth-child(2) > td[scope="row"]`  
**WCAG SC:** _undetermined_  
**Rule:** axe-core — `scope-attr-valid` ([reference](https://dequeuniversity.com/rules/axe/4.12/scope-attr-valid?application=axeAPI))  
**Severity:** Moderate  
**Frequency:** 1372 instances; 54 of 8304 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W25 (2 weeks)

### HTML snippet
```html
<td valign="top" scope="row">  <p>February 1, 2008</p>  </td>
```

### Description
scope attribute should be used correctly. Detected by axe-core rule scope-attr-valid on 54 of 8304 scanned pages (1372 instances).

### Steps to reproduce
1. Open https://www.cms.gov/medicare-coverage-database/details/nca-decision-memo.aspx?bc=BEAAAAAAEAAA&fromdb=true&NCAId=216&NcaName=Percutaneous+Transluminal+Angioplasty+%28PTA%29+of+the+Carotid+Artery+Concurrent+with+Stenting&ver=8.
2. Locate the element: tr:nth-child(2) > td[scope="row"]
3. Confirm the axe-core finding for rule scope-attr-valid.

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

### Affected pages
- https://www.cms.gov/medicare-coverage-database/details/nca-decision-memo.aspx?bc=BEAAAAAAEAAA&fromdb=true&NCAId=216&NcaName=Percutaneous+Transluminal+Angioplasty+%28PTA%29+of+the+Carotid+Artery+Concurrent+with+Stenting&ver=8
- http://www.cms.gov/medicare-coverage-database/view/medcac-meeting.aspx?medcacid=8
- https://www.cms.gov/medicare-coverage-database/details/nca-decision-memo.aspx?bc=AgAAAQAAEAAA&DocType=NCA%7CCAL&fromdb=true&NCAId=239&NcaName=Intensive+Cardiac+Rehabilitation+%28ICR%29+Program+-+Pritikin+Program&ver=5&year=2010
- http://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?bc=17&fromTracking=Y&ncacaldoctype=all&ncaid=229&proposed=N&sortBy=status&status=all
- http://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?bc=17&ncacaldoctype=all&ncaid=253&proposed=Y&sortBy=status&status=all
- https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?NCAId=134&proposed=Y
- https://www.cms.gov/medicare-coverage-database/details/nca-decision-memo.aspx?NCAId=85
- http://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?bc=17&ncacaldoctype=all&ncaid=15&proposed=N&sortBy=status&status=all
- https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?bc=17&ncacaldoctype=all&ncaid=95&proposed=N&sortBy=status&status=all
- http://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?bc=17&ncacaldoctype=all&ncaid=269&proposed=N&sortBy=status&status=all
- http://www.cms.gov/medicare-coverage-database/view/medcac-meeting.aspx?bc=15&medcacid=26&sortBy=meetingdate&year=all
- http://www.cms.gov/medicare-coverage-database/view/medicare-coverage-document.aspx?MCDId=31
- http://www.cms.gov/medicare-coverage-database/view/ncd.aspx?ncdid=190&ncdver=3
- https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?bc=17&fromTracking=Y&ncacaldoctype=all&ncaid=246&proposed=N&sortBy=status&status=all
- http://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?bc=17&ncacaldoctype=all&ncaid=263&proposed=N&sortBy=status&status=all
- http://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?bc=17&fromTracking=Y&ncacaldoctype=all&ncaid=218&proposed=N&sortBy=status&status=all
- https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?bc=17&ncacaldoctype=all&ncaid=134&proposed=N&sortBy=status&status=all
- https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?fromTracking=Y&ncaid=239&proposed=Y
- https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?bc=17&ncacaldoctype=all&ncaid=37&proposed=N&sortBy=status&status=all
- https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?bc=17&ncacaldoctype=all&ncaid=285&proposed=Y&sortBy=status&status=all
- http://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?bc=17&ncacaldoctype=all&ncaid=237&proposed=N&sortBy=status&status=all
- https://www.cms.gov/medicare-coverage-database/details/nca-proposed-decision-memo.aspx?bc=BEAAAAAAEAAA&fromdb=true&NCAId=202&NcaName=Percutaneous+Transluminal+Angioplasty+%28PTA%29+and+Stenting+of+the+Renal+Arteries+%284th+Recon%29&ver=16
- http://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?bc=17&ncacaldoctype=all&ncaid=38&proposed=N&sortBy=status&status=all
- http://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?bc=17&ncacaldoctype=all&ncaid=272&proposed=N&sortBy=status&status=all
- https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?bc=17&ncacaldoctype=all&ncaid=202&proposed=N&sortBy=status&status=all

…and more — 54 pages total ([download CSV](csv/axe-core__scope-attr-valid.csv)).

### 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/scope-attr-valid?application=axeAPI

### Example pages
- https://www.cms.gov/medicare-coverage-database/details/nca-decision-memo.aspx?bc=BEAAAAAAEAAA&fromdb=true&NCAId=216&NcaName=Percutaneous+Transluminal+Angioplasty+%28PTA%29+of+the+Carotid+Artery+Concurrent+with+Stenting&ver=8
- http://www.cms.gov/medicare-coverage-database/view/medcac-meeting.aspx?medcacid=8
- https://www.cms.gov/medicare-coverage-database/details/nca-decision-memo.aspx?bc=AgAAAQAAEAAA&DocType=NCA%7CCAL&fromdb=true&NCAId=239&NcaName=Intensive+Cardiac+Rehabilitation+%28ICR%29+Program+-+Pritikin+Program&ver=5&year=2010

---

## Page should contain a level-one heading (WCAG criterion undetermined)

**Bug ID:** `VS-4ff074cb`  
**Pattern ID:** `VS-fa44f293`  
**URL:** https://www.cms.gov/nosurprises/help-resolve-payment-disputes  
**XPath / selector:** `html`  
**WCAG SC:** _undetermined_  
**Rule:** axe-core — `page-has-heading-one` ([reference](https://dequeuniversity.com/rules/axe/4.12/page-has-heading-one?application=axeAPI))  
**Severity:** Moderate  
**Frequency:** 21 instances; 21 of 8304 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W25 (2 weeks)

### HTML snippet
```html
<html lang="en" dir="ltr" class=" js" style="--vw: 12.8px; --vh: 8px;">
```

### Description
Page should contain a level-one heading. Detected by axe-core rule page-has-heading-one on 21 of 8304 scanned pages (21 instances).

### Steps to reproduce
1. Open https://www.cms.gov/nosurprises/help-resolve-payment-disputes.
2. Locate the element: html
3. Confirm the axe-core finding for rule page-has-heading-one.

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

### Affected pages
- https://www.cms.gov/nosurprises/help-resolve-payment-disputes
- https://www.cms.gov/priorities/key-initiatives/hospital-price-transparency/resources
- https://cms.gov/medicare/quality/quality-improvement-organizations/family-centered-care
- https://www.cms.gov/medical-bill-rights/help/plan/insurance-ground-ambulance-bill
- https://www.cms.gov/medicare/medicaid-coordination/center-program-integrity
- https://www.cms.gov/derechos-facturas-medicas/conozca-sus-derechos
- https://www.cms.gov/priorities/key-initiatives/hospital-price-transparency
- https://www.cms.gov/derechos-facturas-medicas/ayuda/guias/ayuda-financiera
- http://www.cms.gov/nosurprises/help-resolve-payment-disputes/tips-for-disputing-parties
- https://cms.gov/medicare/medicaid-coordination/states/benficiary-card-sharing-risks
- https://www.cms.gov/pfs-quick-reference-search-guide
- https://www.cms.gov/priorities/key-initiatives/open-payments/data/explore
- https://www.cms.gov/medical-bill-rights/know-your-rights
- https://www.cms.gov/medical-bill-rights/help/guides/patient-advocate
- http://cms.gov/medicare/quality/cms-national-quality-strategy/meaningful-measures-2-0
- https://www.cms.gov/derechos-facturas-medicas/ayuda/plan
- https://cms.gov/medical-bill-rights
- https://www.cms.gov/medical-bill-rights/help/submit-a-complaint
- http://www.cms.gov/about-cms/what-we-do/emergency-response/additional-information-available
- https://www.cms.gov/derechos-facturas-medicas/ayuda/guias/como-leer-una-factura
- https://cms.gov/marketplace/about/health-insurance-quality-initiatives/improvement-strategy

### 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/page-has-heading-one?application=axeAPI

### Example pages
- https://www.cms.gov/nosurprises/help-resolve-payment-disputes
- https://www.cms.gov/priorities/key-initiatives/hospital-price-transparency/resources
- https://cms.gov/medicare/quality/quality-improvement-organizations/family-centered-care

---

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

**Bug ID:** `VS-4b5d1ef8`  
**Pattern ID:** `VS-8806389c`  
**URL:** https://www.cms.gov/priorities/health-equity/minority-health/resource-center/webinars-trainings/coverage-care-c2c-webinars  
**XPath / selector:** `.ds-u-lg-padding--0.ds-u-margin-y--2.ds-u-lg-margin-y--4:nth-child(8) > .ds-u-lg-padding-right--2.ds-l-lg-col--4.ds-u-padding-x--0 > div[role="region"]`  
**WCAG SC:** _undetermined_  
**Rule:** axe-core — `landmark-unique` ([reference](https://dequeuniversity.com/rules/axe/4.12/landmark-unique?application=axeAPI))  
**Severity:** Moderate  
**Frequency:** 2 instances; 2 of 8304 pages affected
  
**History:** first seen 2026-W25, last seen 2026-W25 (1 week)

### HTML snippet
```html
<div role="region">
```

### Description
Landmarks should have a unique role or role/label/title (i.e. accessible name) c. Detected by axe-core rule landmark-unique on 2 of 8304 scanned pages (2 instances).

### Steps to reproduce
1. Open https://www.cms.gov/priorities/health-equity/minority-health/resource-center/webinars-trainings/coverage-care-c2c-webinars.
2. Locate the element: .ds-u-lg-padding--0.ds-u-margin-y--2.ds-u-lg-margin-y--4:nth-child(8) > .ds-u-lg-padding-right--2.ds-l-lg-col--4.ds-u-padding-x--0 > div[role="region"]
3. Confirm the axe-core finding for rule landmark-unique.

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

### Affected pages
- https://www.cms.gov/priorities/health-equity/minority-health/resource-center/webinars-trainings/coverage-care-c2c-webinars
- http://cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNProducts/EnrollmentResources/provider-resources/provider-enrolment/Med-Prov-Enroll-MLN9658742.html

### 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://www.cms.gov/priorities/health-equity/minority-health/resource-center/webinars-trainings/coverage-care-c2c-webinars
- http://cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNProducts/EnrollmentResources/provider-resources/provider-enrolment/Med-Prov-Enroll-MLN9658742.html

---

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

**Bug ID:** `VS-e82665a0`  
**Pattern ID:** `VS-ff3ceb19`  
**URL:** http://cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNProducts/EnrollmentResources/provider-resources/provider-enrolment/Med-Prov-Enroll-MLN9658742.html  
**XPath / selector:** `#NAV_MAIN`  
**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:** 1 instances; 1 of 8304 pages affected
  
**History:** first seen 2026-W25, last seen 2026-W25 (1 week)

### HTML snippet
```html
<div id="NAV_MAIN" role="main">
```

### Description
Main landmark should not be contained in another landmark. Detected by axe-core rule landmark-main-is-top-level on 1 of 8304 scanned pages (1 instances).

### Steps to reproduce
1. Open http://cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNProducts/EnrollmentResources/provider-resources/provider-enrolment/Med-Prov-Enroll-MLN9658742.html.
2. Locate the element: #NAV_MAIN
3. Confirm the axe-core finding for rule landmark-main-is-top-level.

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

### Affected pages
- http://cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNProducts/EnrollmentResources/provider-resources/provider-enrolment/Med-Prov-Enroll-MLN9658742.html

### 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

---

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

**Bug ID:** `VS-dbfc9581`  
**Pattern ID:** `VS-cd69be3a`  
**URL:** http://cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNProducts/EnrollmentResources/provider-resources/provider-enrolment/Med-Prov-Enroll-MLN9658742.html  
**XPath / selector:** `main`  
**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:** 1 instances; 1 of 8304 pages affected
  
**History:** first seen 2026-W25, last seen 2026-W25 (1 week)

### HTML snippet
```html
<main>
```

### Description
Document should not have more than one main landmark. Detected by axe-core rule landmark-no-duplicate-main on 1 of 8304 scanned pages (1 instances).

### Steps to reproduce
1. Open http://cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNProducts/EnrollmentResources/provider-resources/provider-enrolment/Med-Prov-Enroll-MLN9658742.html.
2. Locate the element: main
3. Confirm the axe-core finding for rule landmark-no-duplicate-main.

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

### Affected pages
- http://cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNProducts/EnrollmentResources/provider-resources/provider-enrolment/Med-Prov-Enroll-MLN9658742.html

### 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

---

## Headings should not be empty (WCAG criterion undetermined)

**Bug ID:** `VS-9feec96c`  
**Pattern ID:** `VS-0066c67d`  
**URL:** https://www.cms.gov/icd10m/version35-fullcode-cms/fullcode_cms/P0009.html  
**XPath / selector:** `h1:nth-child(2)`  
**WCAG SC:** _undetermined_  
**Rule:** axe-core — `empty-heading` ([reference](https://dequeuniversity.com/rules/axe/4.12/empty-heading?application=axeAPI))  
**Severity:** Minor  
**Frequency:** 288 instances; 286 of 8304 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W25 (2 weeks)

### HTML snippet
```html
<h1></h1>
```

### Description
Headings should not be empty. Detected by axe-core rule empty-heading on 286 of 8304 scanned pages (288 instances).

### Steps to reproduce
1. Open https://www.cms.gov/icd10m/version35-fullcode-cms/fullcode_cms/P0009.html.
2. Locate the element: h1:nth-child(2)
3. Confirm the axe-core finding for rule empty-heading.

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

### Affected pages
- https://www.cms.gov/icd10m/version35-fullcode-cms/fullcode_cms/P0009.html
- https://www.cms.gov/icd10m/version372-fullcode-cms/fullcode_cms/P0732.html
- https://www.cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0240.html
- https://www.cms.gov/icd10m/FY2026-nprm-version43-fullcode-cms/fullcode_cms/P0757.html
- https://www.cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0688.html
- https://www.cms.gov/icd10m/FY2026-nprm-version43-fullcode-cms/fullcode_cms/P0035.html
- https://www.cms.gov/icd10m/FY2024-nprmversion41.0-fullcode-cms/fullcode_cms/P0105.html
- https://www.cms.gov/icd10m/FY2024-nprmversion41.0-fullcode-cms/fullcode_cms/P0140.html
- https://www.cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0246.html
- https://www.cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0207.html
- http://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=59480&articleStatus=all&bc=4&contractorName=all&contractorNumber=all&sortBy=title&ver=7
- https://www.cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0335.html
- https://www.cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0413.html
- https://www.cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0291.html
- https://www.cms.gov/icd10m/FY2024-nprmversion41.0-fullcode-cms/fullcode_cms/P0007.html
- https://www.cms.gov/icd10m/version372-fullcode-cms/fullcode_cms/P0030.html
- https://www.cms.gov/icd10m/FY2026-nprm-version43-fullcode-cms/fullcode_cms/P0403.html
- https://www.cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0306.html
- https://www.cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0538.html
- https://www.cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0678.html
- https://www.cms.gov/icd10m/version39-fullcode-cms/fullcode_cms/P0148.html
- https://www.cms.gov/icd10m/FY2025-NPRM-Version42-fullcode-cms/fullcode_cms/P0457.html
- https://www.cms.gov/icd10m/version35-fullcode-cms/fullcode_cms/P0035.html
- https://www.cms.gov/icd10m/FY2024-nprmversion41.0-fullcode-cms/fullcode_cms/P0185.html
- https://www.cms.gov/icd10m/FY2024-nprmversion41.0-fullcode-cms/fullcode_cms/P0254.html

…and more — 286 pages total ([download CSV](csv/axe-core__empty-heading.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:** Remove empty headings or give them text. Don't use heading tags for spacing.

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

### Example pages
- https://www.cms.gov/icd10m/version35-fullcode-cms/fullcode_cms/P0009.html
- https://www.cms.gov/icd10m/version372-fullcode-cms/fullcode_cms/P0732.html
- https://www.cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0240.html

---

## Table header text should not be empty (WCAG criterion undetermined)

**Bug ID:** `VS-15372af5`  
**Pattern ID:** `VS-d69fc059`  
**URL:** http://www.cms.gov/medicare-coverage-database/view/medcac-meeting.aspx?medcacid=8  
**XPath / selector:** `div[align="center"] > table > tbody:nth-child(1) > tr > th`  
**WCAG SC:** _undetermined_  
**Rule:** axe-core — `empty-table-header` ([reference](https://dequeuniversity.com/rules/axe/4.12/empty-table-header?application=axeAPI))  
**Severity:** Minor  
**Frequency:** 67 instances; 22 of 8304 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W25 (2 weeks)

### HTML snippet
```html
<th></th>
```

### Description
Table header text should not be empty. Detected by axe-core rule empty-table-header on 22 of 8304 scanned pages (67 instances).

### Steps to reproduce
1. Open http://www.cms.gov/medicare-coverage-database/view/medcac-meeting.aspx?medcacid=8.
2. Locate the element: div[align="center"] > table > tbody:nth-child(1) > tr > th
3. Confirm the axe-core finding for rule empty-table-header.

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

### Affected pages
- http://www.cms.gov/medicare-coverage-database/view/medcac-meeting.aspx?medcacid=8
- https://www.cms.gov/medicare-coverage-database/view/medcac-meeting.aspx?medcacid=27
- https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=306&proposed=Y
- https://www.cms.gov/medicare-coverage-database/details/nca-decision-memo.aspx?NCAId=85
- http://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?bc=17&ncacaldoctype=all&ncaid=263&proposed=N&sortBy=status&status=all
- https://www.cms.gov/newsroom/fact-sheets/proposed-pathways-success-medicare-shared-savings-program
- http://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?bc=17&fromTracking=Y&ncacaldoctype=all&ncaid=218&proposed=N&sortBy=status&status=all
- http://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?bc=17&ncacaldoctype=all&ncaid=299&proposed=Y&sortBy=status&status=all
- https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?bc=17&ncacaldoctype=all&ncaid=37&proposed=N&sortBy=status&status=all
- https://www.cms.gov/medicare-coverage-database/view/medcac-meeting.aspx?bc=15&medcacid=76&sortBy=meetingdate&year=all
- https://www.cms.gov/medicare-coverage-database/view/medcac-meeting.aspx?bc=15&medcacid=27&sortBy=meetingdate&year=all
- https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?bc=17&ncacaldoctype=all&ncaid=263&proposed=N&sortBy=status&status=all
- http://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=55659&articleStatus=all&bc=4&contractorName=all&contractorNumber=all&sortBy=title&ver=2
- http://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=56104&articleStatus=all&bc=4&contractorName=all&contractorNumber=all&sortBy=title&ver=15
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=56142&articleStatus=all&bc=3&sortBy=title&ver=2
- http://www.cms.gov/medicare-coverage-database/view/medcac-meeting.aspx?bc=15&medcacid=16&sortBy=meetingdate&year=all
- http://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?bc=17&ncacaldoctype=all&ncaid=179&proposed=N&sortBy=status&status=all
- https://www.cms.gov/medicare-coverage-database/details/nca-decision-memo.aspx?bc=ACAAAAAAAgAQAA%3D%3D&docName=Decision+Memo+for+Cardiac+Pacemakers+%28CAG-00063R2%29&NCAId=17
- https://www.cms.gov/medicare-coverage-database/view/medcac-meeting.aspx?medcacid=76
- https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?NCAId=203&proposed=Y
- http://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=56104&articleStatus=all&bc=4&contractorName=all&contractorNumber=all&sortBy=title&ver=17
- https://www.cms.gov/medicare-coverage-database/view/medcac-meeting.aspx?bc=15&medcacid=33&sortBy=meetingdate&year=all

### 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/empty-table-header?application=axeAPI

### Example pages
- http://www.cms.gov/medicare-coverage-database/view/medcac-meeting.aspx?medcacid=8
- https://www.cms.gov/medicare-coverage-database/view/medcac-meeting.aspx?medcacid=27
- https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=306&proposed=Y

---

## ARIA role should be appropriate for the element (WCAG criterion undetermined)

**Bug ID:** `VS-2cbab211`  
**Pattern ID:** `VS-4fac2f41`  
**URL:** https://www.cms.gov/Outreach-and-Education/MLN/WBT/MLN3995723-MLNPartsCD/FWA/story.html  
**XPath / selector:** `body`  
**WCAG SC:** _undetermined_  
**Rule:** axe-core — `aria-allowed-role` ([reference](https://dequeuniversity.com/rules/axe/4.12/aria-allowed-role?application=axeAPI))  
**Severity:** Minor  
**Frequency:** 1 instances; 1 of 8304 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W25 (2 weeks)

### HTML snippet
```html
<body style="background: #072137" class="cs-HTML theme-unified view-desktop is-landscape ff-on ff-drop-in-base ff-js-api-basics ff-multiple-quiz-tracking ff-native-prompts ff-player-size-option sideba
```

### Description
ARIA role should be appropriate for the element. Detected by axe-core rule aria-allowed-role on 1 of 8304 scanned pages (1 instances).

### Steps to reproduce
1. Open https://www.cms.gov/Outreach-and-Education/MLN/WBT/MLN3995723-MLNPartsCD/FWA/story.html.
2. Locate the element: body
3. Confirm the axe-core finding for rule aria-allowed-role.

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

### Affected pages
- https://www.cms.gov/Outreach-and-Education/MLN/WBT/MLN3995723-MLNPartsCD/FWA/story.html

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

### Suggested fix
**How to fix:** Remove or change the ARIA role — it isn't allowed on this element type.

See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/aria-allowed-role?application=axeAPI

---

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

**Bug ID:** `VS-d02db27b`  
**Pattern ID:** `VS-7118fead`  
**URL:** https://www.cms.gov/newsroom/press-releases/new-report-federal-health-insurance-options-helped-prevent-major-coverage-losses  
**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:** 2715 instances; 2715 of 8304 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W25 (2 weeks)

### Description
Form field label is visible. Detected by Siteimprove Alfa rule sia-r61 on 2715 of 8304 scanned pages (2715 instances).

### Steps to reproduce
1. Open https://www.cms.gov/newsroom/press-releases/new-report-federal-health-insurance-options-helped-prevent-major-coverage-losses.
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://www.cms.gov/newsroom/press-releases/new-report-federal-health-insurance-options-helped-prevent-major-coverage-losses
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=52516&articleStatus=all&bc=3&sortBy=title&ver=26
- https://www.cms.gov/newsroom/search?f%5B0%5D=topic%3A61&f%5B1%5D=topic%3A176&items_per_page=10&search_api_language=en&sort_by=field_date&sort_order=DESC
- http://www.cms.gov/medicare-coverage-database/view/medcac-meeting.aspx?bc=15&medcacid=30&sortBy=meetingdate&year=all
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=58944&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=2
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleId=55533&ver=2
- http://www.cms.gov/medicare-coverage-database/view/nca.aspx?bc=17&ncacaldoctype=all&ncaid=174&sortBy=status&status=all
- https://www.cms.gov/medicare/regulations-guidance/transmittals/2013-transmittals?items_per_page=25&order=field_dyna_release_date&page=5&sort=asc
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=57503&bc=0&ver=10
- http://www.cms.gov/cciioprograms-and-initiativeshealth-insurance-marketplacesgeneral-resources/2021-10-6
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=54480&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=11
- https://www.cms.gov/about-cms/information-systems/privacy/notice-privacy-practices-original-medicare
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=59815&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=4
- https://www.cms.gov/regulations-and-guidance/guidance/transmittals/2014-transmittals-items/r3034cp
- https://www.cms.gov/regulations-and-guidanceguidancetransmittals2020-transmittals/r4529cp
- https://www.cms.gov/medicare/regulations-guidance/transmittals/2021-transmittals?items_per_page=25&order=field_dyna_revision_date&page=5&sort=asc
- https://www.cms.gov/medicare/regulations-guidance/transmittals/2017-transmittals?items_per_page=25&order=field_dyna_pe_number&page=2&sort=desc
- https://www.cms.gov/newsroom/search?f%5B0%5D=topic%3A66&f%5B1%5D=topic%3A116&f%5B2%5D=topic%3A136&f%5B3%5D=topic%3A436&items_per_page=10&search_api_language=en&sort_by=field_date&sort_order=DESC
- https://www.cms.gov/newsroom/search?f%5B0%5D=newsroom_article_type%3A29586&f%5B1%5D=topic%3A101&items_per_page=10&search_api_language=en&sort_by=field_date&sort_order=DESC
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=57326&articleStatus=all&bc=3&sortBy=title&ver=40
- https://www.cms.gov/nosurprises/help-resolve-payment-disputes/submit-feedback-on-certified-organizations
- https://www.cms.gov/regulations-and-guidance/guidance/transmittals/transmittals/r11761cp
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=55715&articleStatus=all&bc=3&sortBy=title&ver=12
- http://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=52754&articleStatus=all&bc=4&contractorName=all&contractorNumber=all&sortBy=title&ver=6
- http://www.cms.gov/medicare-coverage-database/view/ncd.aspx?ncdid=61&ncdver=1

…and more — 2715 pages total ([download CSV](csv/alfa__sia-r61.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-r61

### Example pages
- https://www.cms.gov/newsroom/press-releases/new-report-federal-health-insurance-options-helped-prevent-major-coverage-losses
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=52516&articleStatus=all&bc=3&sortBy=title&ver=26
- https://www.cms.gov/newsroom/search?f%5B0%5D=topic%3A61&f%5B1%5D=topic%3A176&items_per_page=10&search_api_language=en&sort_by=field_date&sort_order=DESC

---

## Headings are structured hierarchically (WCAG criterion undetermined)

**Bug ID:** `VS-fb03efe8`  
**Pattern ID:** `VS-f054f4a4`  
**URL:** https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=52516&articleStatus=all&bc=3&sortBy=title&ver=26  
**XPath / selector:** `<h3 id="h3GeneralInformationHeader" class="document-view-section-header">`  
**WCAG SC:** _undetermined_  
**Rule:** Siteimprove Alfa — `sia-r53` ([reference](https://alfa.siteimprove.com/rules/sia-r53))  
**Severity:** Moderate  
**Frequency:** 1117 instances; 1116 of 8304 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W25 (2 weeks)

### Description
Headings are structured hierarchically. Detected by Siteimprove Alfa rule sia-r53 on 1116 of 8304 scanned pages (1117 instances).

### Steps to reproduce
1. Open https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=52516&articleStatus=all&bc=3&sortBy=title&ver=26.
2. Locate the element: <h3 id="h3GeneralInformationHeader" class="document-view-section-header">
3. Confirm the Siteimprove Alfa finding for rule sia-r53.

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

### Affected pages
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=52516&articleStatus=all&bc=3&sortBy=title&ver=26
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=58944&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=2
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleId=55533&ver=2
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=54480&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=11
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=59815&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=4
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=57326&articleStatus=all&bc=3&sortBy=title&ver=40
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=55715&articleStatus=all&bc=3&sortBy=title&ver=12
- http://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=52754&articleStatus=all&bc=4&contractorName=all&contractorNumber=all&sortBy=title&ver=6
- http://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=34760&lcdStatus=all&sortBy=title&ver=27
- http://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=36715&lcdStatus=all&sortBy=title&ver=58
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=57583&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=7
- http://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=57864&articleStatus=all&bc=4&contractorName=all&contractorNumber=all&sortBy=title&ver=36
- http://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=59197&articleStatus=all&bc=4&contractorName=all&contractorNumber=all&sortBy=title&ver=7
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=58695&articleStatus=all&bc=3&sortBy=title&ver=9
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=52399&articleStatus=all&bc=3&sortBy=title&ver=71
- http://www.cms.gov/medicare-coverage-database/reports/local-coverage-final-lcds-contractor-report.aspx?contractorName=all&contractorNumber=all&lcdid=38274&lcdStatus=all&sortBy=title
- https://www.cms.gov/apps/ama/license.asp?file=%2FMedicare%2FMedicare-Fee-for-Service-Part-B-Drugs%2FMcrPartBDrugAvgSalesPrice%2Fdownloads%2FOctober-2012-ASP-Pricing-File.zip
- http://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=57238&articleStatus=all&bc=4&contractorName=all&contractorNumber=all&sortBy=title&ver=10
- http://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=34356&lcdStatus=all&sortBy=title&ver=31
- http://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=33619&lcdStatus=all&sortBy=title&ver=24
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleId=57191&ver=10
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=52960&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=11
- https://cms.gov/medicare/settlements/ryan
- http://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=59480&articleStatus=all&bc=4&contractorName=all&contractorNumber=all&sortBy=title&ver=7
- http://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=57083&articleStatus=all&bc=4&contractorName=all&contractorNumber=all&sortBy=title&ver=7

…and more — 1116 pages total ([download CSV](csv/alfa__sia-r53.csv)).

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

### Suggested fix
**How to fix:** Use headings in a logical, non-skipping order.

See remediation guidance: https://alfa.siteimprove.com/rules/sia-r53

### Example pages
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=52516&articleStatus=all&bc=3&sortBy=title&ver=26
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=58944&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=2
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleId=55533&ver=2

---

## Scrolling content can be accessed by keyboard (WCAG criterion undetermined)

**Bug ID:** `VS-42ce1747`  
**Pattern ID:** `VS-c18be945`  
**URL:** https://www.cms.gov/newsroom/search?f%5B0%5D=topic%3A61&f%5B1%5D=topic%3A176&items_per_page=10&search_api_language=en&sort_by=field_date&sort_order=DESC  
**XPath / selector:** `text: "Feedback"`  
**WCAG SC:** _undetermined_  
**Rule:** Siteimprove Alfa — `sia-r57` ([reference](https://alfa.siteimprove.com/rules/sia-r57))  
**Severity:** Moderate  
**Frequency:** 1014 instances; 1011 of 8304 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W25 (2 weeks)

### Description
Scrolling content can be accessed by keyboard. Detected by Siteimprove Alfa rule sia-r57 on 1011 of 8304 scanned pages (1014 instances).

### Steps to reproduce
1. Open https://www.cms.gov/newsroom/search?f%5B0%5D=topic%3A61&f%5B1%5D=topic%3A176&items_per_page=10&search_api_language=en&sort_by=field_date&sort_order=DESC.
2. Locate the element: text: "Feedback"
3. Confirm the Siteimprove Alfa finding for rule sia-r57.

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

### Affected pages
- https://www.cms.gov/newsroom/search?f%5B0%5D=topic%3A61&f%5B1%5D=topic%3A176&items_per_page=10&search_api_language=en&sort_by=field_date&sort_order=DESC
- https://www.cms.gov/about-cms/information-systems/privacy/notice-privacy-practices-original-medicare
- https://www.cms.gov/medicare/regulations-guidance/transmittals/2021-transmittals?items_per_page=25&order=field_dyna_revision_date&page=5&sort=asc
- https://www.cms.gov/medicare/regulations-guidance/transmittals/2017-transmittals?items_per_page=25&order=field_dyna_pe_number&page=2&sort=desc
- https://www.cms.gov/newsroom/search?f%5B0%5D=topic%3A66&f%5B1%5D=topic%3A116&f%5B2%5D=topic%3A136&f%5B3%5D=topic%3A436&items_per_page=10&search_api_language=en&sort_by=field_date&sort_order=DESC
- https://www.cms.gov/newsroom/search?f%5B0%5D=newsroom_article_type%3A29586&f%5B1%5D=topic%3A101&items_per_page=10&search_api_language=en&sort_by=field_date&sort_order=DESC
- https://www.cms.gov/nosurprises/help-resolve-payment-disputes/submit-feedback-on-certified-organizations
- https://www.cms.gov/regulations-and-guidance/guidance/transmittals/transmittals/r11761cp
- http://www.cms.gov/medicare/health-drug-plans/plan-payment
- https://www.cms.gov/medicare/regulations-guidance/transmittals/2018-transmittals?items_per_page=25&order=field_dyna_transmittal_number&page=6&sort=asc
- https://www.cms.gov/newsroom/search?f%5B0%5D=topic%3A46&f%5B1%5D=topic%3A61&f%5B2%5D=topic%3A1346&items_per_page=10&sort_by=search_api_relevance&sort_order=DESC
- https://www.cms.gov/apps/ama/license.asp?file=%2FMedicare%2FMedicare-Fee-for-Service-Part-B-Drugs%2FMcrPartBDrugAvgSalesPrice%2Fdownloads%2FOctober-2012-ASP-Pricing-File.zip
- https://www.cms.gov/medicare/regulations-guidance/transmittals/2014-transmittals?page=12
- https://cms.gov/training-education/find-provider-type/employers-unions/top-five-medicare-enrollment
- https://www.cms.gov/newsroom/search?f%5B0%5D=topic%3A231&f%5B1%5D=topic%3A441&items_per_page=10&search_api_language=en&sort_by=field_date&sort_order=DESC
- https://www.cms.gov/newsroom/search?f%5B0%5D=newsroom_article_type%3A29581&f%5B1%5D=topic%3A101&items_per_page=10&search_api_language=en&sort_by=field_date&sort_order=DESC
- https://www.cms.gov/about-cms/who-we-are/leadership/office-administrator-0
- https://www.cms.gov/regulations-and-guidance/guidance/transmittals/transmittals/r11623otn
- https://cms.gov/medicare/health-safety-standards/certification-compliance/psychiatric-hospitals
- https://www.cms.gov/regulations-and-guidance/guidance/transmittals/2017-transmittals-items/r3778cp
- https://www.cms.gov/newsroom/search?f%5B0%5D=topic%3A116&f%5B1%5D=topic%3A186&f%5B2%5D=topic%3A436&f%5B3%5D=topic%3A6076&items_per_page=10&search_api_language=en&sort_by=field_date&sort_order=DESC
- https://www.cms.gov/regulations-and-guidance/guidance/transmittals/2013-transmittals-items/r1184otn
- https://www.cms.gov/newsroom/search?f%5B0%5D=newsroom_article_type%3A29586&f%5B1%5D=topic%3A33506&items_per_page=10&sort_by=search_api_relevance&sort_order=DESC
- https://www.cms.gov/medicare/regulations-guidance/transmittals/2020-transmittals?items_per_page=25&order=field_dyna_implementation_date&page=12&sort=desc
- https://www.cms.gov/newsroom/search?f%5B0%5D=topic%3A51&f%5B1%5D=topic%3A111&f%5B2%5D=topic%3A176&f%5B3%5D=topic%3A441&items_per_page=10&search_api_language=en&sort_by=field_date&sort_order=DESC

…and more — 1011 pages total ([download CSV](csv/alfa__sia-r57.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-r57

### Example pages
- https://www.cms.gov/newsroom/search?f%5B0%5D=topic%3A61&f%5B1%5D=topic%3A176&items_per_page=10&search_api_language=en&sort_by=field_date&sort_order=DESC
- https://www.cms.gov/about-cms/information-systems/privacy/notice-privacy-practices-original-medicare
- https://www.cms.gov/medicare/regulations-guidance/transmittals/2021-transmittals?items_per_page=25&order=field_dyna_revision_date&page=5&sort=asc

---

## Table header has scope (WCAG criterion undetermined)

**Bug ID:** `VS-7cfa423c`  
**Pattern ID:** `VS-2cd767ca`  
**URL:** https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=54480&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=11  
**XPath / selector:** `<h4>`  
**WCAG SC:** _undetermined_  
**Rule:** Siteimprove Alfa — `sia-r78` ([reference](https://alfa.siteimprove.com/rules/sia-r78))  
**Severity:** Moderate  
**Frequency:** 1051 instances; 653 of 8304 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W25 (2 weeks)

### Description
Table header has scope. Detected by Siteimprove Alfa rule sia-r78 on 653 of 8304 scanned pages (1051 instances).

### Steps to reproduce
1. Open https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=54480&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=11.
2. Locate the element: <h4>
3. Confirm the Siteimprove Alfa finding for rule sia-r78.

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

### Affected pages
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=54480&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=11
- https://www.cms.gov/icd10m/version372-fullcode-cms/fullcode_cms/P0732.html
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=57326&articleStatus=all&bc=3&sortBy=title&ver=40
- https://www.cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0240.html
- https://www.cms.gov/icd10m/FY2026-nprm-version43-fullcode-cms/fullcode_cms/P0757.html
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=55715&articleStatus=all&bc=3&sortBy=title&ver=12
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=57583&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=7
- http://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=57864&articleStatus=all&bc=4&contractorName=all&contractorNumber=all&sortBy=title&ver=36
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=58695&articleStatus=all&bc=3&sortBy=title&ver=9
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=52399&articleStatus=all&bc=3&sortBy=title&ver=71
- http://www.cms.gov/medicare-coverage-database/reports/local-coverage-final-lcds-contractor-report.aspx?contractorName=all&contractorNumber=all&lcdid=38274&lcdStatus=all&sortBy=title
- https://www.cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0246.html
- http://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=57238&articleStatus=all&bc=4&contractorName=all&contractorNumber=all&sortBy=title&ver=10
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleId=57191&ver=10
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=52960&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=11
- https://www.cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0207.html
- https://cms.gov/medicare/settlements/ryan
- http://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=59480&articleStatus=all&bc=4&contractorName=all&contractorNumber=all&sortBy=title&ver=7
- http://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=57083&articleStatus=all&bc=4&contractorName=all&contractorNumber=all&sortBy=title&ver=7
- http://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=52850&articleStatus=all&bc=4&contractorName=all&contractorNumber=all&sortBy=title&ver=52
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=56124&articleStatus=all&bc=3&sortBy=title&ver=32
- http://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=56537&articleStatus=all&bc=4&contractorName=all&contractorNumber=all&sortBy=title&ver=40
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=59674&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=18
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=58695&articleStatus=all&bc=3&sortBy=title&ver=11
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=55770&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=11

…and more — 653 pages total ([download CSV](csv/alfa__sia-r78.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-r78

### Example pages
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=54480&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=11
- https://www.cms.gov/icd10m/version372-fullcode-cms/fullcode_cms/P0732.html
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=57326&articleStatus=all&bc=3&sortBy=title&ver=40

---

## Presentational attribute (use CSS) (WCAG criterion undetermined)

**Bug ID:** `VS-bf152231`  
**Pattern ID:** `VS-04a9d28c`  
**URL:** http://www.cms.gov/medicare-coverage-database/view/medcac-meeting.aspx?bc=15&medcacid=30&sortBy=meetingdate&year=all  
**XPath / selector:** `div`  
**WCAG SC:** _undetermined_  
**Rule:** deprecated-html — `presentational-attr`  
**Severity:** Moderate  
**Frequency:** 3061 instances; 115 of 8304 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W25 (2 weeks)

### HTML snippet
```html
<div align="center"><strong>Medicare Coverage Advisory Committee<br>
October 6, 2005<br>
7:30 AM - 4:30 PM<br>
CMS Auditorium<br>
Agenda</strong></div>
```

### Description
Presentational attribute (use CSS). Detected by deprecated-html rule presentational-attr on 115 of 8304 scanned pages (3061 instances).

### Steps to reproduce
1. Open http://www.cms.gov/medicare-coverage-database/view/medcac-meeting.aspx?bc=15&medcacid=30&sortBy=meetingdate&year=all.
2. Locate the element: div
3. Confirm the deprecated-html finding for rule presentational-attr.

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

### Affected pages
- http://www.cms.gov/medicare-coverage-database/view/medcac-meeting.aspx?bc=15&medcacid=30&sortBy=meetingdate&year=all
- https://www.cms.gov/medicare-coverage-database/view/medcac-meeting.aspx?bc=15&medcacid=48&sortBy=meetingdate&year=all
- https://www.cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0335.html
- http://www.cms.gov/medicare-coverage-database/view/medcac-meeting.aspx?bc=15&medcacid=21&sortBy=meetingdate&year=all
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=58889&articleStatus=all&bc=3&sortBy=title&ver=5
- http://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=39506&lcdStatus=all&sortBy=title&ver=6
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=53033&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=139
- https://www.cms.gov/icd10m/FY2026-nprm-version43-fullcode-cms/fullcode_cms/P0021.html
- https://www.cms.gov/icd10m/version35-fullcode-cms/fullcode_cms/P0001.html
- https://www.cms.gov/icd10m/version35-fullcode-cms/fullcode_cms/P0306.html
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=58168&ver=30
- https://www.cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0160.html
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=52492&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=22
- https://www.cms.gov/icd10m/FY2024-nprmversion41.0-fullcode-cms/fullcode_cms/P0101.html
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=59632&articleStatus=all&bc=5&contractorNumber=all&sortBy=title&stateRegion=all&ver=13
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=58801&ver=73
- http://cms.gov/priorities/innovation/files/access-api-impl-data-access-video
- https://www.cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0047.html
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=56635&articleStatus=all&bc=3&sortBy=title&ver=2
- http://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=38341&lcdStatus=all&sortBy=title&ver=14
- http://www.cms.gov/icd10m/version39.1-fullcode-cms/fullcode_cms/P0030.html
- http://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=36665&lcdStatus=all&sortBy=title&ver=19
- https://www.cms.gov/icd10m/version38-0-R1-fullcode-cms/fullcode_cms/P0074.html
- https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleId=52509
- https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdId=37870&ver=19

…and more — 115 pages total ([download CSV](csv/deprecated-html__presentational-attr.csv)).

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

### Suggested fix
Not captured by automated scan — requires manual testing.

### Example pages
- http://www.cms.gov/medicare-coverage-database/view/medcac-meeting.aspx?bc=15&medcacid=30&sortBy=meetingdate&year=all
- https://www.cms.gov/medicare-coverage-database/view/medcac-meeting.aspx?bc=15&medcacid=48&sortBy=meetingdate&year=all
- https://www.cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0335.html

---

## Duplicate role landmark is labeled (WCAG criterion undetermined)

**Bug ID:** `VS-8d8d9212`  
**Pattern ID:** `VS-f2542d87`  
**URL:** https://www.cms.gov/medicare-coverage-database/details/nca-decision-memo.aspx?bc=BEAAAAAAEAAA&fromdb=true&NCAId=216&NcaName=Percutaneous+Transluminal+Angioplasty+%28PTA%29+of+the+Carotid+Artery+Concurrent+with+Stenting&ver=8  
**XPath / selector:** `<pre>`  
**WCAG SC:** _undetermined_  
**Rule:** Siteimprove Alfa — `sia-r79` ([reference](https://alfa.siteimprove.com/rules/sia-r79))  
**Severity:** Moderate  
**Frequency:** 25 instances; 25 of 8304 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W25 (2 weeks)

### Description
Duplicate role landmark is labeled. Detected by Siteimprove Alfa rule sia-r79 on 25 of 8304 scanned pages (25 instances).

### Steps to reproduce
1. Open https://www.cms.gov/medicare-coverage-database/details/nca-decision-memo.aspx?bc=BEAAAAAAEAAA&fromdb=true&NCAId=216&NcaName=Percutaneous+Transluminal+Angioplasty+%28PTA%29+of+the+Carotid+Artery+Concurrent+with+Stenting&ver=8.
2. Locate the element: <pre>
3. Confirm the Siteimprove Alfa finding for rule sia-r79.

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

### Affected pages
- https://www.cms.gov/medicare-coverage-database/details/nca-decision-memo.aspx?bc=BEAAAAAAEAAA&fromdb=true&NCAId=216&NcaName=Percutaneous+Transluminal+Angioplasty+%28PTA%29+of+the+Carotid+Artery+Concurrent+with+Stenting&ver=8
- http://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?bc=17&ncacaldoctype=all&ncaid=253&proposed=Y&sortBy=status&status=all
- https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?bc=17&ncacaldoctype=all&ncaid=95&proposed=N&sortBy=status&status=all
- http://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?bc=17&ncacaldoctype=all&ncaid=269&proposed=N&sortBy=status&status=all
- http://www.cms.gov/medicare-coverage-database/view/medicare-coverage-document.aspx?MCDId=31
- http://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?bc=17&ncacaldoctype=all&ncaid=304&proposed=Y&sortBy=status&status=all
- https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?bc=17&calid=88&ncacaldoctype=all&proposed=N&sortBy=status&status=all
- http://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?bc=17&fromTracking=Y&ncacaldoctype=all&ncaid=218&proposed=N&sortBy=status&status=all
- http://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?bc=17&ncacaldoctype=all&ncaid=48&proposed=N&sortBy=status&status=all
- http://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?bc=17&ncacaldoctype=all&ncaid=299&proposed=Y&sortBy=status&status=all
- https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?bc=17&ncacaldoctype=all&ncaid=186&proposed=N&sortBy=status&status=all
- https://www.cms.gov/medicare-coverage-database/details/nca-proposed-decision-memo.aspx?bc=BEAAAAAAEAAA&fromdb=true&NCAId=202&NcaName=Percutaneous+Transluminal+Angioplasty+%28PTA%29+and+Stenting+of+the+Renal+Arteries+%284th+Recon%29&ver=16
- https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?bc=17&ncacaldoctype=all&ncaid=202&proposed=N&sortBy=status&status=all
- https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?bc=17&fromTracking=Y&ncacaldoctype=all&ncaid=285&proposed=Y&sortBy=status&status=all
- https://www.cms.gov/medicare-coverage-database/details/nca-proposed-decision-memo.aspx?bc=BEAAAAAAEAAA&fromdb=true&NCAId=180&NcaName=Extracorporeal+Photopheresis+%281st+Recon%29&ver=14
- http://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?bc=17&ncacaldoctype=all&ncaid=311&proposed=Y&sortBy=status&status=all
- http://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?bc=17&calid=192&ncacaldoctype=all&proposed=N&sortBy=status&status=all
- https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?bc=17&ncacaldoctype=all&ncaid=75&proposed=N&sortBy=status&status=all
- https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?bc=17&fromTracking=Y&ncacaldoctype=all&ncaid=180&proposed=Y&sortBy=status&status=all
- https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?bc=17&calid=100&ncacaldoctype=all&proposed=N&sortBy=status&status=all
- https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=306&proposed=N
- https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?bc=17&calid=91&ncacaldoctype=all&proposed=N&sortBy=status&status=all
- https://www.cms.gov/medicare-coverage-database/details/nca-decision-memo.aspx?bc=ACAAAAAAAgAQAA%3D%3D&docName=Decision+Memo+for+Cardiac+Pacemakers+%28CAG-00063R2%29&NCAId=17
- http://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?bc=17&ncacaldoctype=all&ncaid=30&proposed=N&sortBy=status&status=all
- https://www.cms.gov/medicare-coverage-database/details/nca-decision-memo.aspx?bc=ACAAAAAAAgAQAA%3D%3D&docName=Decision+Memo+for+Cardiac+Pacemakers+%28CAG-00063R2%29&NCAId=16

### 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-r79

### Example pages
- https://www.cms.gov/medicare-coverage-database/details/nca-decision-memo.aspx?bc=BEAAAAAAEAAA&fromdb=true&NCAId=216&NcaName=Percutaneous+Transluminal+Angioplasty+%28PTA%29+of+the+Carotid+Artery+Concurrent+with+Stenting&ver=8
- http://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?bc=17&ncacaldoctype=all&ncaid=253&proposed=Y&sortBy=status&status=all
- https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?bc=17&ncacaldoctype=all&ncaid=95&proposed=N&sortBy=status&status=all

---

## No obsolete or deprecated elements are used (WCAG criterion undetermined)

**Bug ID:** `VS-7e70f917`  
**Pattern ID:** `VS-3d033717`  
**URL:** http://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?bc=17&ncacaldoctype=all&ncaid=269&proposed=N&sortBy=status&status=all  
**XPath / selector:** `{"type":"document","children":[{"type":"type","name":"html","publicId":null,"sys`  
**WCAG SC:** _undetermined_  
**Rule:** Siteimprove Alfa — `sia-r70` ([reference](https://alfa.siteimprove.com/rules/sia-r70))  
**Severity:** Moderate  
**Frequency:** 20 instances; 20 of 8304 pages affected
  
**History:** first seen 2026-W25, last seen 2026-W25 (1 week)

### Description
No obsolete or deprecated elements are used. Detected by Siteimprove Alfa rule sia-r70 on 20 of 8304 scanned pages (20 instances).

### Steps to reproduce
1. Open http://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?bc=17&ncacaldoctype=all&ncaid=269&proposed=N&sortBy=status&status=all.
2. Locate the element: {"type":"document","children":[{"type":"type","name":"html","publicId":null,"sys
3. Confirm the Siteimprove Alfa finding for rule sia-r70.

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

### Affected pages
- http://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?bc=17&ncacaldoctype=all&ncaid=269&proposed=N&sortBy=status&status=all
- http://www.cms.gov/medicare-coverage-database/view/medcac-meeting.aspx?bc=15&medcacid=61&sortBy=meetingdate&year=all
- http://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?bc=17&ncacaldoctype=all&ncaid=304&proposed=Y&sortBy=status&status=all
- http://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?bc=17&fromTracking=Y&ncacaldoctype=all&ncaid=218&proposed=N&sortBy=status&status=all
- http://www.cms.gov/medicare-coverage-database/view/medcac-meeting.aspx?bc=15&medcacid=68&sortBy=meetingdate&year=all
- https://www.cms.gov/medicare-coverage-database/view/medcac-meeting.aspx?bc=15&medcacid=57&sortBy=meetingdate&year=all
- http://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?bc=17&ncacaldoctype=all&ncaid=299&proposed=Y&sortBy=status&status=all
- http://www.cms.gov/medicare-coverage-database/view/medcac-meeting.aspx?bc=15&medcacid=65&sortBy=meetingdate&year=all
- https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?bc=17&ncacaldoctype=all&ncaid=186&proposed=N&sortBy=status&status=all
- https://www.cms.gov/medicare-coverage-database/view/ncd.aspx?bc=21&doctype=all&ncdid=380&ncdver=1&sortBy=updated&timeframe=30
- https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?bc=17&fromTracking=Y&ncacaldoctype=all&ncaid=285&proposed=Y&sortBy=status&status=all
- http://www.cms.gov/medicare-coverage-database/view/ncd.aspx?bc=14&doctype=all&ncdid=291&ncdver=2&sortBy=title&year=2026
- https://www.cms.gov/medicare-coverage-database/details/nca-proposed-decision-memo.aspx?bc=BEAAAAAAEAAA&fromdb=true&NCAId=180&NcaName=Extracorporeal+Photopheresis+%281st+Recon%29&ver=14
- http://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?bc=17&ncacaldoctype=all&ncaid=311&proposed=Y&sortBy=status&status=all
- https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?bc=17&fromTracking=Y&ncacaldoctype=all&ncaid=180&proposed=Y&sortBy=status&status=all
- http://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=53064&articleStatus=all&bc=4&contractorName=all&contractorNumber=all&sortBy=title&ver=87
- https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=306&proposed=N
- http://www.cms.gov/medicare-coverage-database/view/medcac-meeting.aspx?bc=15&medcacid=60&sortBy=meetingdate&year=all
- http://www.cms.gov/medicare-coverage-database/view/medcac-meeting.aspx?bc=15&medcacid=80&sortBy=meetingdate&year=all
- http://www.cms.gov/medicare-coverage-database/view/lcd.aspx?bc=7&contractorName=all&contractorNumber=all&lcdid=35083&lcdStatus=all&sortBy=title&ver=108

### 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-r70

### Example pages
- http://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?bc=17&ncacaldoctype=all&ncaid=269&proposed=N&sortBy=status&status=all
- http://www.cms.gov/medicare-coverage-database/view/medcac-meeting.aspx?bc=15&medcacid=61&sortBy=meetingdate&year=all
- http://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?bc=17&ncacaldoctype=all&ncaid=304&proposed=Y&sortBy=status&status=all

---

## Obsolete <font> element (use CSS) (WCAG criterion undetermined)

**Bug ID:** `VS-258b2035`  
**Pattern ID:** `VS-91d2294a`  
**URL:** http://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?bc=17&ncacaldoctype=all&ncaid=304&proposed=Y&sortBy=status&status=all  
**XPath / selector:** `font`  
**WCAG SC:** _undetermined_  
**Rule:** deprecated-html — `font-element`  
**Severity:** Moderate  
**Frequency:** 25 instances; 10 of 8304 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W25 (2 weeks)

### HTML snippet
```html
<font color="FF0000">for over 130,000 deaths in 2021  (more than the total number of estimated deaths from colon, breast and prostate cancer combined)</font>
```

### Description
Obsolete <font> element (use CSS). Detected by deprecated-html rule font-element on 10 of 8304 scanned pages (25 instances).

### Steps to reproduce
1. Open http://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?bc=17&ncacaldoctype=all&ncaid=304&proposed=Y&sortBy=status&status=all.
2. Locate the element: font
3. Confirm the deprecated-html finding for rule font-element.

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

### Affected pages
- http://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?bc=17&ncacaldoctype=all&ncaid=304&proposed=Y&sortBy=status&status=all
- https://www.cms.gov/medicare-coverage-database/view/medcac-meeting.aspx?bc=15&medcacid=57&sortBy=meetingdate&year=all
- https://www.cms.gov/medicare-coverage-database/view/medcac-meeting.aspx?bc=15&medcacid=62&sortBy=meetingdate&year=all
- https://www.cms.gov/medicare-coverage-database/view/ncd.aspx?bc=21&doctype=all&ncdid=379&ncdver=1&sortBy=updated&timeframe=30
- https://www.cms.gov/medicare-coverage-database/view/ncd.aspx?bc=21&doctype=all&ncdid=380&ncdver=1&sortBy=updated&timeframe=30
- http://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?bc=17&ncacaldoctype=all&ncaid=272&proposed=N&sortBy=status&status=all
- http://www.cms.gov/medicare-coverage-database/view/ncd.aspx?bc=14&doctype=all&ncdid=291&ncdver=2&sortBy=title&year=2026
- http://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?bc=17&ncacaldoctype=all&ncaid=311&proposed=Y&sortBy=status&status=all
- http://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?bc=17&ncacaldoctype=all&ncaid=269&proposed=Y&sortBy=status&status=all
- http://www.cms.gov/medicare-coverage-database/view/medcac-meeting.aspx?bc=15&medcacid=60&sortBy=meetingdate&year=all

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

### Suggested fix
Not captured by automated scan — requires manual testing.

### Example pages
- http://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?bc=17&ncacaldoctype=all&ncaid=304&proposed=Y&sortBy=status&status=all
- https://www.cms.gov/medicare-coverage-database/view/medcac-meeting.aspx?bc=15&medcacid=57&sortBy=meetingdate&year=all
- https://www.cms.gov/medicare-coverage-database/view/medcac-meeting.aspx?bc=15&medcacid=62&sortBy=meetingdate&year=all

---

## Keyboard trap does not exist (WCAG criterion undetermined)

**Bug ID:** `VS-a402a248`  
**Pattern ID:** `VS-4c341c77`  
**URL:** https://www.cms.gov/medicare-coverage-database/view/ncacal-public-comments.aspx?bc=17&ncacaldoctype=all&ncaid=291&sortBy=status&status=all  
**XPath / selector:** `<p>`  
**WCAG SC:** _undetermined_  
**Rule:** Siteimprove Alfa — `sia-r85` ([reference](https://alfa.siteimprove.com/rules/sia-r85))  
**Severity:** Moderate  
**Frequency:** 68 instances; 8 of 8304 pages affected
  
**History:** first seen 2026-W25, last seen 2026-W25 (1 week)

### Description
Keyboard trap does not exist. Detected by Siteimprove Alfa rule sia-r85 on 8 of 8304 scanned pages (68 instances).

### Steps to reproduce
1. Open https://www.cms.gov/medicare-coverage-database/view/ncacal-public-comments.aspx?bc=17&ncacaldoctype=all&ncaid=291&sortBy=status&status=all.
2. Locate the element: <p>
3. Confirm the Siteimprove Alfa finding for rule sia-r85.

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

### Affected pages
- https://www.cms.gov/medicare-coverage-database/view/ncacal-public-comments.aspx?bc=17&ncacaldoctype=all&ncaid=291&sortBy=status&status=all
- http://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?bc=17&ncacaldoctype=all&ncaid=269&proposed=N&sortBy=status&status=all
- http://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?bc=17&ncacaldoctype=all&ncaid=304&proposed=Y&sortBy=status&status=all
- http://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?bc=17&ncacaldoctype=all&ncaid=299&proposed=Y&sortBy=status&status=all
- https://www.cms.gov/medicare-coverage-database/view/ncd.aspx?bc=21&doctype=all&ncdid=380&ncdver=1&sortBy=updated&timeframe=30
- http://www.cms.gov/medicare-coverage-database/view/ncd.aspx?bc=14&doctype=all&ncdid=291&ncdver=2&sortBy=title&year=2026
- http://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?bc=17&ncacaldoctype=all&ncaid=311&proposed=Y&sortBy=status&status=all
- http://www.cms.gov/medicare-coverage-database/view/medcac-meeting.aspx?bc=15&medcacid=60&sortBy=meetingdate&year=all

### 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-r85

### Example pages
- https://www.cms.gov/medicare-coverage-database/view/ncacal-public-comments.aspx?bc=17&ncacaldoctype=all&ncaid=291&sortBy=status&status=all
- http://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?bc=17&ncacaldoctype=all&ncaid=269&proposed=N&sortBy=status&status=all
- http://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?bc=17&ncacaldoctype=all&ncaid=304&proposed=Y&sortBy=status&status=all

---

## aria attribute is permitted for element role (WCAG criterion undetermined)

**Bug ID:** `VS-dedfac2c`  
**Pattern ID:** `VS-e05344b9`  
**URL:** http://cms.gov/priorities/innovation/files/access-api-impl-data-access-video  
**XPath / selector:** `@aria-label="YouTube Video Player"`  
**WCAG SC:** _undetermined_  
**Rule:** Siteimprove Alfa — `sia-r18` ([reference](https://alfa.siteimprove.com/rules/sia-r18))  
**Severity:** Moderate  
**Frequency:** 27 instances; 1 of 8304 pages affected
  
**History:** first seen 2026-W25, last seen 2026-W25 (1 week)

### Description
aria attribute is permitted for element role. Detected by Siteimprove Alfa rule sia-r18 on 1 of 8304 scanned pages (27 instances).

### Steps to reproduce
1. Open http://cms.gov/priorities/innovation/files/access-api-impl-data-access-video.
2. Locate the element: @aria-label="YouTube Video Player"
3. Confirm the Siteimprove Alfa finding for rule sia-r18.

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

### Affected pages
- http://cms.gov/priorities/innovation/files/access-api-impl-data-access-video

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

### Suggested fix
**How to fix:** Only use ARIA states/properties that are allowed on this element/role.

See remediation guidance: https://alfa.siteimprove.com/rules/sia-r18

---

## Element has valid WAI-ARIA role (WCAG criterion undetermined)

**Bug ID:** `VS-6b0a83a5`  
**Pattern ID:** `VS-66d5b8b4`  
**URL:** http://cms.gov/priorities/innovation/files/access-api-impl-data-access-video  
**XPath / selector:** `@role="text"`  
**WCAG SC:** _undetermined_  
**Rule:** Siteimprove Alfa — `sia-r21` ([reference](https://alfa.siteimprove.com/rules/sia-r21))  
**Severity:** Moderate  
**Frequency:** 101 instances; 1 of 8304 pages affected
  
**History:** first seen 2026-W25, last seen 2026-W25 (1 week)

### Description
Element has valid WAI-ARIA role. Detected by Siteimprove Alfa rule sia-r21 on 1 of 8304 scanned pages (101 instances).

### Steps to reproduce
1. Open http://cms.gov/priorities/innovation/files/access-api-impl-data-access-video.
2. Locate the element: @role="text"
3. Confirm the Siteimprove Alfa finding for rule sia-r21.

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

### Affected pages
- http://cms.gov/priorities/innovation/files/access-api-impl-data-access-video

### 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-r21

---

## First focusable element is link to main content (WCAG criterion undetermined)

**Bug ID:** `VS-d0115a72`  
**Pattern ID:** `VS-aa242c2d`  
**URL:** http://cms.gov/priorities/innovation/files/access-api-impl-data-access-video  
**XPath / selector:** `{"type":"document","children":[{"type":"type","name":"html","publicId":null,"sys`  
**WCAG SC:** _undetermined_  
**Rule:** Siteimprove Alfa — `sia-r87` ([reference](https://alfa.siteimprove.com/rules/sia-r87))  
**Severity:** Moderate  
**Frequency:** 1 instances; 1 of 8304 pages affected
  
**History:** first seen 2026-W25, last seen 2026-W25 (1 week)

### Description
First focusable element is link to main content. Detected by Siteimprove Alfa rule sia-r87 on 1 of 8304 scanned pages (1 instances).

### Steps to reproduce
1. Open http://cms.gov/priorities/innovation/files/access-api-impl-data-access-video.
2. Locate the element: {"type":"document","children":[{"type":"type","name":"html","publicId":null,"sys
3. Confirm the Siteimprove Alfa finding for rule sia-r87.

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

### Affected pages
- http://cms.gov/priorities/innovation/files/access-api-impl-data-access-video

### 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-r87