{
 "schema_version": "0.1",
 "site": "www.cms.gov",
 "scan_week": "2026-W25",
 "generated_at": "2026-09-30T18:09:01.763Z",
 "source_files": [
  "docs/reports/www.cms.gov/2026-W25/",
  "data/www.cms.gov/findings.json",
  "data/www.cms.gov/2026-W25/summary.json"
 ],
 "summary": {
  "pages_known": 59115,
  "pages_scanned_this_week": 8304,
  "pages_with_known_issues": 36959,
  "findings": 58,
  "clusters": 47,
  "new_findings": 0,
  "persistent_findings": 42,
  "high_priority_findings": 35
 },
 "top_risks": [
  {
   "finding_id": "VS-a0bdbdf6",
   "rule_id": "list",
   "rule_label": "<ul> and <ol> must only directly contain <li>, <script> or <template> elements",
   "severity": "Serious",
   "priority": "p1",
   "trend": "persistent",
   "pages_affected": 519,
   "rationale": "Serious severity; affects 519 pages; persistent across weeks",
   "top_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"
  },
  {
   "finding_id": "VS-8ade3360",
   "rule_id": "link-in-text-block",
   "rule_label": "Links must be distinguishable without relying on color",
   "severity": "Serious",
   "priority": "p1",
   "trend": "improving",
   "pages_affected": 503,
   "rationale": "Serious severity; affects 503 pages",
   "top_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"
  },
  {
   "finding_id": "VS-9074b4dd",
   "rule_id": "image-alt",
   "rule_label": "Images must have alternative text",
   "severity": "Critical",
   "priority": "p1",
   "trend": "improving",
   "pages_affected": 273,
   "rationale": "Critical severity; affects 273 pages",
   "top_url": "https://www.cms.gov/icd10m/version35-fullcode-cms/fullcode_cms/P0009.html"
  },
  {
   "finding_id": "VS-c126b6a6",
   "rule_id": "html-has-lang",
   "rule_label": "<html> element must have a lang attribute",
   "severity": "Serious",
   "priority": "p1",
   "trend": "improving",
   "pages_affected": 273,
   "rationale": "Serious severity; affects 273 pages",
   "top_url": "https://www.cms.gov/icd10m/version35-fullcode-cms/fullcode_cms/P0009.html"
  },
  {
   "finding_id": "VS-bd13f00a",
   "rule_id": "accesskeys",
   "rule_label": "accesskey attribute value should be unique",
   "severity": "Serious",
   "priority": "p1",
   "trend": "persistent",
   "pages_affected": 119,
   "rationale": "Serious severity; affects 119 pages; persistent across weeks",
   "top_url": "https://www.cms.gov/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0240.html"
  },
  {
   "finding_id": "VS-be8d563e",
   "rule_id": "color-contrast",
   "rule_label": "Elements must meet minimum color contrast ratio thresholds",
   "severity": "Serious",
   "priority": "p1",
   "trend": "persistent",
   "pages_affected": 107,
   "rationale": "Serious severity; affects 107 pages; persistent across weeks",
   "top_url": "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=52516&articleStatus=all&bc=3&sortBy=title&ver=26"
  },
  {
   "finding_id": "VS-6175596b",
   "rule_id": "listitem",
   "rule_label": "<li> elements must be contained in a <ul> or <ol>",
   "severity": "Serious",
   "priority": "p1",
   "trend": "persistent",
   "pages_affected": 18,
   "rationale": "Serious severity; persistent across weeks",
   "top_url": "https://www.cms.gov/medicare-coverage-database/view/medcac-meeting.aspx?bc=15&medcacid=81&sortBy=meetingdate&year=all"
  },
  {
   "finding_id": "VS-e9fe47ac",
   "rule_id": "link-name",
   "rule_label": "Links must have discernible text",
   "severity": "Serious",
   "priority": "p1",
   "trend": "persistent",
   "pages_affected": 10,
   "rationale": "Serious severity; persistent across weeks",
   "top_url": "https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=314&proposed=Y"
  },
  {
   "finding_id": "VS-1467ea8a",
   "rule_id": "aria-allowed-attr",
   "rule_label": "Elements must only use supported ARIA attributes",
   "severity": "Critical",
   "priority": "p1",
   "trend": "persistent",
   "pages_affected": 3,
   "rationale": "Critical severity; persistent across weeks",
   "top_url": "http://cms.gov/files/linked-video-files/new-features-medicare-gov"
  },
  {
   "finding_id": "VS-07ba3b17",
   "rule_id": "td-headers-attr",
   "rule_label": "Table cell headers attributes must refer to other <th> elements in the same tabl",
   "severity": "Serious",
   "priority": "p1",
   "trend": "persistent",
   "pages_affected": 3,
   "rationale": "Serious severity; persistent across weeks",
   "top_url": "https://www.cms.gov/medicare/regulations-guidance/transmittals/2022-transmittals?items_per_page=25&order=field_dyna_issue_date&page=2&sort=asc"
  }
 ],
 "findings": [
  {
   "finding_id": "VS-a0bdbdf6",
   "fingerprint": "ca0fa40f",
   "rule_id": "list",
   "rule_label": "<ul> and <ol> must only directly contain <li>, <script> or <template> elements",
   "engine": "axe-core",
   "tool": "axe-core",
   "wcag_sc": "1.3.1",
   "wcag_name": "Info and Relationships",
   "wcag_level": "A",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.0 A",
   "rule_url": "https://dequeuniversity.com/rules/axe/4.12/list?application=axeAPI",
   "severity": "Serious",
   "priority": "p1",
   "confidence": "high",
   "rationale": "Serious severity; affects 519 pages; persistent across weeks",
   "trend": {
    "status": "persistent",
    "first_observed": "2026-W24",
    "last_observed": "2026-W25",
    "weeks_observed": 2,
    "affected_pages_current": 519,
    "affected_pages_previous": 210
   },
   "frequency": {
    "instances": 1440,
    "pages_affected": 519,
    "total_pages_scanned": 8304
   },
   "on_key_page": false,
   "summary": "<ul> and <ol> must only directly contain <li>, <script> or <template> elements (WCAG 1.3.1)",
   "description": "<ul> and <ol> must only directly contain <li>, <script> or <template> elements. Detected by axe-core rule list on 519 of 8304 scanned pages (1440 instances).",
   "remediation_tip": "Use <ul>/<ol> with only <li> children for lists; don't fake lists with <div>s.",
   "suggested_fix": "See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/list?application=axeAPI",
   "expected_behavior": "Element passes axe-core rule list (WCAG 1.3.1).",
   "actual_behavior": "<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).",
   "testing_environment": "Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "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"
   ],
   "html_fragments": [
    {
     "fingerprint": "c313f7a4",
     "html": "<ul class=\"pager__items js-pager__items cms-evo-unstyled-list ds-u-display--flex ds-u-justify-content--center\">",
     "selectors": [
      ".pager__items"
     ]
    },
    {
     "fingerprint": "34cea4c3",
     "html": "<ul>",
     "selectors": [
      "td:nth-child(2) > ul",
      "td:nth-child(2) > ul > ul:nth-child(1)",
      "td:nth-child(2) > ul > ul:nth-child(2)"
     ]
    }
   ],
   "url_patterns": [
    {
     "pattern": "/medicare-coverage-database/view/article.aspx",
     "count": 12
    },
    {
     "pattern": "/newsroom/search",
     "count": 8
    },
    {
     "pattern": "/medicare-coverage-database/view/lcd.aspx",
     "count": 4
    }
   ],
   "associated_technologies": [],
   "impact": {
    "groups": [
     {
      "code": "WV",
      "group": "Without vision",
      "prevalence": 0.01,
      "percent": "1.0%",
      "estimatedExcluded": null
     },
     {
      "code": "LV",
      "group": "Limited vision",
      "prevalence": 0.024,
      "percent": "2.4%",
      "estimatedExcluded": null
     },
     {
      "code": "LCLA",
      "group": "Limited cognitive, language, or learning ability",
      "prevalence": 0.11,
      "percent": "11.0%",
      "estimatedExcluded": null
     }
    ],
    "summary": "Affects Without vision (1.0%), Limited vision (2.4%), Limited cognitive, language, or learning ability (11.0%)."
   }
  },
  {
   "finding_id": "VS-8ade3360",
   "fingerprint": "8bf51706",
   "rule_id": "link-in-text-block",
   "rule_label": "Links must be distinguishable without relying on color",
   "engine": "axe-core",
   "tool": "axe-core",
   "wcag_sc": "1.4.1",
   "wcag_name": "Use of Color",
   "wcag_level": "A",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.0 A",
   "rule_url": "https://dequeuniversity.com/rules/axe/4.12/link-in-text-block?application=axeAPI",
   "severity": "Serious",
   "priority": "p1",
   "confidence": "high",
   "rationale": "Serious severity; affects 503 pages",
   "trend": {
    "status": "improving",
    "first_observed": "2026-W24",
    "last_observed": "2026-W25",
    "weeks_observed": 2,
    "affected_pages_current": 503,
    "affected_pages_previous": 366
   },
   "frequency": {
    "instances": 1136,
    "pages_affected": 503,
    "total_pages_scanned": 8304
   },
   "on_key_page": false,
   "summary": "Links must be distinguishable without relying on color (WCAG 1.4.1)",
   "description": "Links must be distinguishable without relying on color. Detected by axe-core rule link-in-text-block on 503 of 8304 scanned pages (1136 instances).",
   "remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/link-in-text-block?application=axeAPI",
   "expected_behavior": "Element passes axe-core rule link-in-text-block (WCAG 1.4.1).",
   "actual_behavior": "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).",
   "testing_environment": "Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "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"
   ],
   "html_fragments": [
    {
     "fingerprint": "07e4e98e",
     "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>",
     "selectors": [
      "#lblProposedLcd > .system-link.log-click[target=\"_blank\"]"
     ]
    },
    {
     "fingerprint": "b869f44b",
     "html": "<a href=\"https://www.ncbi.nlm.nih.gov/books/NBK482312/\">",
     "selectors": [
      "ol > li:nth-child(11) > a"
     ]
    },
    {
     "fingerprint": "7453d06f",
     "html": "<a href=\"https://www.uptodate.com/\">",
     "selectors": [
      "a[href$=\"uptodate.com/\"]"
     ]
    }
   ],
   "url_patterns": [
    {
     "pattern": "/medicare-coverage-database/view/lcd.aspx",
     "count": 12
    },
    {
     "pattern": "/medicare-coverage-database/view/nca.aspx",
     "count": 7
    },
    {
     "pattern": "/medicare-coverage-database/view/article.aspx",
     "count": 3
    }
   ],
   "associated_technologies": [],
   "impact": {
    "groups": [
     {
      "code": "WPC",
      "group": "Without color perception",
      "prevalence": 0.045,
      "percent": "4.5%",
      "estimatedExcluded": null
     },
     {
      "code": "LV",
      "group": "Limited vision",
      "prevalence": 0.024,
      "percent": "2.4%",
      "estimatedExcluded": null
     }
    ],
    "summary": "Affects Without color perception (4.5%), Limited vision (2.4%)."
   }
  },
  {
   "finding_id": "VS-9074b4dd",
   "fingerprint": "f1846b41",
   "rule_id": "image-alt",
   "rule_label": "Images must have alternative text",
   "engine": "axe-core",
   "tool": "axe-core",
   "wcag_sc": "1.1.1",
   "wcag_name": "Non-text Content",
   "wcag_level": "A",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.0 A",
   "rule_url": "https://dequeuniversity.com/rules/axe/4.12/image-alt?application=axeAPI",
   "severity": "Critical",
   "priority": "p1",
   "confidence": "high",
   "rationale": "Critical severity; affects 273 pages",
   "trend": {
    "status": "improving",
    "first_observed": "2026-W24",
    "last_observed": "2026-W25",
    "weeks_observed": 2,
    "affected_pages_current": 273,
    "affected_pages_previous": 248
   },
   "frequency": {
    "instances": 273,
    "pages_affected": 273,
    "total_pages_scanned": 8304
   },
   "on_key_page": false,
   "summary": "Images must have alternative text (WCAG 1.1.1)",
   "description": "Images must have alternative text. Detected by axe-core rule image-alt on 273 of 8304 scanned pages (273 instances).",
   "remediation_tip": "Give every <img> a meaningful alt attribute. Use alt=\"\" only for decorative images so screen readers skip them.",
   "suggested_fix": "See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/image-alt?application=axeAPI",
   "expected_behavior": "Element passes axe-core rule image-alt (WCAG 1.1.1).",
   "actual_behavior": "Images must have alternative text. Detected by axe-core rule image-alt on 273 of 8304 scanned pages (273 instances).",
   "testing_environment": "Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "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"
   ],
   "html_fragments": [
    {
     "fingerprint": "6f85ea95",
     "html": "<img src=\"cms-site-logo.png\">",
     "selectors": [
      "img[src$=\"cms-site-logo.png\"]"
     ]
    }
   ],
   "url_patterns": [
    {
     "pattern": "/icd10m/version35-fullcode-cms/fullcode_cms/P0009.html",
     "count": 1
    },
    {
     "pattern": "/icd10m/version372-fullcode-cms/fullcode_cms/P0732.html",
     "count": 1
    },
    {
     "pattern": "/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0240.html",
     "count": 1
    }
   ],
   "associated_technologies": [],
   "impact": {
    "groups": [
     {
      "code": "WV",
      "group": "Without vision",
      "prevalence": 0.01,
      "percent": "1.0%",
      "estimatedExcluded": null
     },
     {
      "code": "LV",
      "group": "Limited vision",
      "prevalence": 0.024,
      "percent": "2.4%",
      "estimatedExcluded": null
     },
     {
      "code": "LCLA",
      "group": "Limited cognitive, language, or learning ability",
      "prevalence": 0.11,
      "percent": "11.0%",
      "estimatedExcluded": null
     }
    ],
    "summary": "Affects Without vision (1.0%), Limited vision (2.4%), Limited cognitive, language, or learning ability (11.0%)."
   }
  },
  {
   "finding_id": "VS-c126b6a6",
   "fingerprint": "b6dc10f1",
   "rule_id": "html-has-lang",
   "rule_label": "<html> element must have a lang attribute",
   "engine": "axe-core",
   "tool": "axe-core",
   "wcag_sc": "3.1.1",
   "wcag_name": "Language of Page",
   "wcag_level": "A",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.0 A",
   "rule_url": "https://dequeuniversity.com/rules/axe/4.12/html-has-lang?application=axeAPI",
   "severity": "Serious",
   "priority": "p1",
   "confidence": "high",
   "rationale": "Serious severity; affects 273 pages",
   "trend": {
    "status": "improving",
    "first_observed": "2026-W24",
    "last_observed": "2026-W25",
    "weeks_observed": 2,
    "affected_pages_current": 273,
    "affected_pages_previous": 256
   },
   "frequency": {
    "instances": 273,
    "pages_affected": 273,
    "total_pages_scanned": 8304
   },
   "on_key_page": false,
   "summary": "<html> element must have a lang attribute (WCAG 3.1.1)",
   "description": "<html> element must have a lang attribute. Detected by axe-core rule html-has-lang on 273 of 8304 scanned pages (273 instances).",
   "remediation_tip": "Add a lang attribute to <html> (e.g. lang=\"en\").",
   "suggested_fix": "See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/html-has-lang?application=axeAPI",
   "expected_behavior": "Element passes axe-core rule html-has-lang (WCAG 3.1.1).",
   "actual_behavior": "<html> element must have a lang attribute. Detected by axe-core rule html-has-lang on 273 of 8304 scanned pages (273 instances).",
   "testing_environment": "Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "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"
   ],
   "html_fragments": [
    {
     "fingerprint": "3e866d4c",
     "html": "<html>",
     "selectors": [
      "html"
     ]
    }
   ],
   "url_patterns": [
    {
     "pattern": "/icd10m/version35-fullcode-cms/fullcode_cms/P0009.html",
     "count": 1
    },
    {
     "pattern": "/icd10m/version372-fullcode-cms/fullcode_cms/P0732.html",
     "count": 1
    },
    {
     "pattern": "/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0240.html",
     "count": 1
    }
   ],
   "associated_technologies": [],
   "impact": {
    "groups": [
     {
      "code": "WV",
      "group": "Without vision",
      "prevalence": 0.01,
      "percent": "1.0%",
      "estimatedExcluded": null
     },
     {
      "code": "LCLA",
      "group": "Limited cognitive, language, or learning ability",
      "prevalence": 0.11,
      "percent": "11.0%",
      "estimatedExcluded": null
     }
    ],
    "summary": "Affects Without vision (1.0%), Limited cognitive, language, or learning ability (11.0%)."
   }
  },
  {
   "finding_id": "VS-bd13f00a",
   "fingerprint": "952edfaf",
   "rule_id": "accesskeys",
   "rule_label": "accesskey attribute value should be unique",
   "engine": "axe-core",
   "tool": "axe-core",
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Best Practice",
   "rule_url": "https://dequeuniversity.com/rules/axe/4.12/accesskeys?application=axeAPI",
   "severity": "Serious",
   "priority": "p1",
   "confidence": "high",
   "rationale": "Serious severity; affects 119 pages; persistent across weeks",
   "trend": {
    "status": "persistent",
    "first_observed": "2026-W25",
    "last_observed": "2026-W25",
    "weeks_observed": 1,
    "affected_pages_current": 119,
    "affected_pages_previous": 87
   },
   "frequency": {
    "instances": 352,
    "pages_affected": 119,
    "total_pages_scanned": 8304
   },
   "on_key_page": false,
   "summary": "accesskey attribute value should be unique (WCAG criterion undetermined)",
   "description": "accesskey attribute value should be unique. Detected by axe-core rule accesskeys on 119 of 8304 scanned pages (352 instances).",
   "remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/accesskeys?application=axeAPI",
   "expected_behavior": "Element passes axe-core rule accesskeys.",
   "actual_behavior": "accesskey attribute value should be unique. Detected by axe-core rule accesskeys on 119 of 8304 scanned pages (352 instances).",
   "testing_environment": "Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "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"
   ],
   "html_fragments": [
    {
     "fingerprint": "33825ffb",
     "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>",
     "selectors": [
      "td[width=\"31\"]:nth-child(3) > a[accesskey=\"p\"][href$=\"P0239.html\"]"
     ]
    },
    {
     "fingerprint": "68f0ccaa",
     "html": "<a accesskey=\"u\" id=\"up_level\" href=\"P0012.html\"><img src=\"uptop.png\" alt=\"Up a level [Alt-u]\" height=\"14\" width=\"31\" vspace=\"0\" hspace=\"0\" align=\"bottom\" border=\"0\"></a>",
     "selectors": [
      "td[width=\"31\"]:nth-child(4) > a[accesskey=\"u\"][href$=\"P0012.html\"]"
     ]
    },
    {
     "fingerprint": "79538406",
     "html": "<a accesskey=\"n\" id=\"next_page\" href=\"P0241.html\"><img src=\"fwdpg.png\" alt=\"Next Page [Alt-n]\" height=\"14\" width=\"31\" vspace=\"0\" hspace=\"0\" align=\"bottom\" border=\"0\"></a>",
     "selectors": [
      "td[width=\"31\"]:nth-child(5) > a[accesskey=\"n\"][href$=\"P0241.html\"]"
     ]
    }
   ],
   "url_patterns": [
    {
     "pattern": "/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0240.html",
     "count": 1
    },
    {
     "pattern": "/icd10m/FY2026-nprm-version43-fullcode-cms/fullcode_cms/P0757.html",
     "count": 1
    },
    {
     "pattern": "/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0688.html",
     "count": 1
    }
   ],
   "associated_technologies": [],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   }
  },
  {
   "finding_id": "VS-be8d563e",
   "fingerprint": "1820bc84",
   "rule_id": "color-contrast",
   "rule_label": "Elements must meet minimum color contrast ratio thresholds",
   "engine": "axe-core",
   "tool": "axe-core",
   "wcag_sc": "1.4.3",
   "wcag_name": "Contrast (Minimum)",
   "wcag_level": "AA",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.0 AA",
   "rule_url": "https://dequeuniversity.com/rules/axe/4.12/color-contrast?application=axeAPI",
   "severity": "Serious",
   "priority": "p1",
   "confidence": "high",
   "rationale": "Serious severity; affects 107 pages; persistent across weeks",
   "trend": {
    "status": "persistent",
    "first_observed": "2026-W24",
    "last_observed": "2026-W25",
    "weeks_observed": 2,
    "affected_pages_current": 107,
    "affected_pages_previous": 43
   },
   "frequency": {
    "instances": 643,
    "pages_affected": 107,
    "total_pages_scanned": 8304
   },
   "on_key_page": false,
   "summary": "Elements must meet minimum color contrast ratio thresholds (WCAG 1.4.3)",
   "description": "Elements must meet minimum color contrast ratio thresholds. Detected by axe-core rule color-contrast on 107 of 8304 scanned pages (643 instances).",
   "remediation_tip": "Increase the contrast between text and its background to at least 4.5:1 (3:1 for large text). Check both light and dark modes.",
   "suggested_fix": "See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/color-contrast?application=axeAPI",
   "expected_behavior": "Element passes axe-core rule color-contrast (WCAG 1.4.3).",
   "actual_behavior": "Elements must meet minimum color contrast ratio thresholds. Detected by axe-core rule color-contrast on 107 of 8304 scanned pages (643 instances).",
   "testing_environment": "Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "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"
   ],
   "html_fragments": [
    {
     "fingerprint": "ec9b8b59",
     "html": "<p style=\"line-height: normal;\">Column I</p>",
     "selectors": [
      "tr:nth-child(1) > td[width=\"50%\"] > p"
     ]
    },
    {
     "fingerprint": "1c4449a9",
     "html": "<p style=\"line-height: normal;\">Column II</p>",
     "selectors": [
      "td[width=\"30%\"] > p"
     ]
    },
    {
     "fingerprint": "53501dc8",
     "html": "<p class=\"watermark\">DRAFT</p>",
     "selectors": [
      ".watermark"
     ]
    }
   ],
   "url_patterns": [
    {
     "pattern": "/medicare-coverage-database/view/article.aspx",
     "count": 4
    },
    {
     "pattern": "/medicare-coverage-database/view/ncacal-decision-memo.aspx",
     "count": 2
    },
    {
     "pattern": "/medicare-coverage-database/view/lcd.aspx",
     "count": 2
    }
   ],
   "associated_technologies": [],
   "impact": {
    "groups": [
     {
      "code": "LV",
      "group": "Limited vision",
      "prevalence": 0.024,
      "percent": "2.4%",
      "estimatedExcluded": null
     },
     {
      "code": "WPC",
      "group": "Without color perception",
      "prevalence": 0.045,
      "percent": "4.5%",
      "estimatedExcluded": null
     }
    ],
    "summary": "Affects Limited vision (2.4%), Without color perception (4.5%)."
   }
  },
  {
   "finding_id": "VS-6175596b",
   "fingerprint": "7ac6b8df",
   "rule_id": "listitem",
   "rule_label": "<li> elements must be contained in a <ul> or <ol>",
   "engine": "axe-core",
   "tool": "axe-core",
   "wcag_sc": "1.3.1",
   "wcag_name": "Info and Relationships",
   "wcag_level": "A",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.0 A",
   "rule_url": "https://dequeuniversity.com/rules/axe/4.12/listitem?application=axeAPI",
   "severity": "Serious",
   "priority": "p1",
   "confidence": "high",
   "rationale": "Serious severity; persistent across weeks",
   "trend": {
    "status": "persistent",
    "first_observed": "2026-W24",
    "last_observed": "2026-W25",
    "weeks_observed": 2,
    "affected_pages_current": 18,
    "affected_pages_previous": 11
   },
   "frequency": {
    "instances": 197,
    "pages_affected": 18,
    "total_pages_scanned": 8304
   },
   "on_key_page": false,
   "summary": "<li> elements must be contained in a <ul> or <ol> (WCAG 1.3.1)",
   "description": "<li> elements must be contained in a <ul> or <ol>. Detected by axe-core rule listitem on 18 of 8304 scanned pages (197 instances).",
   "remediation_tip": "<li> must be inside a <ul> or <ol>.",
   "suggested_fix": "See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/listitem?application=axeAPI",
   "expected_behavior": "Element passes axe-core rule listitem (WCAG 1.3.1).",
   "actual_behavior": "<li> elements must be contained in a <ul> or <ol>. Detected by axe-core rule listitem on 18 of 8304 scanned pages (197 instances).",
   "testing_environment": "Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "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"
   ],
   "html_fragments": [
    {
     "fingerprint": "9414339b",
     "html": "<li>\tSpecific Measures\n</li>",
     "selectors": [
      "div:nth-child(29) > li:nth-child(4)"
     ]
    },
    {
     "fingerprint": "f3b85c83",
     "html": "<li>\tMinimal Clinically Important Differences (MCID)\t\n</li>",
     "selectors": [
      "div:nth-child(29) > li:nth-child(5)"
     ]
    },
    {
     "fingerprint": "7a0a3afc",
     "html": "<li>\tFollow-up Duration\t\n</li>",
     "selectors": [
      "div:nth-child(29) > li:nth-child(6)"
     ]
    }
   ],
   "url_patterns": [
    {
     "pattern": "/medicare-coverage-database/view/ncacal-decision-memo.aspx",
     "count": 8
    },
    {
     "pattern": "/medicare-coverage-database/view/medcac-meeting.aspx",
     "count": 6
    },
    {
     "pattern": "/medicare-coverage-database/details/nca-decision-memo.aspx",
     "count": 2
    }
   ],
   "associated_technologies": [],
   "impact": {
    "groups": [
     {
      "code": "WV",
      "group": "Without vision",
      "prevalence": 0.01,
      "percent": "1.0%",
      "estimatedExcluded": null
     },
     {
      "code": "LV",
      "group": "Limited vision",
      "prevalence": 0.024,
      "percent": "2.4%",
      "estimatedExcluded": null
     },
     {
      "code": "LCLA",
      "group": "Limited cognitive, language, or learning ability",
      "prevalence": 0.11,
      "percent": "11.0%",
      "estimatedExcluded": null
     }
    ],
    "summary": "Affects Without vision (1.0%), Limited vision (2.4%), Limited cognitive, language, or learning ability (11.0%)."
   }
  },
  {
   "finding_id": "VS-e9fe47ac",
   "fingerprint": "f85a6839",
   "rule_id": "link-name",
   "rule_label": "Links must have discernible text",
   "engine": "axe-core",
   "tool": "axe-core",
   "wcag_sc": "2.4.4",
   "wcag_name": "Link Purpose (In Context)",
   "wcag_level": "A",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.0 A",
   "rule_url": "https://dequeuniversity.com/rules/axe/4.12/link-name?application=axeAPI",
   "severity": "Serious",
   "priority": "p1",
   "confidence": "high",
   "rationale": "Serious severity; persistent across weeks",
   "trend": {
    "status": "persistent",
    "first_observed": "2026-W24",
    "last_observed": "2026-W25",
    "weeks_observed": 2,
    "affected_pages_current": 10,
    "affected_pages_previous": 3
   },
   "frequency": {
    "instances": 23,
    "pages_affected": 10,
    "total_pages_scanned": 8304
   },
   "on_key_page": false,
   "summary": "Links must have discernible text (WCAG 2.4.4)",
   "description": "Links must have discernible text. Detected by axe-core rule link-name on 10 of 8304 scanned pages (23 instances).",
   "remediation_tip": "Give the link discernible text. Avoid empty links and icon-only links without an aria-label.",
   "suggested_fix": "See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/link-name?application=axeAPI",
   "expected_behavior": "Element passes axe-core rule link-name (WCAG 2.4.4).",
   "actual_behavior": "Links must have discernible text. Detected by axe-core rule link-name on 10 of 8304 scanned pages (23 instances).",
   "testing_environment": "Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "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"
   ],
   "html_fragments": [
    {
     "fingerprint": "3ebe39d6",
     "html": "<a href=\"#3\"></a>",
     "selectors": [
      "ol[type=\"A\"] > a[href=\"#3\"]",
      "li:nth-child(2) > a[href=\"#3\"]"
     ]
    },
    {
     "fingerprint": "dc330583",
     "html": "<a href=\"/data-research/cms-data/data-available-qualified-entities\" target=\"_blank\" data-entity-substitution=\"canonical\" data-entity-type=\"node\" data-entity-uuid=\"bc2a682a-8a5c-4bf6-ab96-775413fb703f\"",
     "selectors": [
      "p:nth-child(12) > a[target=\"_blank\"][data-entity-substitution=\"canonical\"][data-entity-type=\"node\"]"
     ]
    },
    {
     "fingerprint": "57025d4b",
     "html": "<a class=\"yt-simple-endpoint style-scope ytd-video-owner-renderer\" href=\"https://www.youtube.com/@CMSHHSgov\" data-once=\"linkMatch\"></a>",
     "selectors": [
      ".yt-simple-endpoint"
     ]
    }
   ],
   "url_patterns": [
    {
     "pattern": "/medicare/quality/clinical-laboratory-improvement-amendments",
     "count": 2
    },
    {
     "pattern": "/medicare-coverage-database/view/ncacal-decision-memo.aspx",
     "count": 1
    },
    {
     "pattern": "/data-research/cms-data/learn-more-about-cms-data",
     "count": 1
    }
   ],
   "associated_technologies": [],
   "impact": {
    "groups": [
     {
      "code": "WV",
      "group": "Without vision",
      "prevalence": 0.01,
      "percent": "1.0%",
      "estimatedExcluded": null
     },
     {
      "code": "LV",
      "group": "Limited vision",
      "prevalence": 0.024,
      "percent": "2.4%",
      "estimatedExcluded": null
     },
     {
      "code": "LCLA",
      "group": "Limited cognitive, language, or learning ability",
      "prevalence": 0.11,
      "percent": "11.0%",
      "estimatedExcluded": null
     }
    ],
    "summary": "Affects Without vision (1.0%), Limited vision (2.4%), Limited cognitive, language, or learning ability (11.0%)."
   }
  },
  {
   "finding_id": "VS-1467ea8a",
   "fingerprint": "fc8886ab",
   "rule_id": "aria-allowed-attr",
   "rule_label": "Elements must only use supported ARIA attributes",
   "engine": "axe-core",
   "tool": "axe-core",
   "wcag_sc": "4.1.2",
   "wcag_name": "Name, Role, Value",
   "wcag_level": "A",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.0 A",
   "rule_url": "https://dequeuniversity.com/rules/axe/4.12/aria-allowed-attr?application=axeAPI",
   "severity": "Critical",
   "priority": "p1",
   "confidence": "medium",
   "rationale": "Critical severity; persistent across weeks",
   "trend": {
    "status": "persistent",
    "first_observed": "2026-W25",
    "last_observed": "2026-W25",
    "weeks_observed": 1,
    "affected_pages_current": 3,
    "affected_pages_previous": null
   },
   "frequency": {
    "instances": 6,
    "pages_affected": 3,
    "total_pages_scanned": 8304
   },
   "on_key_page": false,
   "summary": "Elements must only use supported ARIA attributes (WCAG 4.1.2)",
   "description": "Elements must only use supported ARIA attributes. Detected by axe-core rule aria-allowed-attr on 3 of 8304 scanned pages (6 instances).",
   "remediation_tip": "Remove ARIA attributes that aren't allowed on this role/element.",
   "suggested_fix": "See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/aria-allowed-attr?application=axeAPI",
   "expected_behavior": "Element passes axe-core rule aria-allowed-attr (WCAG 4.1.2).",
   "actual_behavior": "Elements must only use supported ARIA attributes. Detected by axe-core rule aria-allowed-attr on 3 of 8304 scanned pages (6 instances).",
   "testing_environment": "Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "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"
   ],
   "html_fragments": [
    {
     "fingerprint": "fbbb872c",
     "html": "<a id=\"endpoint\" class=\"yt-simple-endpoint style-scope ytd-mini-guide-entry-renderer\" aria-selected=\"false\" aria-label=\"Home\" title=\"Home\" href=\"/\">",
     "selectors": [
      "a[title=\"Home\"]"
     ]
    },
    {
     "fingerprint": "16ee8d87",
     "html": "<a id=\"endpoint\" class=\"yt-simple-endpoint style-scope ytd-mini-guide-entry-renderer\" aria-selected=\"false\" aria-label=\"Shorts\" title=\"Shorts\" href=\"/shorts/\">",
     "selectors": [
      "a[title=\"Shorts\"]"
     ]
    },
    {
     "fingerprint": "cd4bdedd",
     "html": "<a id=\"endpoint\" class=\"yt-simple-endpoint style-scope ytd-mini-guide-entry-renderer\" aria-selected=\"false\" aria-label=\"Subscriptions\" title=\"Subscriptions\" href=\"/feed/subscriptions\">",
     "selectors": [
      "a[title=\"Subscriptions\"]"
     ]
    }
   ],
   "url_patterns": [
    {
     "pattern": "/medicare/health-drug-plans/provider-complaints-form",
     "count": 2
    },
    {
     "pattern": "/files/linked-video-files/new-features-medicare-gov",
     "count": 1
    }
   ],
   "associated_technologies": [],
   "impact": {
    "groups": [
     {
      "code": "WV",
      "group": "Without vision",
      "prevalence": 0.01,
      "percent": "1.0%",
      "estimatedExcluded": null
     },
     {
      "code": "LV",
      "group": "Limited vision",
      "prevalence": 0.024,
      "percent": "2.4%",
      "estimatedExcluded": null
     },
     {
      "code": "LM",
      "group": "Limited manipulation/strength",
      "prevalence": 0.13,
      "percent": "13.0%",
      "estimatedExcluded": null
     }
    ],
    "summary": "Affects Without vision (1.0%), Limited vision (2.4%), Limited manipulation/strength (13.0%)."
   }
  },
  {
   "finding_id": "VS-07ba3b17",
   "fingerprint": "993f6ba8",
   "rule_id": "td-headers-attr",
   "rule_label": "Table cell headers attributes must refer to other <th> elements in the same tabl",
   "engine": "axe-core",
   "tool": "axe-core",
   "wcag_sc": "1.3.1",
   "wcag_name": "Info and Relationships",
   "wcag_level": "A",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.0 A",
   "rule_url": "https://dequeuniversity.com/rules/axe/4.12/td-headers-attr?application=axeAPI",
   "severity": "Serious",
   "priority": "p1",
   "confidence": "medium",
   "rationale": "Serious severity; persistent across weeks",
   "trend": {
    "status": "persistent",
    "first_observed": "2026-W25",
    "last_observed": "2026-W25",
    "weeks_observed": 1,
    "affected_pages_current": 3,
    "affected_pages_previous": 3
   },
   "frequency": {
    "instances": 3,
    "pages_affected": 3,
    "total_pages_scanned": 8304
   },
   "on_key_page": false,
   "summary": "Table cell headers attributes must refer to other <th> elements in the same tabl (WCAG 1.3.1)",
   "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).",
   "remediation_tip": "Associate data cells with their headers correctly using headers/id or scope.",
   "suggested_fix": "See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/td-headers-attr?application=axeAPI",
   "expected_behavior": "Element passes axe-core rule td-headers-attr (WCAG 1.3.1).",
   "actual_behavior": "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).",
   "testing_environment": "Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "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"
   ],
   "html_fragments": [
    {
     "fingerprint": "7e037dac",
     "html": "<table class=\"MsoTableGrid\">",
     "selectors": [
      ".MsoTableGrid"
     ]
    }
   ],
   "url_patterns": [
    {
     "pattern": "/medicare/regulations-guidance/transmittals/{id}-transmittals",
     "count": 3
    }
   ],
   "associated_technologies": [],
   "impact": {
    "groups": [
     {
      "code": "WV",
      "group": "Without vision",
      "prevalence": 0.01,
      "percent": "1.0%",
      "estimatedExcluded": null
     },
     {
      "code": "LV",
      "group": "Limited vision",
      "prevalence": 0.024,
      "percent": "2.4%",
      "estimatedExcluded": null
     },
     {
      "code": "LCLA",
      "group": "Limited cognitive, language, or learning ability",
      "prevalence": 0.11,
      "percent": "11.0%",
      "estimatedExcluded": null
     }
    ],
    "summary": "Affects Without vision (1.0%), Limited vision (2.4%), Limited cognitive, language, or learning ability (11.0%)."
   }
  },
  {
   "finding_id": "VS-c613c153",
   "fingerprint": "364ee5cc",
   "rule_id": "scrollable-region-focusable",
   "rule_label": "Scrollable region must have keyboard access",
   "engine": "axe-core",
   "tool": "axe-core",
   "wcag_sc": "2.1.1",
   "wcag_name": "Keyboard",
   "wcag_level": "A",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.0 A",
   "rule_url": "https://dequeuniversity.com/rules/axe/4.12/scrollable-region-focusable?application=axeAPI",
   "severity": "Serious",
   "priority": "p1",
   "confidence": "medium",
   "rationale": "Serious severity; persistent across weeks",
   "trend": {
    "status": "persistent",
    "first_observed": "2026-W25",
    "last_observed": "2026-W25",
    "weeks_observed": 1,
    "affected_pages_current": 3,
    "affected_pages_previous": 2
   },
   "frequency": {
    "instances": 3,
    "pages_affected": 3,
    "total_pages_scanned": 8304
   },
   "on_key_page": false,
   "summary": "Scrollable region must have keyboard access (WCAG 2.1.1)",
   "description": "Scrollable region must have keyboard access. Detected by axe-core rule scrollable-region-focusable on 3 of 8304 scanned pages (3 instances).",
   "remediation_tip": "Make scrollable regions keyboard-focusable (tabindex=\"0\") so keyboard users can scroll them.",
   "suggested_fix": "See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/scrollable-region-focusable?application=axeAPI",
   "expected_behavior": "Element passes axe-core rule scrollable-region-focusable (WCAG 2.1.1).",
   "actual_behavior": "Scrollable region must have keyboard access. Detected by axe-core rule scrollable-region-focusable on 3 of 8304 scanned pages (3 instances).",
   "testing_environment": "Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "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"
   ],
   "html_fragments": [
    {
     "fingerprint": "6a7cbd8a",
     "html": "<pre>TO: \t\t Administrative File: &nbsp;CAG-00085R8 \n\nFROM:\t\tCoverage and Analysis Group (CAG)\n\nSUBJECT: \tProposed National Coverage Determination for Percutaneous Transluminal Angioplasty (PTA) of the",
     "selectors": [
      "pre"
     ]
    },
    {
     "fingerprint": "4cf6e3a7",
     "html": "<pre>",
     "selectors": [
      "pre"
     ]
    }
   ],
   "url_patterns": [
    {
     "pattern": "/medicare-coverage-database/view/ncacal-decision-memo.aspx",
     "count": 3
    }
   ],
   "associated_technologies": [],
   "impact": {
    "groups": [
     {
      "code": "WV",
      "group": "Without vision",
      "prevalence": 0.01,
      "percent": "1.0%",
      "estimatedExcluded": null
     },
     {
      "code": "LM",
      "group": "Limited manipulation/strength",
      "prevalence": 0.13,
      "percent": "13.0%",
      "estimatedExcluded": null
     },
     {
      "code": "LR",
      "group": "Limited reach",
      "prevalence": 0.02,
      "percent": "2.0%",
      "estimatedExcluded": null
     }
    ],
    "summary": "Affects Without vision (1.0%), Limited manipulation/strength (13.0%), Limited reach (2.0%)."
   }
  },
  {
   "finding_id": "VS-4bcaa7bf",
   "fingerprint": "822dd261",
   "rule_id": "definition-list",
   "rule_label": "<dl> elements must only directly contain properly-ordered <dt> and <dd> groups, ",
   "engine": "axe-core",
   "tool": "axe-core",
   "wcag_sc": "1.3.1",
   "wcag_name": "Info and Relationships",
   "wcag_level": "A",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.0 A",
   "rule_url": "https://dequeuniversity.com/rules/axe/4.12/definition-list?application=axeAPI",
   "severity": "Serious",
   "priority": "p1",
   "confidence": "low",
   "rationale": "Serious severity; persistent across weeks",
   "trend": {
    "status": "persistent",
    "first_observed": "2026-W25",
    "last_observed": "2026-W25",
    "weeks_observed": 1,
    "affected_pages_current": 1,
    "affected_pages_previous": null
   },
   "frequency": {
    "instances": 1,
    "pages_affected": 1,
    "total_pages_scanned": 8304
   },
   "on_key_page": false,
   "summary": "<dl> elements must only directly contain properly-ordered <dt> and <dd> groups,  (WCAG 1.3.1)",
   "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).",
   "remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/definition-list?application=axeAPI",
   "expected_behavior": "Element passes axe-core rule definition-list (WCAG 1.3.1).",
   "actual_behavior": "<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).",
   "testing_environment": "Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "https://www.cms.gov/training-education/partner-outreach-resources/american-indian/alaska-native/behavioral-health/substance-use-disorders"
   ],
   "html_fragments": [
    {
     "fingerprint": "c60d231b",
     "html": "<dl><dt><p>What you can do if you think someone has an addiction?</p></dt></dl>",
     "selectors": [
      ".ds-l-col--12 > dl"
     ]
    }
   ],
   "url_patterns": [
    {
     "pattern": "/training-education/partner-outreach-resources/american-indian/alaska-native/behavioral-health/substance-use-disorders",
     "count": 1
    }
   ],
   "associated_technologies": [],
   "impact": {
    "groups": [
     {
      "code": "WV",
      "group": "Without vision",
      "prevalence": 0.01,
      "percent": "1.0%",
      "estimatedExcluded": null
     },
     {
      "code": "LV",
      "group": "Limited vision",
      "prevalence": 0.024,
      "percent": "2.4%",
      "estimatedExcluded": null
     },
     {
      "code": "LCLA",
      "group": "Limited cognitive, language, or learning ability",
      "prevalence": 0.11,
      "percent": "11.0%",
      "estimatedExcluded": null
     }
    ],
    "summary": "Affects Without vision (1.0%), Limited vision (2.4%), Limited cognitive, language, or learning ability (11.0%)."
   }
  },
  {
   "finding_id": "VS-dd1c019f",
   "fingerprint": "dec2d038",
   "rule_id": "valid-lang",
   "rule_label": "lang attribute must have a valid value",
   "engine": "axe-core",
   "tool": "axe-core",
   "wcag_sc": "3.1.2",
   "wcag_name": "Language of Parts",
   "wcag_level": "AA",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.0 AA",
   "rule_url": "https://dequeuniversity.com/rules/axe/4.12/valid-lang?application=axeAPI",
   "severity": "Serious",
   "priority": "p1",
   "confidence": "low",
   "rationale": "Serious severity; persistent across weeks",
   "trend": {
    "status": "persistent",
    "first_observed": "2026-W24",
    "last_observed": "2026-W25",
    "weeks_observed": 2,
    "affected_pages_current": 1,
    "affected_pages_previous": 1
   },
   "frequency": {
    "instances": 1,
    "pages_affected": 1,
    "total_pages_scanned": 8304
   },
   "on_key_page": false,
   "summary": "lang attribute must have a valid value (WCAG 3.1.2)",
   "description": "lang attribute must have a valid value. Detected by axe-core rule valid-lang on 1 of 8304 scanned pages (1 instances).",
   "remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/valid-lang?application=axeAPI",
   "expected_behavior": "Element passes axe-core rule valid-lang (WCAG 3.1.2).",
   "actual_behavior": "lang attribute must have a valid value. Detected by axe-core rule valid-lang on 1 of 8304 scanned pages (1 instances).",
   "testing_environment": "Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "https://www.cms.gov/data-research/monitoring-programs/improper-payment-measurement-programs/exchange-improper-payment-measurement-eipm/improper-payment-findings"
   ],
   "html_fragments": [
    {
     "fingerprint": "f05b811b",
     "html": "<span lang=\"X-NONE\">[1]</span>",
     "selectors": [
      "a[href$=\"#_ftnref1\"] > span[lang=\"X-NONE\"]"
     ]
    }
   ],
   "url_patterns": [
    {
     "pattern": "/data-research/monitoring-programs/improper-payment-measurement-programs/exchange-improper-payment-measurement-eipm/improper-payment-findings",
     "count": 1
    }
   ],
   "associated_technologies": [],
   "impact": {
    "groups": [
     {
      "code": "WV",
      "group": "Without vision",
      "prevalence": 0.01,
      "percent": "1.0%",
      "estimatedExcluded": null
     },
     {
      "code": "LCLA",
      "group": "Limited cognitive, language, or learning ability",
      "prevalence": 0.11,
      "percent": "11.0%",
      "estimatedExcluded": null
     }
    ],
    "summary": "Affects Without vision (1.0%), Limited cognitive, language, or learning ability (11.0%)."
   }
  },
  {
   "finding_id": "VS-cb53cc4d",
   "fingerprint": "1738fa81",
   "rule_id": "sia-r111",
   "rule_label": "Target size is at least 44×44 CSS pixels (Enhanced)",
   "engine": "alfa",
   "tool": "Siteimprove Alfa",
   "wcag_sc": "2.5.5",
   "wcag_name": "Target Size (Enhanced)",
   "wcag_level": "AAA",
   "wcag_version": "2.1",
   "wcag_category": "WCAG 2.x AAA",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r111",
   "severity": "Moderate",
   "priority": "p2",
   "confidence": "high",
   "rationale": "affects 2811 pages; persistent across weeks",
   "trend": {
    "status": "persistent",
    "first_observed": "2026-W24",
    "last_observed": "2026-W25",
    "weeks_observed": 2,
    "affected_pages_current": 2811,
    "affected_pages_previous": 377
   },
   "frequency": {
    "instances": 97889,
    "pages_affected": 2811,
    "total_pages_scanned": 8304
   },
   "on_key_page": false,
   "summary": "Target size is at least 44×44 CSS pixels (Enhanced) (WCAG 2.5.5)",
   "description": "Target size is at least 44×44 CSS pixels (Enhanced). Detected by Siteimprove Alfa rule sia-r111 on 2811 of 8304 scanned pages (97889 instances).",
   "remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r111",
   "expected_behavior": "Element passes Siteimprove Alfa rule sia-r111 (WCAG 2.5.5).",
   "actual_behavior": "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).",
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "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"
   ],
   "html_fragments": [],
   "url_patterns": [
    {
     "pattern": "/medicare-coverage-database/view/article.aspx",
     "count": 7
    },
    {
     "pattern": "/newsroom/search",
     "count": 3
    },
    {
     "pattern": "/medicare/regulations-guidance/transmittals/{id}-transmittals",
     "count": 3
    }
   ],
   "associated_technologies": [],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   }
  },
  {
   "finding_id": "VS-2208081b",
   "fingerprint": "40bbca09",
   "rule_id": "sia-r73",
   "rule_label": "Text has minimum contrast ratio of 4.5:1",
   "engine": "alfa",
   "tool": "Siteimprove Alfa",
   "wcag_sc": "1.4.8",
   "wcag_name": "Visual Presentation",
   "wcag_level": "AAA",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.x AAA",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r73",
   "severity": "Moderate",
   "priority": "p2",
   "confidence": "high",
   "rationale": "affects 2802 pages; worsening trend",
   "trend": {
    "status": "worsening",
    "first_observed": "2026-W24",
    "last_observed": "2026-W25",
    "weeks_observed": 2,
    "affected_pages_current": 2802,
    "affected_pages_previous": 367
   },
   "frequency": {
    "instances": 29357,
    "pages_affected": 2802,
    "total_pages_scanned": 8304
   },
   "on_key_page": false,
   "summary": "Text has minimum contrast ratio of 4.5:1 (WCAG 1.4.8)",
   "description": "Text has minimum contrast ratio of 4.5:1. Detected by Siteimprove Alfa rule sia-r73 on 2802 of 8304 scanned pages (29357 instances).",
   "remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r73",
   "expected_behavior": "Element passes Siteimprove Alfa rule sia-r73 (WCAG 1.4.8).",
   "actual_behavior": "Text has minimum contrast ratio of 4.5:1. Detected by Siteimprove Alfa rule sia-r73 on 2802 of 8304 scanned pages (29357 instances).",
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "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"
   ],
   "html_fragments": [],
   "url_patterns": [
    {
     "pattern": "/medicare-coverage-database/view/article.aspx",
     "count": 7
    },
    {
     "pattern": "/newsroom/search",
     "count": 3
    },
    {
     "pattern": "/medicare/regulations-guidance/transmittals/{id}-transmittals",
     "count": 3
    }
   ],
   "associated_technologies": [],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   }
  },
  {
   "finding_id": "VS-7118fead",
   "fingerprint": "0d932ac9",
   "rule_id": "sia-r61",
   "rule_label": "Form field label is visible",
   "engine": "alfa",
   "tool": "Siteimprove Alfa",
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Undetermined",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r61",
   "severity": "Moderate",
   "priority": "p2",
   "confidence": "high",
   "rationale": "affects 2715 pages; worsening trend",
   "trend": {
    "status": "worsening",
    "first_observed": "2026-W24",
    "last_observed": "2026-W25",
    "weeks_observed": 2,
    "affected_pages_current": 2715,
    "affected_pages_previous": 346
   },
   "frequency": {
    "instances": 2715,
    "pages_affected": 2715,
    "total_pages_scanned": 8304
   },
   "on_key_page": false,
   "summary": "Form field label is visible (WCAG criterion undetermined)",
   "description": "Form field label is visible. Detected by Siteimprove Alfa rule sia-r61 on 2715 of 8304 scanned pages (2715 instances).",
   "remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r61",
   "expected_behavior": "Element passes Siteimprove Alfa rule sia-r61.",
   "actual_behavior": "Form field label is visible. Detected by Siteimprove Alfa rule sia-r61 on 2715 of 8304 scanned pages (2715 instances).",
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "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"
   ],
   "html_fragments": [],
   "url_patterns": [
    {
     "pattern": "/medicare-coverage-database/view/article.aspx",
     "count": 9
    },
    {
     "pattern": "/newsroom/search",
     "count": 3
    },
    {
     "pattern": "/medicare/regulations-guidance/transmittals/{id}-transmittals",
     "count": 3
    }
   ],
   "associated_technologies": [],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   }
  },
  {
   "finding_id": "VS-646b1e0b",
   "fingerprint": "afad441e",
   "rule_id": "sia-r66",
   "rule_label": "Text has enhanced contrast",
   "engine": "alfa",
   "tool": "Siteimprove Alfa",
   "wcag_sc": "1.4.6",
   "wcag_name": "Contrast (Enhanced)",
   "wcag_level": "AAA",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.x AAA",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r66",
   "severity": "Moderate",
   "priority": "p2",
   "confidence": "high",
   "rationale": "affects 1184 pages",
   "trend": {
    "status": "improving",
    "first_observed": "2026-W24",
    "last_observed": "2026-W25",
    "weeks_observed": 2,
    "affected_pages_current": 1184,
    "affected_pages_previous": 182
   },
   "frequency": {
    "instances": 6288,
    "pages_affected": 1184,
    "total_pages_scanned": 8304
   },
   "on_key_page": false,
   "summary": "Text has enhanced contrast (WCAG 1.4.6)",
   "description": "Text has enhanced contrast. Detected by Siteimprove Alfa rule sia-r66 on 1184 of 8304 scanned pages (6288 instances).",
   "remediation_tip": "Increase text contrast to meet WCAG AAA (7:1).",
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r66",
   "expected_behavior": "Element passes Siteimprove Alfa rule sia-r66 (WCAG 1.4.6).",
   "actual_behavior": "Text has enhanced contrast. Detected by Siteimprove Alfa rule sia-r66 on 1184 of 8304 scanned pages (6288 instances).",
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "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"
   ],
   "html_fragments": [],
   "url_patterns": [
    {
     "pattern": "/medicare-coverage-database/view/article.aspx",
     "count": 15
    },
    {
     "pattern": "/medicare-coverage-database/view/lcd.aspx",
     "count": 4
    },
    {
     "pattern": "/medicare-coverage-database/view/nca.aspx",
     "count": 2
    }
   ],
   "associated_technologies": [
    {
     "technology": "reCAPTCHA",
     "lift": 2.12,
     "pages_with_both": 98
    },
    {
     "technology": "Bootstrap",
     "lift": 2.11,
     "pages_with_both": 107
    },
    {
     "technology": "Microsoft ASP.NET",
     "lift": 2.11,
     "pages_with_both": 107
    }
   ],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   }
  },
  {
   "finding_id": "VS-fbf54eba",
   "fingerprint": "773d6316",
   "rule_id": "sia-r74",
   "rule_label": "Link is distinguishable without relying on color",
   "engine": "alfa",
   "tool": "Siteimprove Alfa",
   "wcag_sc": "1.4.8",
   "wcag_name": "Visual Presentation",
   "wcag_level": "AAA",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.x AAA",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r74",
   "severity": "Moderate",
   "priority": "p2",
   "confidence": "high",
   "rationale": "affects 1181 pages",
   "trend": {
    "status": "improving",
    "first_observed": "2026-W24",
    "last_observed": "2026-W25",
    "weeks_observed": 2,
    "affected_pages_current": 1181,
    "affected_pages_previous": 181
   },
   "frequency": {
    "instances": 77847,
    "pages_affected": 1181,
    "total_pages_scanned": 8304
   },
   "on_key_page": false,
   "summary": "Link is distinguishable without relying on color (WCAG 1.4.8)",
   "description": "Link is distinguishable without relying on color. Detected by Siteimprove Alfa rule sia-r74 on 1181 of 8304 scanned pages (77847 instances).",
   "remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r74",
   "expected_behavior": "Element passes Siteimprove Alfa rule sia-r74 (WCAG 1.4.8).",
   "actual_behavior": "Link is distinguishable without relying on color. Detected by Siteimprove Alfa rule sia-r74 on 1181 of 8304 scanned pages (77847 instances).",
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "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"
   ],
   "html_fragments": [],
   "url_patterns": [
    {
     "pattern": "/medicare-coverage-database/view/article.aspx",
     "count": 15
    },
    {
     "pattern": "/medicare-coverage-database/view/lcd.aspx",
     "count": 4
    },
    {
     "pattern": "/medicare-coverage-database/view/nca.aspx",
     "count": 2
    }
   ],
   "associated_technologies": [
    {
     "technology": "reCAPTCHA",
     "lift": 2.14,
     "pages_with_both": 98
    },
    {
     "technology": "Bootstrap",
     "lift": 2.13,
     "pages_with_both": 107
    },
    {
     "technology": "Microsoft ASP.NET",
     "lift": 2.13,
     "pages_with_both": 107
    }
   ],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   }
  },
  {
   "finding_id": "VS-f7dba940",
   "fingerprint": "477d8088",
   "rule_id": "sia-r14",
   "rule_label": "Accessible name of link or button matches visible label",
   "engine": "alfa",
   "tool": "Siteimprove Alfa",
   "wcag_sc": "2.5.3",
   "wcag_name": "Label in Name",
   "wcag_level": "A",
   "wcag_version": "2.1",
   "wcag_category": "WCAG 2.1 A",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r14",
   "severity": "Moderate",
   "priority": "p2",
   "confidence": "high",
   "rationale": "affects 1179 pages",
   "trend": {
    "status": "improving",
    "first_observed": "2026-W24",
    "last_observed": "2026-W25",
    "weeks_observed": 2,
    "affected_pages_current": 1179,
    "affected_pages_previous": 182
   },
   "frequency": {
    "instances": 3365,
    "pages_affected": 1179,
    "total_pages_scanned": 8304
   },
   "on_key_page": false,
   "summary": "Accessible name of link or button matches visible label (WCAG 2.5.3)",
   "description": "Accessible name of link or button matches visible label. Detected by Siteimprove Alfa rule sia-r14 on 1179 of 8304 scanned pages (3365 instances).",
   "remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r14",
   "expected_behavior": "Element passes Siteimprove Alfa rule sia-r14 (WCAG 2.5.3).",
   "actual_behavior": "Accessible name of link or button matches visible label. Detected by Siteimprove Alfa rule sia-r14 on 1179 of 8304 scanned pages (3365 instances).",
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "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"
   ],
   "html_fragments": [],
   "url_patterns": [
    {
     "pattern": "/medicare-coverage-database/view/article.aspx",
     "count": 15
    },
    {
     "pattern": "/medicare-coverage-database/view/lcd.aspx",
     "count": 4
    },
    {
     "pattern": "/medicare-coverage-database/view/nca.aspx",
     "count": 2
    }
   ],
   "associated_technologies": [
    {
     "technology": "reCAPTCHA",
     "lift": 2.14,
     "pages_with_both": 98
    },
    {
     "technology": "Bootstrap",
     "lift": 2.13,
     "pages_with_both": 107
    },
    {
     "technology": "Microsoft ASP.NET",
     "lift": 2.13,
     "pages_with_both": 107
    }
   ],
   "impact": {
    "groups": [
     {
      "code": "WV",
      "group": "Without vision",
      "prevalence": 0.01,
      "percent": "1.0%",
      "estimatedExcluded": null
     },
     {
      "code": "WS",
      "group": "Without speech",
      "prevalence": 0.005,
      "percent": "0.5%",
      "estimatedExcluded": null
     }
    ],
    "summary": "Affects Without vision (1.0%), Without speech (0.5%)."
   }
  },
  {
   "finding_id": "VS-f054f4a4",
   "fingerprint": "5fa3b5a6",
   "rule_id": "sia-r53",
   "rule_label": "Headings are structured hierarchically",
   "engine": "alfa",
   "tool": "Siteimprove Alfa",
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Undetermined",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r53",
   "severity": "Moderate",
   "priority": "p2",
   "confidence": "high",
   "rationale": "affects 1116 pages",
   "trend": {
    "status": "improving",
    "first_observed": "2026-W24",
    "last_observed": "2026-W25",
    "weeks_observed": 2,
    "affected_pages_current": 1116,
    "affected_pages_previous": 167
   },
   "frequency": {
    "instances": 1117,
    "pages_affected": 1116,
    "total_pages_scanned": 8304
   },
   "on_key_page": false,
   "summary": "Headings are structured hierarchically (WCAG criterion undetermined)",
   "description": "Headings are structured hierarchically. Detected by Siteimprove Alfa rule sia-r53 on 1116 of 8304 scanned pages (1117 instances).",
   "remediation_tip": "Use headings in a logical, non-skipping order.",
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r53",
   "expected_behavior": "Element passes Siteimprove Alfa rule sia-r53.",
   "actual_behavior": "Headings are structured hierarchically. Detected by Siteimprove Alfa rule sia-r53 on 1116 of 8304 scanned pages (1117 instances).",
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "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"
   ],
   "html_fragments": [],
   "url_patterns": [
    {
     "pattern": "/medicare-coverage-database/view/article.aspx",
     "count": 18
    },
    {
     "pattern": "/medicare-coverage-database/view/lcd.aspx",
     "count": 4
    },
    {
     "pattern": "/medicare-coverage-database/reports/local-coverage-final-lcds-contractor-report.aspx",
     "count": 1
    }
   ],
   "associated_technologies": [
    {
     "technology": "reCAPTCHA",
     "lift": 2.07,
     "pages_with_both": 86
    },
    {
     "technology": "Bootstrap",
     "lift": 1.97,
     "pages_with_both": 90
    },
    {
     "technology": "Microsoft ASP.NET",
     "lift": 1.97,
     "pages_with_both": 90
    }
   ],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   }
  },
  {
   "finding_id": "VS-c18be945",
   "fingerprint": "8634e2fd",
   "rule_id": "sia-r57",
   "rule_label": "Scrolling content can be accessed by keyboard",
   "engine": "alfa",
   "tool": "Siteimprove Alfa",
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Undetermined",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r57",
   "severity": "Moderate",
   "priority": "p2",
   "confidence": "high",
   "rationale": "affects 1011 pages; worsening trend",
   "trend": {
    "status": "worsening",
    "first_observed": "2026-W24",
    "last_observed": "2026-W25",
    "weeks_observed": 2,
    "affected_pages_current": 1011,
    "affected_pages_previous": 109
   },
   "frequency": {
    "instances": 1014,
    "pages_affected": 1011,
    "total_pages_scanned": 8304
   },
   "on_key_page": false,
   "summary": "Scrolling content can be accessed by keyboard (WCAG criterion undetermined)",
   "description": "Scrolling content can be accessed by keyboard. Detected by Siteimprove Alfa rule sia-r57 on 1011 of 8304 scanned pages (1014 instances).",
   "remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r57",
   "expected_behavior": "Element passes Siteimprove Alfa rule sia-r57.",
   "actual_behavior": "Scrolling content can be accessed by keyboard. Detected by Siteimprove Alfa rule sia-r57 on 1011 of 8304 scanned pages (1014 instances).",
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "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"
   ],
   "html_fragments": [],
   "url_patterns": [
    {
     "pattern": "/newsroom/search",
     "count": 9
    },
    {
     "pattern": "/medicare/regulations-guidance/transmittals/{id}-transmittals",
     "count": 5
    },
    {
     "pattern": "/about-cms/information-systems/privacy/notice-privacy-practices-original-medicare",
     "count": 1
    }
   ],
   "associated_technologies": [
    {
     "technology": "Drupal",
     "lift": 2.07,
     "pages_with_both": 71
    },
    {
     "technology": "Acquia Cloud Platform",
     "lift": 2.07,
     "pages_with_both": 71
    },
    {
     "technology": "Amazon Web Services",
     "lift": 2.07,
     "pages_with_both": 71
    }
   ],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   }
  },
  {
   "finding_id": "VS-179ad9b3",
   "fingerprint": "0e001fcc",
   "rule_id": "sia-r113",
   "rule_label": "Target size is at least 24×24 CSS pixels or has spacing (Minimum)",
   "engine": "alfa",
   "tool": "Siteimprove Alfa",
   "wcag_sc": "2.5.8",
   "wcag_name": "Target Size (Minimum)",
   "wcag_level": "AA",
   "wcag_version": "2.2",
   "wcag_category": "WCAG 2.2 AA",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r113",
   "severity": "Moderate",
   "priority": "p2",
   "confidence": "high",
   "rationale": "affects 659 pages; worsening trend",
   "trend": {
    "status": "worsening",
    "first_observed": "2026-W24",
    "last_observed": "2026-W25",
    "weeks_observed": 2,
    "affected_pages_current": 659,
    "affected_pages_previous": 79
   },
   "frequency": {
    "instances": 1134,
    "pages_affected": 659,
    "total_pages_scanned": 8304
   },
   "on_key_page": false,
   "summary": "Target size is at least 24×24 CSS pixels or has spacing (Minimum) (WCAG 2.5.8)",
   "description": "Target size is at least 24×24 CSS pixels or has spacing (Minimum). Detected by Siteimprove Alfa rule sia-r113 on 659 of 8304 scanned pages (1134 instances).",
   "remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r113",
   "expected_behavior": "Element passes Siteimprove Alfa rule sia-r113 (WCAG 2.5.8).",
   "actual_behavior": "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).",
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "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"
   ],
   "html_fragments": [],
   "url_patterns": [
    {
     "pattern": "/medicare-coverage-database/view/article.aspx",
     "count": 20
    },
    {
     "pattern": "/icd10m/version372-fullcode-cms/fullcode_cms/P0732.html",
     "count": 1
    },
    {
     "pattern": "/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0240.html",
     "count": 1
    }
   ],
   "associated_technologies": [
    {
     "technology": "reCAPTCHA",
     "lift": 2.1,
     "pages_with_both": 54
    },
    {
     "technology": "Bootstrap",
     "lift": 1.92,
     "pages_with_both": 54
    },
    {
     "technology": "Microsoft ASP.NET",
     "lift": 1.92,
     "pages_with_both": 54
    }
   ],
   "impact": {
    "groups": [
     {
      "code": "LM",
      "group": "Limited manipulation/strength",
      "prevalence": 0.13,
      "percent": "13.0%",
      "estimatedExcluded": null
     },
     {
      "code": "LR",
      "group": "Limited reach",
      "prevalence": 0.02,
      "percent": "2.0%",
      "estimatedExcluded": null
     },
     {
      "code": "LV",
      "group": "Limited vision",
      "prevalence": 0.024,
      "percent": "2.4%",
      "estimatedExcluded": null
     }
    ],
    "summary": "Affects Limited manipulation/strength (13.0%), Limited reach (2.0%), Limited vision (2.4%)."
   }
  },
  {
   "finding_id": "VS-2cd767ca",
   "fingerprint": "3123e4f3",
   "rule_id": "sia-r78",
   "rule_label": "Table header has scope",
   "engine": "alfa",
   "tool": "Siteimprove Alfa",
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Undetermined",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r78",
   "severity": "Moderate",
   "priority": "p2",
   "confidence": "high",
   "rationale": "affects 653 pages",
   "trend": {
    "status": "improving",
    "first_observed": "2026-W24",
    "last_observed": "2026-W25",
    "weeks_observed": 2,
    "affected_pages_current": 653,
    "affected_pages_previous": 101
   },
   "frequency": {
    "instances": 1051,
    "pages_affected": 653,
    "total_pages_scanned": 8304
   },
   "on_key_page": false,
   "summary": "Table header has scope (WCAG criterion undetermined)",
   "description": "Table header has scope. Detected by Siteimprove Alfa rule sia-r78 on 653 of 8304 scanned pages (1051 instances).",
   "remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r78",
   "expected_behavior": "Element passes Siteimprove Alfa rule sia-r78.",
   "actual_behavior": "Table header has scope. Detected by Siteimprove Alfa rule sia-r78 on 653 of 8304 scanned pages (1051 instances).",
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "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"
   ],
   "html_fragments": [],
   "url_patterns": [
    {
     "pattern": "/medicare-coverage-database/view/article.aspx",
     "count": 18
    },
    {
     "pattern": "/icd10m/version372-fullcode-cms/fullcode_cms/P0732.html",
     "count": 1
    },
    {
     "pattern": "/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0240.html",
     "count": 1
    }
   ],
   "associated_technologies": [
    {
     "technology": "reCAPTCHA",
     "lift": 2.04,
     "pages_with_both": 56
    },
    {
     "technology": "Bootstrap",
     "lift": 1.93,
     "pages_with_both": 58
    },
    {
     "technology": "Microsoft ASP.NET",
     "lift": 1.93,
     "pages_with_both": 58
    }
   ],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   }
  },
  {
   "finding_id": "VS-d25f622d",
   "fingerprint": "98ff321a",
   "rule_id": "heading-order",
   "rule_label": "Heading levels should only increase by one",
   "engine": "axe-core",
   "tool": "axe-core",
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Best Practice",
   "rule_url": "https://dequeuniversity.com/rules/axe/4.12/heading-order?application=axeAPI",
   "severity": "Moderate",
   "priority": "p2",
   "confidence": "high",
   "rationale": "affects 365 pages",
   "trend": {
    "status": "improving",
    "first_observed": "2026-W24",
    "last_observed": "2026-W25",
    "weeks_observed": 2,
    "affected_pages_current": 365,
    "affected_pages_previous": 265
   },
   "frequency": {
    "instances": 367,
    "pages_affected": 365,
    "total_pages_scanned": 8304
   },
   "on_key_page": false,
   "summary": "Heading levels should only increase by one (WCAG criterion undetermined)",
   "description": "Heading levels should only increase by one. Detected by axe-core rule heading-order on 365 of 8304 scanned pages (367 instances).",
   "remediation_tip": "Use heading levels in order (h1 → h2 → h3) without skipping; structure, not size.",
   "suggested_fix": "See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/heading-order?application=axeAPI",
   "expected_behavior": "Element passes axe-core rule heading-order.",
   "actual_behavior": "Heading levels should only increase by one. Detected by axe-core rule heading-order on 365 of 8304 scanned pages (367 instances).",
   "testing_environment": "Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "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"
   ],
   "html_fragments": [
    {
     "fingerprint": "2772e8cc",
     "html": "<h3 id=\"navStickyHeader\" class=\"bg-white d-inline expand-head-pad\">Report Information</h3>",
     "selectors": [
      "#navStickyHeader"
     ]
    },
    {
     "fingerprint": "97a57494",
     "html": "<h5><strong>Covered Indications</strong></h5>",
     "selectors": [
      "h5"
     ]
    },
    {
     "fingerprint": "26af152d",
     "html": "<h3>End User Point and Click Agreement:</h3>",
     "selectors": [
      ".content > h3:nth-child(2)"
     ]
    }
   ],
   "url_patterns": [
    {
     "pattern": "/apps/ama/license.asp",
     "count": 7
    },
    {
     "pattern": "/medicare-coverage-database/reports/local-coverage-final-lcds-contractor-report.aspx",
     "count": 3
    },
    {
     "pattern": "/training-education/medicare-learning-networkr-mln/compliance/medicare-provider-compliance-tips/infusion-pumps",
     "count": 1
    }
   ],
   "associated_technologies": [],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   }
  },
  {
   "finding_id": "VS-f18df681",
   "fingerprint": "09987718",
   "rule_id": "region",
   "rule_label": "All page content should be contained by landmarks",
   "engine": "axe-core",
   "tool": "axe-core",
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Best Practice",
   "rule_url": "https://dequeuniversity.com/rules/axe/4.12/region?application=axeAPI",
   "severity": "Moderate",
   "priority": "p2",
   "confidence": "high",
   "rationale": "affects 275 pages",
   "trend": {
    "status": "improving",
    "first_observed": "2026-W24",
    "last_observed": "2026-W25",
    "weeks_observed": 2,
    "affected_pages_current": 275,
    "affected_pages_previous": 256
   },
   "frequency": {
    "instances": 6064,
    "pages_affected": 275,
    "total_pages_scanned": 8304
   },
   "on_key_page": false,
   "summary": "All page content should be contained by landmarks (WCAG criterion undetermined)",
   "description": "All page content should be contained by landmarks. Detected by axe-core rule region on 275 of 8304 scanned pages (6064 instances).",
   "remediation_tip": "Wrap all page content in landmarks (header, nav, main, footer) so users can navigate by region.",
   "suggested_fix": "See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/region?application=axeAPI",
   "expected_behavior": "Element passes axe-core rule region.",
   "actual_behavior": "All page content should be contained by landmarks. Detected by axe-core rule region on 275 of 8304 scanned pages (6064 instances).",
   "testing_environment": "Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "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"
   ],
   "html_fragments": [
    {
     "fingerprint": "8110688c",
     "html": "<tr>\n\t\t<td><img src=\"cms-site-logo.png\"></td>\n\t\t<td style=\"text-align:center;\"><h1>ICD-10-CM/PCS MS-DRG v35.0 Definitions Manual</h1><h1></h1></td>\n\t\t<td></td>\n\t\t<td></td>\n\t\t<td></td>\n\t</tr>",
     "selectors": [
      ".arrows > tbody > tr:nth-child(1)"
     ]
    },
    {
     "fingerprint": "6c30a95c",
     "html": "<td width=\"31\"><a accesskey=\"p\" id=\"prev_page\" href=\"P0008.html\"><img src=\"bakpg.png\" alt=\"Previous Page [Alt-p]\" height=\"14\" width=\"31\" vspace=\"0\" hspace=\"0\" align=\"bottom\" border=\"0\"></a></td>",
     "selectors": [
      "td[width=\"31\"]:nth-child(3)"
     ]
    },
    {
     "fingerprint": "e705dd26",
     "html": "<td width=\"31\"><a accesskey=\"u\" id=\"up_level\" href=\"P0001.html\"><img src=\"uptop.png\" alt=\"Up a level [Alt-u]\" height=\"14\" width=\"31\" vspace=\"0\" hspace=\"0\" align=\"bottom\" border=\"0\"></a></td>",
     "selectors": [
      "td[width=\"31\"]:nth-child(4)"
     ]
    }
   ],
   "url_patterns": [
    {
     "pattern": "/icd10m/version35-fullcode-cms/fullcode_cms/P0009.html",
     "count": 1
    },
    {
     "pattern": "/icd10m/version372-fullcode-cms/fullcode_cms/P0732.html",
     "count": 1
    },
    {
     "pattern": "/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0240.html",
     "count": 1
    }
   ],
   "associated_technologies": [],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   }
  },
  {
   "finding_id": "VS-d5d82446",
   "fingerprint": "3627341e",
   "rule_id": "landmark-one-main",
   "rule_label": "Document should have one main landmark",
   "engine": "axe-core",
   "tool": "axe-core",
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Best Practice",
   "rule_url": "https://dequeuniversity.com/rules/axe/4.12/landmark-one-main?application=axeAPI",
   "severity": "Moderate",
   "priority": "p2",
   "confidence": "high",
   "rationale": "affects 274 pages",
   "trend": {
    "status": "improving",
    "first_observed": "2026-W24",
    "last_observed": "2026-W25",
    "weeks_observed": 2,
    "affected_pages_current": 274,
    "affected_pages_previous": 256
   },
   "frequency": {
    "instances": 274,
    "pages_affected": 274,
    "total_pages_scanned": 8304
   },
   "on_key_page": false,
   "summary": "Document should have one main landmark (WCAG criterion undetermined)",
   "description": "Document should have one main landmark. Detected by axe-core rule landmark-one-main on 274 of 8304 scanned pages (274 instances).",
   "remediation_tip": "Each page should have exactly one <main> landmark.",
   "suggested_fix": "See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/landmark-one-main?application=axeAPI",
   "expected_behavior": "Element passes axe-core rule landmark-one-main.",
   "actual_behavior": "Document should have one main landmark. Detected by axe-core rule landmark-one-main on 274 of 8304 scanned pages (274 instances).",
   "testing_environment": "Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "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"
   ],
   "html_fragments": [
    {
     "fingerprint": "3e866d4c",
     "html": "<html>",
     "selectors": [
      "html"
     ]
    }
   ],
   "url_patterns": [
    {
     "pattern": "/icd10m/version35-fullcode-cms/fullcode_cms/P0009.html",
     "count": 1
    },
    {
     "pattern": "/icd10m/version372-fullcode-cms/fullcode_cms/P0732.html",
     "count": 1
    },
    {
     "pattern": "/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0240.html",
     "count": 1
    }
   ],
   "associated_technologies": [],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   }
  },
  {
   "finding_id": "VS-4408605e",
   "fingerprint": "265d5c76",
   "rule_id": "sia-r46",
   "rule_label": "Element has required aria-owns",
   "engine": "alfa",
   "tool": "Siteimprove Alfa",
   "wcag_sc": "1.3.1",
   "wcag_name": "Info and Relationships",
   "wcag_level": "A",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.0 A",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r46",
   "severity": "Moderate",
   "priority": "p2",
   "confidence": "high",
   "rationale": "affects 189 pages; persistent across weeks",
   "trend": {
    "status": "persistent",
    "first_observed": "2026-W25",
    "last_observed": "2026-W25",
    "weeks_observed": 1,
    "affected_pages_current": 189,
    "affected_pages_previous": 20
   },
   "frequency": {
    "instances": 311,
    "pages_affected": 189,
    "total_pages_scanned": 8304
   },
   "on_key_page": false,
   "summary": "Element has required aria-owns (WCAG 1.3.1)",
   "description": "Element has required aria-owns. Detected by Siteimprove Alfa rule sia-r46 on 189 of 8304 scanned pages (311 instances).",
   "remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r46",
   "expected_behavior": "Element passes Siteimprove Alfa rule sia-r46 (WCAG 1.3.1).",
   "actual_behavior": "Element has required aria-owns. Detected by Siteimprove Alfa rule sia-r46 on 189 of 8304 scanned pages (311 instances).",
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "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"
   ],
   "html_fragments": [],
   "url_patterns": [
    {
     "pattern": "/medicare-coverage-database/view/article.aspx",
     "count": 25
    }
   ],
   "associated_technologies": [
    {
     "technology": "reCAPTCHA",
     "lift": 2.33,
     "pages_with_both": 22
    },
    {
     "technology": "Bootstrap",
     "lift": 2.13,
     "pages_with_both": 22
    },
    {
     "technology": "Microsoft ASP.NET",
     "lift": 2.13,
     "pages_with_both": 22
    }
   ],
   "impact": {
    "groups": [
     {
      "code": "WV",
      "group": "Without vision",
      "prevalence": 0.01,
      "percent": "1.0%",
      "estimatedExcluded": null
     },
     {
      "code": "LV",
      "group": "Limited vision",
      "prevalence": 0.024,
      "percent": "2.4%",
      "estimatedExcluded": null
     },
     {
      "code": "LCLA",
      "group": "Limited cognitive, language, or learning ability",
      "prevalence": 0.11,
      "percent": "11.0%",
      "estimatedExcluded": null
     }
    ],
    "summary": "Affects Without vision (1.0%), Limited vision (2.4%), Limited cognitive, language, or learning ability (11.0%)."
   }
  },
  {
   "finding_id": "VS-d6097011",
   "fingerprint": "b46c5395",
   "rule_id": "sia-r68",
   "rule_label": "Presentational children of an element are not focusable",
   "engine": "alfa",
   "tool": "Siteimprove Alfa",
   "wcag_sc": "1.3.1",
   "wcag_name": "Info and Relationships",
   "wcag_level": "A",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.0 A",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r68",
   "severity": "Moderate",
   "priority": "p2",
   "confidence": "high",
   "rationale": "affects 166 pages",
   "trend": {
    "status": "improving",
    "first_observed": "2026-W24",
    "last_observed": "2026-W25",
    "weeks_observed": 2,
    "affected_pages_current": 166,
    "affected_pages_previous": 45
   },
   "frequency": {
    "instances": 430,
    "pages_affected": 166,
    "total_pages_scanned": 8304
   },
   "on_key_page": false,
   "summary": "Presentational children of an element are not focusable (WCAG 1.3.1)",
   "description": "Presentational children of an element are not focusable. Detected by Siteimprove Alfa rule sia-r68 on 166 of 8304 scanned pages (430 instances).",
   "remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r68",
   "expected_behavior": "Element passes Siteimprove Alfa rule sia-r68 (WCAG 1.3.1).",
   "actual_behavior": "Presentational children of an element are not focusable. Detected by Siteimprove Alfa rule sia-r68 on 166 of 8304 scanned pages (430 instances).",
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "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"
   ],
   "html_fragments": [],
   "url_patterns": [
    {
     "pattern": "/medicare-coverage-database/view/article.aspx",
     "count": 8
    },
    {
     "pattern": "/medicare-coverage-database/view/nca.aspx",
     "count": 6
    },
    {
     "pattern": "/medicare-coverage-database/reports/local-coverage-final-lcds-contractor-report.aspx",
     "count": 6
    }
   ],
   "associated_technologies": [
    {
     "technology": "Bootstrap",
     "lift": 1.77,
     "pages_with_both": 15
    },
    {
     "technology": "Microsoft ASP.NET",
     "lift": 1.77,
     "pages_with_both": 15
    },
    {
     "technology": "reCAPTCHA",
     "lift": 1.68,
     "pages_with_both": 13
    }
   ],
   "impact": {
    "groups": [
     {
      "code": "WV",
      "group": "Without vision",
      "prevalence": 0.01,
      "percent": "1.0%",
      "estimatedExcluded": null
     },
     {
      "code": "LV",
      "group": "Limited vision",
      "prevalence": 0.024,
      "percent": "2.4%",
      "estimatedExcluded": null
     },
     {
      "code": "LCLA",
      "group": "Limited cognitive, language, or learning ability",
      "prevalence": 0.11,
      "percent": "11.0%",
      "estimatedExcluded": null
     }
    ],
    "summary": "Affects Without vision (1.0%), Limited vision (2.4%), Limited cognitive, language, or learning ability (11.0%)."
   }
  },
  {
   "finding_id": "VS-04a9d28c",
   "fingerprint": "02cfba82",
   "rule_id": "presentational-attr",
   "rule_label": "Presentational attribute (use CSS)",
   "engine": "deprecated-html",
   "tool": "deprecated-html",
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Undetermined",
   "rule_url": null,
   "severity": "Moderate",
   "priority": "p2",
   "confidence": "high",
   "rationale": "affects 115 pages; worsening trend",
   "trend": {
    "status": "worsening",
    "first_observed": "2026-W24",
    "last_observed": "2026-W25",
    "weeks_observed": 2,
    "affected_pages_current": 115,
    "affected_pages_previous": 40
   },
   "frequency": {
    "instances": 3061,
    "pages_affected": 115,
    "total_pages_scanned": 8304
   },
   "on_key_page": false,
   "summary": "Presentational attribute (use CSS) (WCAG criterion undetermined)",
   "description": "Presentational attribute (use CSS). Detected by deprecated-html rule presentational-attr on 115 of 8304 scanned pages (3061 instances).",
   "remediation_tip": null,
   "suggested_fix": "Not captured by automated scan — requires manual testing.",
   "expected_behavior": "Element passes deprecated-html rule presentational-attr.",
   "actual_behavior": "Presentational attribute (use CSS). Detected by deprecated-html rule presentational-attr on 115 of 8304 scanned pages (3061 instances).",
   "testing_environment": "Automated: deprecated-html, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "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"
   ],
   "html_fragments": [
    {
     "fingerprint": "92abf74b",
     "html": "<div align=\"center\"><strong>Medicare Coverage Advisory Committee<br>\nOctober 6, 2005<br>\n7:30 AM - 4:30 PM<br>\nCMS Auditorium<br>\nAgenda</strong></div>",
     "selectors": [
      "div"
     ]
    },
    {
     "fingerprint": "5f97bf20",
     "html": "<p align=\"center\"><strong>Medicare Coverage Advisory Committee<br>\nOctober 6, 2005<br>\nRoster</strong></p>",
     "selectors": [
      "p"
     ]
    },
    {
     "fingerprint": "5ed0e973",
     "html": "<div align=\"center\"><strong>Agenda<br>\nMedicare Evidence Development &amp; Coverage Advisory Committee<br>\nMay 6, 2009<br>\n7:30 AM - 4:30 PM<br>\nCMS Auditorium</strong></div>",
     "selectors": [
      "div"
     ]
    }
   ],
   "url_patterns": [
    {
     "pattern": "/medicare-coverage-database/view/article.aspx",
     "count": 8
    },
    {
     "pattern": "/medicare-coverage-database/view/lcd.aspx",
     "count": 4
    },
    {
     "pattern": "/medicare-coverage-database/view/medcac-meeting.aspx",
     "count": 3
    }
   ],
   "associated_technologies": [],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   }
  },
  {
   "finding_id": "VS-3c632d31",
   "fingerprint": "7d010b8c",
   "rule_id": "sia-r64",
   "rule_label": "Element has required owned roles",
   "engine": "alfa",
   "tool": "Siteimprove Alfa",
   "wcag_sc": "1.3.1",
   "wcag_name": "Info and Relationships",
   "wcag_level": "A",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.0 A",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r64",
   "severity": "Moderate",
   "priority": "p2",
   "confidence": "high",
   "rationale": "affects 102 pages",
   "trend": {
    "status": "improving",
    "first_observed": "2026-W24",
    "last_observed": "2026-W25",
    "weeks_observed": 2,
    "affected_pages_current": 102,
    "affected_pages_previous": 30
   },
   "frequency": {
    "instances": 103,
    "pages_affected": 102,
    "total_pages_scanned": 8304
   },
   "on_key_page": false,
   "summary": "Element has required owned roles (WCAG 1.3.1)",
   "description": "Element has required owned roles. Detected by Siteimprove Alfa rule sia-r64 on 102 of 8304 scanned pages (103 instances).",
   "remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r64",
   "expected_behavior": "Element passes Siteimprove Alfa rule sia-r64 (WCAG 1.3.1).",
   "actual_behavior": "Element has required owned roles. Detected by Siteimprove Alfa rule sia-r64 on 102 of 8304 scanned pages (103 instances).",
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "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"
   ],
   "html_fragments": [],
   "url_patterns": [
    {
     "pattern": "/medicare-coverage-database/view/article.aspx",
     "count": 2
    },
    {
     "pattern": "/icd10m/version372-fullcode-cms/fullcode_cms/P0732.html",
     "count": 1
    },
    {
     "pattern": "/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0240.html",
     "count": 1
    }
   ],
   "associated_technologies": [],
   "impact": {
    "groups": [
     {
      "code": "WV",
      "group": "Without vision",
      "prevalence": 0.01,
      "percent": "1.0%",
      "estimatedExcluded": null
     },
     {
      "code": "LV",
      "group": "Limited vision",
      "prevalence": 0.024,
      "percent": "2.4%",
      "estimatedExcluded": null
     },
     {
      "code": "LCLA",
      "group": "Limited cognitive, language, or learning ability",
      "prevalence": 0.11,
      "percent": "11.0%",
      "estimatedExcluded": null
     }
    ],
    "summary": "Affects Without vision (1.0%), Limited vision (2.4%), Limited cognitive, language, or learning ability (11.0%)."
   }
  },
  {
   "finding_id": "VS-a24eaa8c",
   "fingerprint": "8d462fe1",
   "rule_id": "sia-r2",
   "rule_label": "Image has accessible name",
   "engine": "alfa",
   "tool": "Siteimprove Alfa",
   "wcag_sc": "1.1.1",
   "wcag_name": "Non-text Content",
   "wcag_level": "A",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.0 A",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r2",
   "severity": "Moderate",
   "priority": "p2",
   "confidence": "high",
   "rationale": "Moderate severity on 96 pages",
   "trend": {
    "status": "improving",
    "first_observed": "2026-W24",
    "last_observed": "2026-W25",
    "weeks_observed": 2,
    "affected_pages_current": 96,
    "affected_pages_previous": 31
   },
   "frequency": {
    "instances": 96,
    "pages_affected": 96,
    "total_pages_scanned": 8304
   },
   "on_key_page": false,
   "summary": "Image has accessible name (WCAG 1.1.1)",
   "description": "Image has accessible name. Detected by Siteimprove Alfa rule sia-r2 on 96 of 8304 scanned pages (96 instances).",
   "remediation_tip": "Give every <img> an accessible name (alt text), or alt=\"\" if purely decorative.",
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r2",
   "expected_behavior": "Element passes Siteimprove Alfa rule sia-r2 (WCAG 1.1.1).",
   "actual_behavior": "Image has accessible name. Detected by Siteimprove Alfa rule sia-r2 on 96 of 8304 scanned pages (96 instances).",
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "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"
   ],
   "html_fragments": [],
   "url_patterns": [
    {
     "pattern": "/icd10m/version372-fullcode-cms/fullcode_cms/P0732.html",
     "count": 1
    },
    {
     "pattern": "/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0240.html",
     "count": 1
    },
    {
     "pattern": "/icd10m/FY2026-nprm-version43-fullcode-cms/fullcode_cms/P0757.html",
     "count": 1
    }
   ],
   "associated_technologies": [],
   "impact": {
    "groups": [
     {
      "code": "WV",
      "group": "Without vision",
      "prevalence": 0.01,
      "percent": "1.0%",
      "estimatedExcluded": null
     },
     {
      "code": "LV",
      "group": "Limited vision",
      "prevalence": 0.024,
      "percent": "2.4%",
      "estimatedExcluded": null
     },
     {
      "code": "LCLA",
      "group": "Limited cognitive, language, or learning ability",
      "prevalence": 0.11,
      "percent": "11.0%",
      "estimatedExcluded": null
     }
    ],
    "summary": "Affects Without vision (1.0%), Limited vision (2.4%), Limited cognitive, language, or learning ability (11.0%)."
   }
  },
  {
   "finding_id": "VS-7a0e5645",
   "fingerprint": "15da996e",
   "rule_id": "sia-r4",
   "rule_label": "Document has a valid lang attribute",
   "engine": "alfa",
   "tool": "Siteimprove Alfa",
   "wcag_sc": "3.1.1",
   "wcag_name": "Language of Page",
   "wcag_level": "A",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.0 A",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r4",
   "severity": "Moderate",
   "priority": "p2",
   "confidence": "high",
   "rationale": "Moderate severity on 96 pages",
   "trend": {
    "status": "improving",
    "first_observed": "2026-W24",
    "last_observed": "2026-W25",
    "weeks_observed": 2,
    "affected_pages_current": 96,
    "affected_pages_previous": 32
   },
   "frequency": {
    "instances": 96,
    "pages_affected": 96,
    "total_pages_scanned": 8304
   },
   "on_key_page": false,
   "summary": "Document has a valid lang attribute (WCAG 3.1.1)",
   "description": "Document has a valid lang attribute. Detected by Siteimprove Alfa rule sia-r4 on 96 of 8304 scanned pages (96 instances).",
   "remediation_tip": "Add a valid lang attribute to <html>.",
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r4",
   "expected_behavior": "Element passes Siteimprove Alfa rule sia-r4 (WCAG 3.1.1).",
   "actual_behavior": "Document has a valid lang attribute. Detected by Siteimprove Alfa rule sia-r4 on 96 of 8304 scanned pages (96 instances).",
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "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"
   ],
   "html_fragments": [],
   "url_patterns": [
    {
     "pattern": "/icd10m/version372-fullcode-cms/fullcode_cms/P0732.html",
     "count": 1
    },
    {
     "pattern": "/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0240.html",
     "count": 1
    },
    {
     "pattern": "/icd10m/FY2026-nprm-version43-fullcode-cms/fullcode_cms/P0757.html",
     "count": 1
    }
   ],
   "associated_technologies": [],
   "impact": {
    "groups": [
     {
      "code": "WV",
      "group": "Without vision",
      "prevalence": 0.01,
      "percent": "1.0%",
      "estimatedExcluded": null
     },
     {
      "code": "LCLA",
      "group": "Limited cognitive, language, or learning ability",
      "prevalence": 0.11,
      "percent": "11.0%",
      "estimatedExcluded": null
     }
    ],
    "summary": "Affects Without vision (1.0%), Limited cognitive, language, or learning ability (11.0%)."
   }
  },
  {
   "finding_id": "VS-388b5438",
   "fingerprint": "e21585c3",
   "rule_id": "sia-r80",
   "rule_label": "Scrollable element is keyboard accessible",
   "engine": "alfa",
   "tool": "Siteimprove Alfa",
   "wcag_sc": "1.4.8",
   "wcag_name": "Visual Presentation",
   "wcag_level": "AAA",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.x AAA",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r80",
   "severity": "Moderate",
   "priority": "p2",
   "confidence": "high",
   "rationale": "persistent across weeks",
   "trend": {
    "status": "persistent",
    "first_observed": "2026-W25",
    "last_observed": "2026-W25",
    "weeks_observed": 1,
    "affected_pages_current": 84,
    "affected_pages_previous": 8
   },
   "frequency": {
    "instances": 638,
    "pages_affected": 84,
    "total_pages_scanned": 8304
   },
   "on_key_page": false,
   "summary": "Scrollable element is keyboard accessible (WCAG 1.4.8)",
   "description": "Scrollable element is keyboard accessible. Detected by Siteimprove Alfa rule sia-r80 on 84 of 8304 scanned pages (638 instances).",
   "remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r80",
   "expected_behavior": "Element passes Siteimprove Alfa rule sia-r80 (WCAG 1.4.8).",
   "actual_behavior": "Scrollable element is keyboard accessible. Detected by Siteimprove Alfa rule sia-r80 on 84 of 8304 scanned pages (638 instances).",
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "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"
   ],
   "html_fragments": [],
   "url_patterns": [
    {
     "pattern": "/medicare-coverage-database/view/article.aspx",
     "count": 19
    },
    {
     "pattern": "/medicare-coverage-database/view/lcd.aspx",
     "count": 6
    }
   ],
   "associated_technologies": [
    {
     "technology": "reCAPTCHA",
     "lift": 2.33,
     "pages_with_both": 10
    },
    {
     "technology": "Bootstrap",
     "lift": 2.13,
     "pages_with_both": 10
    },
    {
     "technology": "Microsoft ASP.NET",
     "lift": 2.13,
     "pages_with_both": 10
    }
   ],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   }
  },
  {
   "finding_id": "VS-0ba8ce9d",
   "fingerprint": "1b1ae391",
   "rule_id": "scope-attr-valid",
   "rule_label": "scope attribute should be used correctly",
   "engine": "axe-core",
   "tool": "axe-core",
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Best Practice",
   "rule_url": "https://dequeuniversity.com/rules/axe/4.12/scope-attr-valid?application=axeAPI",
   "severity": "Moderate",
   "priority": "p2",
   "confidence": "high",
   "rationale": "persistent across weeks",
   "trend": {
    "status": "persistent",
    "first_observed": "2026-W24",
    "last_observed": "2026-W25",
    "weeks_observed": 2,
    "affected_pages_current": 54,
    "affected_pages_previous": 38
   },
   "frequency": {
    "instances": 1372,
    "pages_affected": 54,
    "total_pages_scanned": 8304
   },
   "on_key_page": false,
   "summary": "scope attribute should be used correctly (WCAG criterion undetermined)",
   "description": "scope attribute should be used correctly. Detected by axe-core rule scope-attr-valid on 54 of 8304 scanned pages (1372 instances).",
   "remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/scope-attr-valid?application=axeAPI",
   "expected_behavior": "Element passes axe-core rule scope-attr-valid.",
   "actual_behavior": "scope attribute should be used correctly. Detected by axe-core rule scope-attr-valid on 54 of 8304 scanned pages (1372 instances).",
   "testing_environment": "Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "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"
   ],
   "html_fragments": [
    {
     "fingerprint": "5a570fdb",
     "html": "<td valign=\"top\" scope=\"row\">  <p>February 1, 2008</p>  </td>",
     "selectors": [
      "tr:nth-child(2) > td[scope=\"row\"]"
     ]
    },
    {
     "fingerprint": "5c4bb07f",
     "html": "<td valign=\"top\" scope=\"row\">  <p>March 2, 2008</p>  </td>",
     "selectors": [
      "tr:nth-child(3) > td[scope=\"row\"]"
     ]
    },
    {
     "fingerprint": "b771dd37",
     "html": "<td valign=\"top\" scope=\"row\">  <p>June 11, 2008</p>  </td>",
     "selectors": [
      "tr:nth-child(4) > td[scope=\"row\"]"
     ]
    }
   ],
   "url_patterns": [
    {
     "pattern": "/medicare-coverage-database/view/ncacal-decision-memo.aspx",
     "count": 17
    },
    {
     "pattern": "/medicare-coverage-database/details/nca-decision-memo.aspx",
     "count": 3
    },
    {
     "pattern": "/medicare-coverage-database/view/medcac-meeting.aspx",
     "count": 2
    }
   ],
   "associated_technologies": [],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   }
  },
  {
   "finding_id": "VS-48291402",
   "fingerprint": "50880f5a",
   "rule_id": "sia-r71",
   "rule_label": "iframe element is not empty",
   "engine": "alfa",
   "tool": "Siteimprove Alfa",
   "wcag_sc": "1.4.8",
   "wcag_name": "Visual Presentation",
   "wcag_level": "AAA",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.x AAA",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r71",
   "severity": "Moderate",
   "priority": "p2",
   "confidence": "high",
   "rationale": "persistent across weeks",
   "trend": {
    "status": "persistent",
    "first_observed": "2026-W25",
    "last_observed": "2026-W25",
    "weeks_observed": 1,
    "affected_pages_current": 50,
    "affected_pages_previous": 8
   },
   "frequency": {
    "instances": 425,
    "pages_affected": 50,
    "total_pages_scanned": 8304
   },
   "on_key_page": false,
   "summary": "iframe element is not empty (WCAG 1.4.8)",
   "description": "iframe element is not empty. Detected by Siteimprove Alfa rule sia-r71 on 50 of 8304 scanned pages (425 instances).",
   "remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r71",
   "expected_behavior": "Element passes Siteimprove Alfa rule sia-r71 (WCAG 1.4.8).",
   "actual_behavior": "iframe element is not empty. Detected by Siteimprove Alfa rule sia-r71 on 50 of 8304 scanned pages (425 instances).",
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "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"
   ],
   "html_fragments": [],
   "url_patterns": [
    {
     "pattern": "/medicare-coverage-database/view/article.aspx",
     "count": 21
    },
    {
     "pattern": "/medicare-coverage-database/view/lcd.aspx",
     "count": 4
    }
   ],
   "associated_technologies": [],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   }
  },
  {
   "finding_id": "VS-0066c67d",
   "fingerprint": "67db3700",
   "rule_id": "empty-heading",
   "rule_label": "Headings should not be empty",
   "engine": "axe-core",
   "tool": "axe-core",
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Best Practice",
   "rule_url": "https://dequeuniversity.com/rules/axe/4.12/empty-heading?application=axeAPI",
   "severity": "Minor",
   "priority": "p3",
   "confidence": "high",
   "rationale": "affects 286 pages",
   "trend": {
    "status": "improving",
    "first_observed": "2026-W24",
    "last_observed": "2026-W25",
    "weeks_observed": 2,
    "affected_pages_current": 286,
    "affected_pages_previous": 247
   },
   "frequency": {
    "instances": 288,
    "pages_affected": 286,
    "total_pages_scanned": 8304
   },
   "on_key_page": false,
   "summary": "Headings should not be empty (WCAG criterion undetermined)",
   "description": "Headings should not be empty. Detected by axe-core rule empty-heading on 286 of 8304 scanned pages (288 instances).",
   "remediation_tip": "Remove empty headings or give them text. Don't use heading tags for spacing.",
   "suggested_fix": "See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/empty-heading?application=axeAPI",
   "expected_behavior": "Element passes axe-core rule empty-heading.",
   "actual_behavior": "Headings should not be empty. Detected by axe-core rule empty-heading on 286 of 8304 scanned pages (288 instances).",
   "testing_environment": "Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "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"
   ],
   "html_fragments": [
    {
     "fingerprint": "c6c37699",
     "html": "<h1></h1>",
     "selectors": [
      "h1:nth-child(2)"
     ]
    }
   ],
   "url_patterns": [
    {
     "pattern": "/icd10m/version35-fullcode-cms/fullcode_cms/P0009.html",
     "count": 1
    },
    {
     "pattern": "/icd10m/version372-fullcode-cms/fullcode_cms/P0732.html",
     "count": 1
    },
    {
     "pattern": "/icd10m/fy2025-version42.0-fullcode-cms/fullcode_cms/P0240.html",
     "count": 1
    }
   ],
   "associated_technologies": [],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   }
  },
  {
   "finding_id": "VS-f2542d87",
   "fingerprint": "9cf75a1e",
   "rule_id": "sia-r79",
   "rule_label": "Duplicate role landmark is labeled",
   "engine": "alfa",
   "tool": "Siteimprove Alfa",
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Undetermined",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r79",
   "severity": "Moderate",
   "priority": "p3",
   "confidence": "high",
   "rationale": "persistent across weeks",
   "trend": {
    "status": "persistent",
    "first_observed": "2026-W24",
    "last_observed": "2026-W25",
    "weeks_observed": 2,
    "affected_pages_current": 25,
    "affected_pages_previous": 5
   },
   "frequency": {
    "instances": 25,
    "pages_affected": 25,
    "total_pages_scanned": 8304
   },
   "on_key_page": false,
   "summary": "Duplicate role landmark is labeled (WCAG criterion undetermined)",
   "description": "Duplicate role landmark is labeled. Detected by Siteimprove Alfa rule sia-r79 on 25 of 8304 scanned pages (25 instances).",
   "remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r79",
   "expected_behavior": "Element passes Siteimprove Alfa rule sia-r79.",
   "actual_behavior": "Duplicate role landmark is labeled. Detected by Siteimprove Alfa rule sia-r79 on 25 of 8304 scanned pages (25 instances).",
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "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"
   ],
   "html_fragments": [],
   "url_patterns": [
    {
     "pattern": "/medicare-coverage-database/view/ncacal-decision-memo.aspx",
     "count": 19
    },
    {
     "pattern": "/medicare-coverage-database/details/nca-decision-memo.aspx",
     "count": 3
    },
    {
     "pattern": "/medicare-coverage-database/details/nca-proposed-decision-memo.aspx",
     "count": 2
    }
   ],
   "associated_technologies": [],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   }
  },
  {
   "finding_id": "VS-fa44f293",
   "fingerprint": "a01b2a6c",
   "rule_id": "page-has-heading-one",
   "rule_label": "Page should contain a level-one heading",
   "engine": "axe-core",
   "tool": "axe-core",
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Best Practice",
   "rule_url": "https://dequeuniversity.com/rules/axe/4.12/page-has-heading-one?application=axeAPI",
   "severity": "Moderate",
   "priority": "p3",
   "confidence": "high",
   "rationale": "persistent across weeks",
   "trend": {
    "status": "persistent",
    "first_observed": "2026-W24",
    "last_observed": "2026-W25",
    "weeks_observed": 2,
    "affected_pages_current": 21,
    "affected_pages_previous": 17
   },
   "frequency": {
    "instances": 21,
    "pages_affected": 21,
    "total_pages_scanned": 8304
   },
   "on_key_page": false,
   "summary": "Page should contain a level-one heading (WCAG criterion undetermined)",
   "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).",
   "remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/page-has-heading-one?application=axeAPI",
   "expected_behavior": "Element passes axe-core rule page-has-heading-one.",
   "actual_behavior": "Page should contain a level-one heading. Detected by axe-core rule page-has-heading-one on 21 of 8304 scanned pages (21 instances).",
   "testing_environment": "Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "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"
   ],
   "html_fragments": [
    {
     "fingerprint": "75add23f",
     "html": "<html lang=\"en\" dir=\"ltr\" class=\" js\" style=\"--vw: 12.8px; --vh: 8px;\">",
     "selectors": [
      "html"
     ]
    }
   ],
   "url_patterns": [
    {
     "pattern": "/nosurprises/help-resolve-payment-disputes",
     "count": 1
    },
    {
     "pattern": "/priorities/key-initiatives/hospital-price-transparency/resources",
     "count": 1
    },
    {
     "pattern": "/medicare/quality/quality-improvement-organizations/family-centered-care",
     "count": 1
    }
   ],
   "associated_technologies": [],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   }
  },
  {
   "finding_id": "VS-3d033717",
   "fingerprint": "1718042b",
   "rule_id": "sia-r70",
   "rule_label": "No obsolete or deprecated elements are used",
   "engine": "alfa",
   "tool": "Siteimprove Alfa",
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Undetermined",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r70",
   "severity": "Moderate",
   "priority": "p3",
   "confidence": "high",
   "rationale": "persistent across weeks",
   "trend": {
    "status": "persistent",
    "first_observed": "2026-W25",
    "last_observed": "2026-W25",
    "weeks_observed": 1,
    "affected_pages_current": 20,
    "affected_pages_previous": 1
   },
   "frequency": {
    "instances": 20,
    "pages_affected": 20,
    "total_pages_scanned": 8304
   },
   "on_key_page": false,
   "summary": "No obsolete or deprecated elements are used (WCAG criterion undetermined)",
   "description": "No obsolete or deprecated elements are used. Detected by Siteimprove Alfa rule sia-r70 on 20 of 8304 scanned pages (20 instances).",
   "remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r70",
   "expected_behavior": "Element passes Siteimprove Alfa rule sia-r70.",
   "actual_behavior": "No obsolete or deprecated elements are used. Detected by Siteimprove Alfa rule sia-r70 on 20 of 8304 scanned pages (20 instances).",
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "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"
   ],
   "html_fragments": [],
   "url_patterns": [
    {
     "pattern": "/medicare-coverage-database/view/ncacal-decision-memo.aspx",
     "count": 9
    },
    {
     "pattern": "/medicare-coverage-database/view/medcac-meeting.aspx",
     "count": 6
    },
    {
     "pattern": "/medicare-coverage-database/view/ncd.aspx",
     "count": 2
    }
   ],
   "associated_technologies": [],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   }
  },
  {
   "finding_id": "VS-f7e99f4b",
   "fingerprint": "863d1000",
   "rule_id": "sia-r69",
   "rule_label": "Text has sufficient color contrast (Enhanced)",
   "engine": "alfa",
   "tool": "Siteimprove Alfa",
   "wcag_sc": "1.4.3",
   "wcag_name": "Contrast (Minimum)",
   "wcag_level": "AA",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.0 AA",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r69",
   "severity": "Moderate",
   "priority": "p3",
   "confidence": "high",
   "rationale": "persistent across weeks",
   "trend": {
    "status": "persistent",
    "first_observed": "2026-W24",
    "last_observed": "2026-W25",
    "weeks_observed": 2,
    "affected_pages_current": 15,
    "affected_pages_previous": 5
   },
   "frequency": {
    "instances": 86,
    "pages_affected": 15,
    "total_pages_scanned": 8304
   },
   "on_key_page": false,
   "summary": "Text has sufficient color contrast (Enhanced) (WCAG 1.4.3)",
   "description": "Text has sufficient color contrast (Enhanced). Detected by Siteimprove Alfa rule sia-r69 on 15 of 8304 scanned pages (86 instances).",
   "remediation_tip": "Increase text contrast to meet WCAG AA (4.5:1, or 3:1 for large text).",
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r69",
   "expected_behavior": "Element passes Siteimprove Alfa rule sia-r69 (WCAG 1.4.3).",
   "actual_behavior": "Text has sufficient color contrast (Enhanced). Detected by Siteimprove Alfa rule sia-r69 on 15 of 8304 scanned pages (86 instances).",
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "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"
   ],
   "html_fragments": [],
   "url_patterns": [
    {
     "pattern": "/medicare-coverage-database/view/article.aspx",
     "count": 6
    },
    {
     "pattern": "/medicare-coverage-database/view/lcd.aspx",
     "count": 5
    },
    {
     "pattern": "/priorities/innovation/innovation-models/gpdc-model",
     "count": 2
    }
   ],
   "associated_technologies": [],
   "impact": {
    "groups": [
     {
      "code": "LV",
      "group": "Limited vision",
      "prevalence": 0.024,
      "percent": "2.4%",
      "estimatedExcluded": null
     },
     {
      "code": "WPC",
      "group": "Without color perception",
      "prevalence": 0.045,
      "percent": "4.5%",
      "estimatedExcluded": null
     }
    ],
    "summary": "Affects Limited vision (2.4%), Without color perception (4.5%)."
   }
  },
  {
   "finding_id": "VS-3f067795",
   "fingerprint": "f9bf7824",
   "rule_id": "sia-r77",
   "rule_label": "Table cell has header",
   "engine": "alfa",
   "tool": "Siteimprove Alfa",
   "wcag_sc": "1.3.1",
   "wcag_name": "Info and Relationships",
   "wcag_level": "A",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.0 A",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r77",
   "severity": "Moderate",
   "priority": "p3",
   "confidence": "high",
   "rationale": "persistent across weeks",
   "trend": {
    "status": "persistent",
    "first_observed": "2026-W24",
    "last_observed": "2026-W25",
    "weeks_observed": 2,
    "affected_pages_current": 11,
    "affected_pages_previous": 5
   },
   "frequency": {
    "instances": 258,
    "pages_affected": 11,
    "total_pages_scanned": 8304
   },
   "on_key_page": false,
   "summary": "Table cell has header (WCAG 1.3.1)",
   "description": "Table cell has header. Detected by Siteimprove Alfa rule sia-r77 on 11 of 8304 scanned pages (258 instances).",
   "remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r77",
   "expected_behavior": "Element passes Siteimprove Alfa rule sia-r77 (WCAG 1.3.1).",
   "actual_behavior": "Table cell has header. Detected by Siteimprove Alfa rule sia-r77 on 11 of 8304 scanned pages (258 instances).",
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "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"
   ],
   "html_fragments": [],
   "url_patterns": [
    {
     "pattern": "/medicare-coverage-database/view/ncacal-decision-memo.aspx",
     "count": 4
    },
    {
     "pattern": "/medicare-coverage-database/view/medcac-meeting.aspx",
     "count": 2
    },
    {
     "pattern": "/medicare-coverage-database/view/ncd.aspx",
     "count": 1
    }
   ],
   "associated_technologies": [],
   "impact": {
    "groups": [
     {
      "code": "WV",
      "group": "Without vision",
      "prevalence": 0.01,
      "percent": "1.0%",
      "estimatedExcluded": null
     },
     {
      "code": "LV",
      "group": "Limited vision",
      "prevalence": 0.024,
      "percent": "2.4%",
      "estimatedExcluded": null
     },
     {
      "code": "LCLA",
      "group": "Limited cognitive, language, or learning ability",
      "prevalence": 0.11,
      "percent": "11.0%",
      "estimatedExcluded": null
     }
    ],
    "summary": "Affects Without vision (1.0%), Limited vision (2.4%), Limited cognitive, language, or learning ability (11.0%)."
   }
  },
  {
   "finding_id": "VS-91d2294a",
   "fingerprint": "648c7ef8",
   "rule_id": "font-element",
   "rule_label": "Obsolete <font> element (use CSS)",
   "engine": "deprecated-html",
   "tool": "deprecated-html",
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Undetermined",
   "rule_url": null,
   "severity": "Moderate",
   "priority": "p3",
   "confidence": "high",
   "rationale": "worsening trend",
   "trend": {
    "status": "worsening",
    "first_observed": "2026-W24",
    "last_observed": "2026-W25",
    "weeks_observed": 2,
    "affected_pages_current": 10,
    "affected_pages_previous": 2
   },
   "frequency": {
    "instances": 25,
    "pages_affected": 10,
    "total_pages_scanned": 8304
   },
   "on_key_page": false,
   "summary": "Obsolete <font> element (use CSS) (WCAG criterion undetermined)",
   "description": "Obsolete <font> element (use CSS). Detected by deprecated-html rule font-element on 10 of 8304 scanned pages (25 instances).",
   "remediation_tip": null,
   "suggested_fix": "Not captured by automated scan — requires manual testing.",
   "expected_behavior": "Element passes deprecated-html rule font-element.",
   "actual_behavior": "Obsolete <font> element (use CSS). Detected by deprecated-html rule font-element on 10 of 8304 scanned pages (25 instances).",
   "testing_environment": "Automated: deprecated-html, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "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"
   ],
   "html_fragments": [
    {
     "fingerprint": "0084a027",
     "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>",
     "selectors": [
      "font"
     ]
    },
    {
     "fingerprint": "3be8bf2e",
     "html": "<font color=\"FF0000\">50</font>",
     "selectors": [
      "font"
     ]
    },
    {
     "fingerprint": "d82dc94f",
     "html": "<font color=\"FF0000\">20</font>",
     "selectors": [
      "font"
     ]
    }
   ],
   "url_patterns": [
    {
     "pattern": "/medicare-coverage-database/view/ncacal-decision-memo.aspx",
     "count": 4
    },
    {
     "pattern": "/medicare-coverage-database/view/medcac-meeting.aspx",
     "count": 3
    },
    {
     "pattern": "/medicare-coverage-database/view/ncd.aspx",
     "count": 3
    }
   ],
   "associated_technologies": [],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   }
  },
  {
   "finding_id": "VS-4c341c77",
   "fingerprint": "aada626a",
   "rule_id": "sia-r85",
   "rule_label": "Keyboard trap does not exist",
   "engine": "alfa",
   "tool": "Siteimprove Alfa",
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Undetermined",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r85",
   "severity": "Moderate",
   "priority": "p3",
   "confidence": "medium",
   "rationale": "persistent across weeks",
   "trend": {
    "status": "persistent",
    "first_observed": "2026-W25",
    "last_observed": "2026-W25",
    "weeks_observed": 1,
    "affected_pages_current": 8,
    "affected_pages_previous": null
   },
   "frequency": {
    "instances": 68,
    "pages_affected": 8,
    "total_pages_scanned": 8304
   },
   "on_key_page": false,
   "summary": "Keyboard trap does not exist (WCAG criterion undetermined)",
   "description": "Keyboard trap does not exist. Detected by Siteimprove Alfa rule sia-r85 on 8 of 8304 scanned pages (68 instances).",
   "remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r85",
   "expected_behavior": "Element passes Siteimprove Alfa rule sia-r85.",
   "actual_behavior": "Keyboard trap does not exist. Detected by Siteimprove Alfa rule sia-r85 on 8 of 8304 scanned pages (68 instances).",
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "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"
   ],
   "html_fragments": [],
   "url_patterns": [
    {
     "pattern": "/medicare-coverage-database/view/ncacal-decision-memo.aspx",
     "count": 4
    },
    {
     "pattern": "/medicare-coverage-database/view/ncd.aspx",
     "count": 2
    },
    {
     "pattern": "/medicare-coverage-database/view/ncacal-public-comments.aspx",
     "count": 1
    }
   ],
   "associated_technologies": [],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   }
  },
  {
   "finding_id": "VS-efd91fdd",
   "fingerprint": "12434796",
   "rule_id": "sia-r62",
   "rule_label": "Link in text block is visually distinguishable without color",
   "engine": "alfa",
   "tool": "Siteimprove Alfa",
   "wcag_sc": "1.4.1",
   "wcag_name": "Use of Color",
   "wcag_level": "A",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.0 A",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r62",
   "severity": "Moderate",
   "priority": "p3",
   "confidence": "low",
   "rationale": "persistent across weeks",
   "trend": {
    "status": "persistent",
    "first_observed": "2026-W24",
    "last_observed": "2026-W25",
    "weeks_observed": 2,
    "affected_pages_current": 2,
    "affected_pages_previous": 6
   },
   "frequency": {
    "instances": 2,
    "pages_affected": 2,
    "total_pages_scanned": 8304
   },
   "on_key_page": false,
   "summary": "Link in text block is visually distinguishable without color (WCAG 1.4.1)",
   "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).",
   "remediation_tip": "Make links visually distinguishable from surrounding text (not by color alone).",
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r62",
   "expected_behavior": "Element passes Siteimprove Alfa rule sia-r62 (WCAG 1.4.1).",
   "actual_behavior": "Link in text block is visually distinguishable without color. Detected by Siteimprove Alfa rule sia-r62 on 2 of 8304 scanned pages (2 instances).",
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "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"
   ],
   "html_fragments": [],
   "url_patterns": [
    {
     "pattern": "/medicare-coverage-database/view/article.aspx",
     "count": 1
    },
    {
     "pattern": "/medicare-coverage-database/overview-and-quick-search.aspx",
     "count": 1
    }
   ],
   "associated_technologies": [],
   "impact": {
    "groups": [
     {
      "code": "WPC",
      "group": "Without color perception",
      "prevalence": 0.045,
      "percent": "4.5%",
      "estimatedExcluded": null
     },
     {
      "code": "LV",
      "group": "Limited vision",
      "prevalence": 0.024,
      "percent": "2.4%",
      "estimatedExcluded": null
     }
    ],
    "summary": "Affects Without color perception (4.5%), Limited vision (2.4%)."
   }
  },
  {
   "finding_id": "VS-28ebd979",
   "fingerprint": "032345cc",
   "rule_id": "sia-r11",
   "rule_label": "Link has accessible name",
   "engine": "alfa",
   "tool": "Siteimprove Alfa",
   "wcag_sc": "2.4.4",
   "wcag_name": "Link Purpose (In Context)",
   "wcag_level": "A",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.0 A",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r11",
   "severity": "Moderate",
   "priority": "p3",
   "confidence": "low",
   "rationale": "persistent across weeks",
   "trend": {
    "status": "persistent",
    "first_observed": "2026-W24",
    "last_observed": "2026-W25",
    "weeks_observed": 2,
    "affected_pages_current": 2,
    "affected_pages_previous": null
   },
   "frequency": {
    "instances": 4,
    "pages_affected": 2,
    "total_pages_scanned": 8304
   },
   "on_key_page": false,
   "summary": "Link has accessible name (WCAG 2.4.4)",
   "description": "Link has accessible name. Detected by Siteimprove Alfa rule sia-r11 on 2 of 8304 scanned pages (4 instances).",
   "remediation_tip": "Give the link an accessible name via text content or aria-label.",
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r11",
   "expected_behavior": "Element passes Siteimprove Alfa rule sia-r11 (WCAG 2.4.4).",
   "actual_behavior": "Link has accessible name. Detected by Siteimprove Alfa rule sia-r11 on 2 of 8304 scanned pages (4 instances).",
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "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_fragments": [],
   "url_patterns": [
    {
     "pattern": "/medicare-coverage-database/view/ncacal-decision-memo.aspx",
     "count": 1
    },
    {
     "pattern": "/medicare-coverage-database/view/medicare-coverage-document.aspx",
     "count": 1
    }
   ],
   "associated_technologies": [],
   "impact": {
    "groups": [
     {
      "code": "WV",
      "group": "Without vision",
      "prevalence": 0.01,
      "percent": "1.0%",
      "estimatedExcluded": null
     },
     {
      "code": "LV",
      "group": "Limited vision",
      "prevalence": 0.024,
      "percent": "2.4%",
      "estimatedExcluded": null
     },
     {
      "code": "LCLA",
      "group": "Limited cognitive, language, or learning ability",
      "prevalence": 0.11,
      "percent": "11.0%",
      "estimatedExcluded": null
     }
    ],
    "summary": "Affects Without vision (1.0%), Limited vision (2.4%), Limited cognitive, language, or learning ability (11.0%)."
   }
  },
  {
   "finding_id": "VS-8806389c",
   "fingerprint": "ffb2ae06",
   "rule_id": "landmark-unique",
   "rule_label": "Landmarks should have a unique role or role/label/title (i.e. accessible name) c",
   "engine": "axe-core",
   "tool": "axe-core",
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Best Practice",
   "rule_url": "https://dequeuniversity.com/rules/axe/4.12/landmark-unique?application=axeAPI",
   "severity": "Moderate",
   "priority": "p3",
   "confidence": "low",
   "rationale": "persistent across weeks",
   "trend": {
    "status": "persistent",
    "first_observed": "2026-W25",
    "last_observed": "2026-W25",
    "weeks_observed": 1,
    "affected_pages_current": 2,
    "affected_pages_previous": 2
   },
   "frequency": {
    "instances": 2,
    "pages_affected": 2,
    "total_pages_scanned": 8304
   },
   "on_key_page": false,
   "summary": "Landmarks should have a unique role or role/label/title (i.e. accessible name) c (WCAG criterion undetermined)",
   "description": "Landmarks should have a unique role or role/label/title (i.e. accessible name) c. Detected by axe-core rule landmark-unique on 2 of 8304 scanned pages (2 instances).",
   "remediation_tip": "When a landmark role/type repeats (e.g. two <nav>s), give each a distinct accessible name with aria-label or aria-labelledby (e.g. \"Primary\" and \"Footer\" navigation) so screen-reader users can tell them apart.",
   "suggested_fix": "See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/landmark-unique?application=axeAPI",
   "expected_behavior": "Element passes axe-core rule landmark-unique.",
   "actual_behavior": "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).",
   "testing_environment": "Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "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"
   ],
   "html_fragments": [
    {
     "fingerprint": "e57225b8",
     "html": "<div role=\"region\">",
     "selectors": [
      ".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\"]"
     ]
    },
    {
     "fingerprint": "dec3342e",
     "html": "<main>",
     "selectors": [
      "main"
     ]
    }
   ],
   "url_patterns": [
    {
     "pattern": "/priorities/health-equity/minority-health/resource-center/webinars-trainings/coverage-care-c2c-webinars",
     "count": 1
    },
    {
     "pattern": "/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNProducts/EnrollmentResources/provider-resources/provider-enrolment/Med-Prov-Enroll-MLN9658742.html",
     "count": 1
    }
   ],
   "associated_technologies": [],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   }
  },
  {
   "finding_id": "VS-f155eeec",
   "fingerprint": "1f731ac3",
   "rule_id": "sia-r110",
   "rule_label": "Element has required parent role",
   "engine": "alfa",
   "tool": "Siteimprove Alfa",
   "wcag_sc": "1.3.1",
   "wcag_name": "Info and Relationships",
   "wcag_level": "A",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.0 A",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r110",
   "severity": "Moderate",
   "priority": "p3",
   "confidence": "low",
   "rationale": "persistent across weeks",
   "trend": {
    "status": "persistent",
    "first_observed": "2026-W25",
    "last_observed": "2026-W25",
    "weeks_observed": 1,
    "affected_pages_current": 1,
    "affected_pages_previous": null
   },
   "frequency": {
    "instances": 101,
    "pages_affected": 1,
    "total_pages_scanned": 8304
   },
   "on_key_page": false,
   "summary": "Element has required parent role (WCAG 1.3.1)",
   "description": "Element has required parent role. Detected by Siteimprove Alfa rule sia-r110 on 1 of 8304 scanned pages (101 instances).",
   "remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r110",
   "expected_behavior": "Element passes Siteimprove Alfa rule sia-r110 (WCAG 1.3.1).",
   "actual_behavior": "Element has required parent role. Detected by Siteimprove Alfa rule sia-r110 on 1 of 8304 scanned pages (101 instances).",
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "http://cms.gov/priorities/innovation/files/access-api-impl-data-access-video"
   ],
   "html_fragments": [],
   "url_patterns": [
    {
     "pattern": "/priorities/innovation/files/access-api-impl-data-access-video",
     "count": 1
    }
   ],
   "associated_technologies": [],
   "impact": {
    "groups": [
     {
      "code": "WV",
      "group": "Without vision",
      "prevalence": 0.01,
      "percent": "1.0%",
      "estimatedExcluded": null
     },
     {
      "code": "LV",
      "group": "Limited vision",
      "prevalence": 0.024,
      "percent": "2.4%",
      "estimatedExcluded": null
     },
     {
      "code": "LCLA",
      "group": "Limited cognitive, language, or learning ability",
      "prevalence": 0.11,
      "percent": "11.0%",
      "estimatedExcluded": null
     }
    ],
    "summary": "Affects Without vision (1.0%), Limited vision (2.4%), Limited cognitive, language, or learning ability (11.0%)."
   }
  },
  {
   "finding_id": "VS-33b49e3b",
   "fingerprint": "04ce6362",
   "rule_id": "sia-r76",
   "rule_label": "Info and Relationships",
   "engine": "alfa",
   "tool": "Siteimprove Alfa",
   "wcag_sc": "1.3.1",
   "wcag_name": "Info and Relationships",
   "wcag_level": "A",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.0 A",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r76",
   "severity": "Moderate",
   "priority": "p3",
   "confidence": "low",
   "rationale": "persistent across weeks",
   "trend": {
    "status": "persistent",
    "first_observed": "2026-W25",
    "last_observed": "2026-W25",
    "weeks_observed": 1,
    "affected_pages_current": 1,
    "affected_pages_previous": null
   },
   "frequency": {
    "instances": 2,
    "pages_affected": 1,
    "total_pages_scanned": 8304
   },
   "on_key_page": false,
   "summary": "Info and Relationships (WCAG 1.3.1)",
   "description": "Info and Relationships. Detected by Siteimprove Alfa rule sia-r76 on 1 of 8304 scanned pages (2 instances).",
   "remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r76",
   "expected_behavior": "Element passes Siteimprove Alfa rule sia-r76 (WCAG 1.3.1).",
   "actual_behavior": "Info and Relationships. Detected by Siteimprove Alfa rule sia-r76 on 1 of 8304 scanned pages (2 instances).",
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?ncaid=314&proposed=Y"
   ],
   "html_fragments": [],
   "url_patterns": [
    {
     "pattern": "/medicare-coverage-database/view/ncacal-decision-memo.aspx",
     "count": 1
    }
   ],
   "associated_technologies": [],
   "impact": {
    "groups": [
     {
      "code": "WV",
      "group": "Without vision",
      "prevalence": 0.01,
      "percent": "1.0%",
      "estimatedExcluded": null
     },
     {
      "code": "LV",
      "group": "Limited vision",
      "prevalence": 0.024,
      "percent": "2.4%",
      "estimatedExcluded": null
     },
     {
      "code": "LCLA",
      "group": "Limited cognitive, language, or learning ability",
      "prevalence": 0.11,
      "percent": "11.0%",
      "estimatedExcluded": null
     }
    ],
    "summary": "Affects Without vision (1.0%), Limited vision (2.4%), Limited cognitive, language, or learning ability (11.0%)."
   }
  },
  {
   "finding_id": "VS-29f9f921",
   "fingerprint": "65a386fc",
   "rule_id": "sia-r12",
   "rule_label": "Button has accessible name",
   "engine": "alfa",
   "tool": "Siteimprove Alfa",
   "wcag_sc": "4.1.2",
   "wcag_name": "Name, Role, Value",
   "wcag_level": "A",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.0 A",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r12",
   "severity": "Moderate",
   "priority": "p3",
   "confidence": "low",
   "rationale": "persistent across weeks",
   "trend": {
    "status": "persistent",
    "first_observed": "2026-W25",
    "last_observed": "2026-W25",
    "weeks_observed": 1,
    "affected_pages_current": 1,
    "affected_pages_previous": null
   },
   "frequency": {
    "instances": 3,
    "pages_affected": 1,
    "total_pages_scanned": 8304
   },
   "on_key_page": false,
   "summary": "Button has accessible name (WCAG 4.1.2)",
   "description": "Button has accessible name. Detected by Siteimprove Alfa rule sia-r12 on 1 of 8304 scanned pages (3 instances).",
   "remediation_tip": "Give the button an accessible name via text, aria-label, or aria-labelledby.",
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r12",
   "expected_behavior": "Element passes Siteimprove Alfa rule sia-r12 (WCAG 4.1.2).",
   "actual_behavior": "Button has accessible name. Detected by Siteimprove Alfa rule sia-r12 on 1 of 8304 scanned pages (3 instances).",
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "http://cms.gov/priorities/innovation/files/access-api-impl-data-access-video"
   ],
   "html_fragments": [],
   "url_patterns": [
    {
     "pattern": "/priorities/innovation/files/access-api-impl-data-access-video",
     "count": 1
    }
   ],
   "associated_technologies": [],
   "impact": {
    "groups": [
     {
      "code": "WV",
      "group": "Without vision",
      "prevalence": 0.01,
      "percent": "1.0%",
      "estimatedExcluded": null
     },
     {
      "code": "LV",
      "group": "Limited vision",
      "prevalence": 0.024,
      "percent": "2.4%",
      "estimatedExcluded": null
     },
     {
      "code": "LM",
      "group": "Limited manipulation/strength",
      "prevalence": 0.13,
      "percent": "13.0%",
      "estimatedExcluded": null
     }
    ],
    "summary": "Affects Without vision (1.0%), Limited vision (2.4%), Limited manipulation/strength (13.0%)."
   }
  },
  {
   "finding_id": "VS-a48e6078",
   "fingerprint": "2ccef0fa",
   "rule_id": "sia-r8",
   "rule_label": "Form field has accessible name",
   "engine": "alfa",
   "tool": "Siteimprove Alfa",
   "wcag_sc": "4.1.2",
   "wcag_name": "Name, Role, Value",
   "wcag_level": "A",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.0 A",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r8",
   "severity": "Moderate",
   "priority": "p3",
   "confidence": "low",
   "rationale": "persistent across weeks",
   "trend": {
    "status": "persistent",
    "first_observed": "2026-W25",
    "last_observed": "2026-W25",
    "weeks_observed": 1,
    "affected_pages_current": 1,
    "affected_pages_previous": null
   },
   "frequency": {
    "instances": 1,
    "pages_affected": 1,
    "total_pages_scanned": 8304
   },
   "on_key_page": false,
   "summary": "Form field has accessible name (WCAG 4.1.2)",
   "description": "Form field has accessible name. Detected by Siteimprove Alfa rule sia-r8 on 1 of 8304 scanned pages (1 instances).",
   "remediation_tip": "Associate the form field with a label.",
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r8",
   "expected_behavior": "Element passes Siteimprove Alfa rule sia-r8 (WCAG 4.1.2).",
   "actual_behavior": "Form field has accessible name. Detected by Siteimprove Alfa rule sia-r8 on 1 of 8304 scanned pages (1 instances).",
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "http://cms.gov/medicare/health-drug-plans/provider-complaints-form"
   ],
   "html_fragments": [],
   "url_patterns": [
    {
     "pattern": "/medicare/health-drug-plans/provider-complaints-form",
     "count": 1
    }
   ],
   "associated_technologies": [],
   "impact": {
    "groups": [
     {
      "code": "WV",
      "group": "Without vision",
      "prevalence": 0.01,
      "percent": "1.0%",
      "estimatedExcluded": null
     },
     {
      "code": "LV",
      "group": "Limited vision",
      "prevalence": 0.024,
      "percent": "2.4%",
      "estimatedExcluded": null
     },
     {
      "code": "LM",
      "group": "Limited manipulation/strength",
      "prevalence": 0.13,
      "percent": "13.0%",
      "estimatedExcluded": null
     }
    ],
    "summary": "Affects Without vision (1.0%), Limited vision (2.4%), Limited manipulation/strength (13.0%)."
   }
  },
  {
   "finding_id": "VS-6c86a43a",
   "fingerprint": "e18a49c1",
   "rule_id": "meta-viewport",
   "rule_label": "Zooming and scaling must not be disabled",
   "engine": "axe-core",
   "tool": "axe-core",
   "wcag_sc": "1.4.4",
   "wcag_name": "Resize Text",
   "wcag_level": "AA",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.0 AA",
   "rule_url": "https://dequeuniversity.com/rules/axe/4.12/meta-viewport?application=axeAPI",
   "severity": "Moderate",
   "priority": "p3",
   "confidence": "low",
   "rationale": "persistent across weeks",
   "trend": {
    "status": "persistent",
    "first_observed": "2026-W24",
    "last_observed": "2026-W25",
    "weeks_observed": 2,
    "affected_pages_current": 1,
    "affected_pages_previous": null
   },
   "frequency": {
    "instances": 1,
    "pages_affected": 1,
    "total_pages_scanned": 8304
   },
   "on_key_page": false,
   "summary": "Zooming and scaling must not be disabled (WCAG 1.4.4)",
   "description": "Zooming and scaling must not be disabled. Detected by axe-core rule meta-viewport on 1 of 8304 scanned pages (1 instances).",
   "remediation_tip": "Don't disable zoom (user-scalable=no / maximum-scale=1); low-vision users need to zoom.",
   "suggested_fix": "See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/meta-viewport?application=axeAPI",
   "expected_behavior": "Element passes axe-core rule meta-viewport (WCAG 1.4.4).",
   "actual_behavior": "Zooming and scaling must not be disabled. Detected by axe-core rule meta-viewport on 1 of 8304 scanned pages (1 instances).",
   "testing_environment": "Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "https://www.cms.gov/Outreach-and-Education/MLN/WBT/MLN3995723-MLNPartsCD/FWA/story.html"
   ],
   "html_fragments": [
    {
     "fingerprint": "e5bc0123",
     "html": "<meta name=\"viewport\" content=\"width=device-width,initial-scale=1,user-scalable=no,shrink-to-fit=no,minimal-ui\">",
     "selectors": [
      "meta[name=\"viewport\"]"
     ]
    }
   ],
   "url_patterns": [
    {
     "pattern": "/Outreach-and-Education/MLN/WBT/MLN3995723-MLNPartsCD/FWA/story.html",
     "count": 1
    }
   ],
   "associated_technologies": [],
   "impact": {
    "groups": [
     {
      "code": "LV",
      "group": "Limited vision",
      "prevalence": 0.024,
      "percent": "2.4%",
      "estimatedExcluded": null
     }
    ],
    "summary": "Affects Limited vision (2.4%)."
   }
  },
  {
   "finding_id": "VS-ff3ceb19",
   "fingerprint": "e04cf6f7",
   "rule_id": "landmark-main-is-top-level",
   "rule_label": "Main landmark should not be contained in another landmark",
   "engine": "axe-core",
   "tool": "axe-core",
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Best Practice",
   "rule_url": "https://dequeuniversity.com/rules/axe/4.12/landmark-main-is-top-level?application=axeAPI",
   "severity": "Moderate",
   "priority": "p3",
   "confidence": "low",
   "rationale": "persistent across weeks",
   "trend": {
    "status": "persistent",
    "first_observed": "2026-W25",
    "last_observed": "2026-W25",
    "weeks_observed": 1,
    "affected_pages_current": 1,
    "affected_pages_previous": null
   },
   "frequency": {
    "instances": 1,
    "pages_affected": 1,
    "total_pages_scanned": 8304
   },
   "on_key_page": false,
   "summary": "Main landmark should not be contained in another landmark (WCAG criterion undetermined)",
   "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).",
   "remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/landmark-main-is-top-level?application=axeAPI",
   "expected_behavior": "Element passes axe-core rule landmark-main-is-top-level.",
   "actual_behavior": "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).",
   "testing_environment": "Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "http://cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNProducts/EnrollmentResources/provider-resources/provider-enrolment/Med-Prov-Enroll-MLN9658742.html"
   ],
   "html_fragments": [
    {
     "fingerprint": "e5ae8e3c",
     "html": "<div id=\"NAV_MAIN\" role=\"main\">",
     "selectors": [
      "#NAV_MAIN"
     ]
    }
   ],
   "url_patterns": [
    {
     "pattern": "/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNProducts/EnrollmentResources/provider-resources/provider-enrolment/Med-Prov-Enroll-MLN9658742.html",
     "count": 1
    }
   ],
   "associated_technologies": [],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   }
  },
  {
   "finding_id": "VS-cd69be3a",
   "fingerprint": "dd1abed5",
   "rule_id": "landmark-no-duplicate-main",
   "rule_label": "Document should not have more than one main landmark",
   "engine": "axe-core",
   "tool": "axe-core",
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Best Practice",
   "rule_url": "https://dequeuniversity.com/rules/axe/4.12/landmark-no-duplicate-main?application=axeAPI",
   "severity": "Moderate",
   "priority": "p3",
   "confidence": "low",
   "rationale": "persistent across weeks",
   "trend": {
    "status": "persistent",
    "first_observed": "2026-W25",
    "last_observed": "2026-W25",
    "weeks_observed": 1,
    "affected_pages_current": 1,
    "affected_pages_previous": null
   },
   "frequency": {
    "instances": 1,
    "pages_affected": 1,
    "total_pages_scanned": 8304
   },
   "on_key_page": false,
   "summary": "Document should not have more than one main landmark (WCAG criterion undetermined)",
   "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).",
   "remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/landmark-no-duplicate-main?application=axeAPI",
   "expected_behavior": "Element passes axe-core rule landmark-no-duplicate-main.",
   "actual_behavior": "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).",
   "testing_environment": "Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "http://cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNProducts/EnrollmentResources/provider-resources/provider-enrolment/Med-Prov-Enroll-MLN9658742.html"
   ],
   "html_fragments": [
    {
     "fingerprint": "dec3342e",
     "html": "<main>",
     "selectors": [
      "main"
     ]
    }
   ],
   "url_patterns": [
    {
     "pattern": "/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNProducts/EnrollmentResources/provider-resources/provider-enrolment/Med-Prov-Enroll-MLN9658742.html",
     "count": 1
    }
   ],
   "associated_technologies": [],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   }
  },
  {
   "finding_id": "VS-e05344b9",
   "fingerprint": "9d7a222a",
   "rule_id": "sia-r18",
   "rule_label": "aria attribute is permitted for element role",
   "engine": "alfa",
   "tool": "Siteimprove Alfa",
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Undetermined",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r18",
   "severity": "Moderate",
   "priority": "p3",
   "confidence": "low",
   "rationale": "persistent across weeks",
   "trend": {
    "status": "persistent",
    "first_observed": "2026-W25",
    "last_observed": "2026-W25",
    "weeks_observed": 1,
    "affected_pages_current": 1,
    "affected_pages_previous": null
   },
   "frequency": {
    "instances": 27,
    "pages_affected": 1,
    "total_pages_scanned": 8304
   },
   "on_key_page": false,
   "summary": "aria attribute is permitted for element role (WCAG criterion undetermined)",
   "description": "aria attribute is permitted for element role. Detected by Siteimprove Alfa rule sia-r18 on 1 of 8304 scanned pages (27 instances).",
   "remediation_tip": "Only use ARIA states/properties that are allowed on this element/role.",
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r18",
   "expected_behavior": "Element passes Siteimprove Alfa rule sia-r18.",
   "actual_behavior": "aria attribute is permitted for element role. Detected by Siteimprove Alfa rule sia-r18 on 1 of 8304 scanned pages (27 instances).",
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "http://cms.gov/priorities/innovation/files/access-api-impl-data-access-video"
   ],
   "html_fragments": [],
   "url_patterns": [
    {
     "pattern": "/priorities/innovation/files/access-api-impl-data-access-video",
     "count": 1
    }
   ],
   "associated_technologies": [],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   }
  },
  {
   "finding_id": "VS-66d5b8b4",
   "fingerprint": "e6d1b411",
   "rule_id": "sia-r21",
   "rule_label": "Element has valid WAI-ARIA role",
   "engine": "alfa",
   "tool": "Siteimprove Alfa",
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Undetermined",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r21",
   "severity": "Moderate",
   "priority": "p3",
   "confidence": "low",
   "rationale": "persistent across weeks",
   "trend": {
    "status": "persistent",
    "first_observed": "2026-W25",
    "last_observed": "2026-W25",
    "weeks_observed": 1,
    "affected_pages_current": 1,
    "affected_pages_previous": null
   },
   "frequency": {
    "instances": 101,
    "pages_affected": 1,
    "total_pages_scanned": 8304
   },
   "on_key_page": false,
   "summary": "Element has valid WAI-ARIA role (WCAG criterion undetermined)",
   "description": "Element has valid WAI-ARIA role. Detected by Siteimprove Alfa rule sia-r21 on 1 of 8304 scanned pages (101 instances).",
   "remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r21",
   "expected_behavior": "Element passes Siteimprove Alfa rule sia-r21.",
   "actual_behavior": "Element has valid WAI-ARIA role. Detected by Siteimprove Alfa rule sia-r21 on 1 of 8304 scanned pages (101 instances).",
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "http://cms.gov/priorities/innovation/files/access-api-impl-data-access-video"
   ],
   "html_fragments": [],
   "url_patterns": [
    {
     "pattern": "/priorities/innovation/files/access-api-impl-data-access-video",
     "count": 1
    }
   ],
   "associated_technologies": [],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   }
  },
  {
   "finding_id": "VS-aa242c2d",
   "fingerprint": "9bf7674d",
   "rule_id": "sia-r87",
   "rule_label": "First focusable element is link to main content",
   "engine": "alfa",
   "tool": "Siteimprove Alfa",
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Undetermined",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r87",
   "severity": "Moderate",
   "priority": "p3",
   "confidence": "low",
   "rationale": "persistent across weeks",
   "trend": {
    "status": "persistent",
    "first_observed": "2026-W25",
    "last_observed": "2026-W25",
    "weeks_observed": 1,
    "affected_pages_current": 1,
    "affected_pages_previous": null
   },
   "frequency": {
    "instances": 1,
    "pages_affected": 1,
    "total_pages_scanned": 8304
   },
   "on_key_page": false,
   "summary": "First focusable element is link to main content (WCAG criterion undetermined)",
   "description": "First focusable element is link to main content. Detected by Siteimprove Alfa rule sia-r87 on 1 of 8304 scanned pages (1 instances).",
   "remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r87",
   "expected_behavior": "Element passes Siteimprove Alfa rule sia-r87.",
   "actual_behavior": "First focusable element is link to main content. Detected by Siteimprove Alfa rule sia-r87 on 1 of 8304 scanned pages (1 instances).",
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "http://cms.gov/priorities/innovation/files/access-api-impl-data-access-video"
   ],
   "html_fragments": [],
   "url_patterns": [
    {
     "pattern": "/priorities/innovation/files/access-api-impl-data-access-video",
     "count": 1
    }
   ],
   "associated_technologies": [],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   }
  },
  {
   "finding_id": "VS-d69fc059",
   "fingerprint": "c827d812",
   "rule_id": "empty-table-header",
   "rule_label": "Table header text should not be empty",
   "engine": "axe-core",
   "tool": "axe-core",
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Best Practice",
   "rule_url": "https://dequeuniversity.com/rules/axe/4.12/empty-table-header?application=axeAPI",
   "severity": "Minor",
   "priority": "p4",
   "confidence": "high",
   "rationale": "persistent across weeks",
   "trend": {
    "status": "persistent",
    "first_observed": "2026-W24",
    "last_observed": "2026-W25",
    "weeks_observed": 2,
    "affected_pages_current": 22,
    "affected_pages_previous": 28
   },
   "frequency": {
    "instances": 67,
    "pages_affected": 22,
    "total_pages_scanned": 8304
   },
   "on_key_page": false,
   "summary": "Table header text should not be empty (WCAG criterion undetermined)",
   "description": "Table header text should not be empty. Detected by axe-core rule empty-table-header on 22 of 8304 scanned pages (67 instances).",
   "remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/empty-table-header?application=axeAPI",
   "expected_behavior": "Element passes axe-core rule empty-table-header.",
   "actual_behavior": "Table header text should not be empty. Detected by axe-core rule empty-table-header on 22 of 8304 scanned pages (67 instances).",
   "testing_environment": "Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "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"
   ],
   "html_fragments": [
    {
     "fingerprint": "a4a1a7cc",
     "html": "<th></th>",
     "selectors": [
      "div[align=\"center\"] > table > tbody:nth-child(1) > tr > th",
      "table[cellspacing=\"10\"]:nth-child(69) > tbody:nth-child(1) > tr > th:nth-child(1)"
     ]
    },
    {
     "fingerprint": "43aeeac2",
     "html": "<th scope=\"col\">&nbsp;</th>",
     "selectors": [
      "table[cellspacing=\"0\"][cellpadding=\"7\"][border=\"1\"]:nth-child(42) > tbody > tr:nth-child(1) > th:nth-child(1)"
     ]
    },
    {
     "fingerprint": "22d47448",
     "html": "<th colspan=\"3\">\n\t</th>",
     "selectors": [
      "tr:nth-child(4) > th"
     ]
    }
   ],
   "url_patterns": [
    {
     "pattern": "/medicare-coverage-database/view/ncacal-decision-memo.aspx",
     "count": 8
    },
    {
     "pattern": "/medicare-coverage-database/view/medcac-meeting.aspx",
     "count": 7
    },
    {
     "pattern": "/medicare-coverage-database/view/article.aspx",
     "count": 4
    }
   ],
   "associated_technologies": [],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   }
  },
  {
   "finding_id": "VS-4fac2f41",
   "fingerprint": "550210da",
   "rule_id": "aria-allowed-role",
   "rule_label": "ARIA role should be appropriate for the element",
   "engine": "axe-core",
   "tool": "axe-core",
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Best Practice",
   "rule_url": "https://dequeuniversity.com/rules/axe/4.12/aria-allowed-role?application=axeAPI",
   "severity": "Minor",
   "priority": "p4",
   "confidence": "low",
   "rationale": "persistent across weeks",
   "trend": {
    "status": "persistent",
    "first_observed": "2026-W24",
    "last_observed": "2026-W25",
    "weeks_observed": 2,
    "affected_pages_current": 1,
    "affected_pages_previous": null
   },
   "frequency": {
    "instances": 1,
    "pages_affected": 1,
    "total_pages_scanned": 8304
   },
   "on_key_page": false,
   "summary": "ARIA role should be appropriate for the element (WCAG criterion undetermined)",
   "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).",
   "remediation_tip": "Remove or change the ARIA role — it isn't allowed on this element type.",
   "suggested_fix": "See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/aria-allowed-role?application=axeAPI",
   "expected_behavior": "Element passes axe-core rule aria-allowed-role.",
   "actual_behavior": "ARIA role should be appropriate for the element. Detected by axe-core rule aria-allowed-role on 1 of 8304 scanned pages (1 instances).",
   "testing_environment": "Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "https://www.cms.gov/Outreach-and-Education/MLN/WBT/MLN3995723-MLNPartsCD/FWA/story.html"
   ],
   "html_fragments": [
    {
     "fingerprint": "9babe971",
     "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",
     "selectors": [
      "body"
     ]
    }
   ],
   "url_patterns": [
    {
     "pattern": "/Outreach-and-Education/MLN/WBT/MLN3995723-MLNPartsCD/FWA/story.html",
     "count": 1
    }
   ],
   "associated_technologies": [],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   }
  }
 ],
 "clusters": {
  "by_wcag_criterion": [
   {
    "cluster_id": "140fec0b",
    "type": "wcag_criterion",
    "wcag_sc": "1.4.8",
    "wcag_name": "Visual Presentation",
    "wcag_level": "AAA",
    "findings": [
     "VS-2208081b",
     "VS-fbf54eba",
     "VS-388b5438",
     "VS-48291402"
    ],
    "total_pages_affected": 4117,
    "max_severity": "Moderate"
   },
   {
    "cluster_id": "b393058c",
    "type": "wcag_criterion",
    "wcag_sc": "2.5.5",
    "wcag_name": "Target Size (Enhanced)",
    "wcag_level": "AAA",
    "findings": [
     "VS-cb53cc4d"
    ],
    "total_pages_affected": 2811,
    "max_severity": "Moderate"
   },
   {
    "cluster_id": "75cf28e4",
    "type": "wcag_criterion",
    "wcag_sc": null,
    "wcag_name": null,
    "wcag_level": null,
    "findings": [
     "VS-7118fead"
    ],
    "total_pages_affected": 2715,
    "max_severity": "Moderate"
   },
   {
    "cluster_id": "71f257a8",
    "type": "wcag_criterion",
    "wcag_sc": "1.4.6",
    "wcag_name": "Contrast (Enhanced)",
    "wcag_level": "AAA",
    "findings": [
     "VS-646b1e0b"
    ],
    "total_pages_affected": 1184,
    "max_severity": "Moderate"
   },
   {
    "cluster_id": "fd9ed1c5",
    "type": "wcag_criterion",
    "wcag_sc": "2.5.3",
    "wcag_name": "Label in Name",
    "wcag_level": "A",
    "findings": [
     "VS-f7dba940"
    ],
    "total_pages_affected": 1179,
    "max_severity": "Moderate"
   },
   {
    "cluster_id": "b05da4e9",
    "type": "wcag_criterion",
    "wcag_sc": null,
    "wcag_name": null,
    "wcag_level": null,
    "findings": [
     "VS-f054f4a4"
    ],
    "total_pages_affected": 1116,
    "max_severity": "Moderate"
   },
   {
    "cluster_id": "423bd52e",
    "type": "wcag_criterion",
    "wcag_sc": "1.3.1",
    "wcag_name": "Info and Relationships",
    "wcag_level": "A",
    "findings": [
     "VS-a0bdbdf6",
     "VS-6175596b",
     "VS-07ba3b17",
     "VS-4bcaa7bf",
     "VS-4408605e",
     "VS-d6097011",
     "VS-3c632d31",
     "VS-3f067795",
     "VS-f155eeec",
     "VS-33b49e3b"
    ],
    "total_pages_affected": 1011,
    "max_severity": "Serious"
   },
   {
    "cluster_id": "36ac08de",
    "type": "wcag_criterion",
    "wcag_sc": null,
    "wcag_name": null,
    "wcag_level": null,
    "findings": [
     "VS-c18be945"
    ],
    "total_pages_affected": 1011,
    "max_severity": "Moderate"
   },
   {
    "cluster_id": "24c4a455",
    "type": "wcag_criterion",
    "wcag_sc": "2.5.8",
    "wcag_name": "Target Size (Minimum)",
    "wcag_level": "AA",
    "findings": [
     "VS-179ad9b3"
    ],
    "total_pages_affected": 659,
    "max_severity": "Moderate"
   },
   {
    "cluster_id": "4b43ba23",
    "type": "wcag_criterion",
    "wcag_sc": null,
    "wcag_name": null,
    "wcag_level": null,
    "findings": [
     "VS-2cd767ca"
    ],
    "total_pages_affected": 653,
    "max_severity": "Moderate"
   },
   {
    "cluster_id": "77bde739",
    "type": "wcag_criterion",
    "wcag_sc": "1.4.1",
    "wcag_name": "Use of Color",
    "wcag_level": "A",
    "findings": [
     "VS-8ade3360",
     "VS-efd91fdd"
    ],
    "total_pages_affected": 505,
    "max_severity": "Serious"
   },
   {
    "cluster_id": "945c7205",
    "type": "wcag_criterion",
    "wcag_sc": "1.1.1",
    "wcag_name": "Non-text Content",
    "wcag_level": "A",
    "findings": [
     "VS-9074b4dd",
     "VS-a24eaa8c"
    ],
    "total_pages_affected": 369,
    "max_severity": "Critical"
   },
   {
    "cluster_id": "8af1f05d",
    "type": "wcag_criterion",
    "wcag_sc": "3.1.1",
    "wcag_name": "Language of Page",
    "wcag_level": "A",
    "findings": [
     "VS-c126b6a6",
     "VS-7a0e5645"
    ],
    "total_pages_affected": 369,
    "max_severity": "Serious"
   },
   {
    "cluster_id": "e08c8d69",
    "type": "wcag_criterion",
    "wcag_sc": null,
    "wcag_name": null,
    "wcag_level": null,
    "findings": [
     "VS-d25f622d"
    ],
    "total_pages_affected": 365,
    "max_severity": "Moderate"
   },
   {
    "cluster_id": "7774d667",
    "type": "wcag_criterion",
    "wcag_sc": null,
    "wcag_name": null,
    "wcag_level": null,
    "findings": [
     "VS-0066c67d"
    ],
    "total_pages_affected": 286,
    "max_severity": "Minor"
   },
   {
    "cluster_id": "0649d9b9",
    "type": "wcag_criterion",
    "wcag_sc": null,
    "wcag_name": null,
    "wcag_level": null,
    "findings": [
     "VS-f18df681"
    ],
    "total_pages_affected": 275,
    "max_severity": "Moderate"
   },
   {
    "cluster_id": "91fd3b4c",
    "type": "wcag_criterion",
    "wcag_sc": null,
    "wcag_name": null,
    "wcag_level": null,
    "findings": [
     "VS-d5d82446"
    ],
    "total_pages_affected": 274,
    "max_severity": "Moderate"
   },
   {
    "cluster_id": "d68f5631",
    "type": "wcag_criterion",
    "wcag_sc": "1.4.3",
    "wcag_name": "Contrast (Minimum)",
    "wcag_level": "AA",
    "findings": [
     "VS-be8d563e",
     "VS-f7e99f4b"
    ],
    "total_pages_affected": 122,
    "max_severity": "Serious"
   },
   {
    "cluster_id": "05fbc261",
    "type": "wcag_criterion",
    "wcag_sc": null,
    "wcag_name": null,
    "wcag_level": null,
    "findings": [
     "VS-bd13f00a"
    ],
    "total_pages_affected": 119,
    "max_severity": "Serious"
   },
   {
    "cluster_id": "66669a92",
    "type": "wcag_criterion",
    "wcag_sc": null,
    "wcag_name": null,
    "wcag_level": null,
    "findings": [
     "VS-04a9d28c"
    ],
    "total_pages_affected": 115,
    "max_severity": "Moderate"
   }
  ],
  "by_url_pattern": [
   {
    "cluster_id": "034daebc",
    "type": "url_pattern",
    "pattern": "/medicare-coverage-database/view/ncacal-decision-memo.aspx",
    "findings": [
     "VS-6175596b",
     "VS-c613c153",
     "VS-0ba8ce9d",
     "VS-f2542d87",
     "VS-3d033717",
     "VS-3f067795",
     "VS-91d2294a",
     "VS-4c341c77",
     "VS-28ebd979",
     "VS-33b49e3b",
     "VS-d69fc059"
    ],
    "total_pages": 78
   },
   {
    "cluster_id": "64453d83",
    "type": "url_pattern",
    "pattern": "/medicare-coverage-database/view/article.aspx",
    "findings": [
     "VS-388b5438",
     "VS-48291402",
     "VS-f7e99f4b",
     "VS-efd91fdd"
    ],
    "total_pages": 47
   },
   {
    "cluster_id": "081c0dd5",
    "type": "url_pattern",
    "pattern": "/medicare-coverage-database/view/medcac-meeting.aspx",
    "findings": [
     "VS-6175596b",
     "VS-3d033717",
     "VS-91d2294a",
     "VS-d69fc059"
    ],
    "total_pages": 22
   },
   {
    "cluster_id": "c3b53ec9",
    "type": "url_pattern",
    "pattern": "/medicare-coverage-database/view/ncd.aspx",
    "findings": [
     "VS-91d2294a",
     "VS-4c341c77"
    ],
    "total_pages": 5
   },
   {
    "cluster_id": "ce90c1fb",
    "type": "url_pattern",
    "pattern": "/priorities/innovation/files/access-api-impl-data-access-video",
    "findings": [
     "VS-f155eeec",
     "VS-29f9f921",
     "VS-e05344b9",
     "VS-66d5b8b4",
     "VS-aa242c2d"
    ],
    "total_pages": 5
   },
   {
    "cluster_id": "5663651c",
    "type": "url_pattern",
    "pattern": "/medicare/health-drug-plans/provider-complaints-form",
    "findings": [
     "VS-1467ea8a",
     "VS-a48e6078"
    ],
    "total_pages": 3
   },
   {
    "cluster_id": "cb165fca",
    "type": "url_pattern",
    "pattern": "/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNProducts/EnrollmentResources/provider-resources/provider-enrolment/Med-Prov-Enroll-MLN9658742.html",
    "findings": [
     "VS-8806389c",
     "VS-ff3ceb19",
     "VS-cd69be3a"
    ],
    "total_pages": 3
   },
   {
    "cluster_id": "cca0bd08",
    "type": "url_pattern",
    "pattern": "/Outreach-and-Education/MLN/WBT/MLN3995723-MLNPartsCD/FWA/story.html",
    "findings": [
     "VS-6c86a43a",
     "VS-4fac2f41"
    ],
    "total_pages": 2
   }
  ]
 },
 "technology_findings": [
  {
   "technology": "reCAPTCHA",
   "finding": "alfa:sia-r46",
   "lift": 2.33,
   "pages_with_both": 22,
   "technology_pages": 199,
   "interpretation": "Pages using reCAPTCHA are 2.33× more likely to have finding alfa:sia-r46."
  },
  {
   "technology": "reCAPTCHA",
   "finding": "alfa:sia-r80",
   "lift": 2.33,
   "pages_with_both": 10,
   "technology_pages": 199,
   "interpretation": "Pages using reCAPTCHA are 2.33× more likely to have finding alfa:sia-r80."
  },
  {
   "technology": "reCAPTCHA",
   "finding": "axe:link-in-text-block",
   "lift": 2.19,
   "pages_with_both": 31,
   "technology_pages": 199,
   "interpretation": "Pages using reCAPTCHA are 2.19× more likely to have finding axe:link-in-text-block."
  },
  {
   "technology": "reCAPTCHA",
   "finding": "alfa:sia-r74",
   "lift": 2.14,
   "pages_with_both": 98,
   "technology_pages": 199,
   "interpretation": "Pages using reCAPTCHA are 2.14× more likely to have finding alfa:sia-r74."
  },
  {
   "technology": "reCAPTCHA",
   "finding": "alfa:sia-r14",
   "lift": 2.14,
   "pages_with_both": 98,
   "technology_pages": 199,
   "interpretation": "Pages using reCAPTCHA are 2.14× more likely to have finding alfa:sia-r14."
  },
  {
   "technology": "Bootstrap",
   "finding": "alfa:sia-r74",
   "lift": 2.13,
   "pages_with_both": 107,
   "technology_pages": 218,
   "interpretation": "Pages using Bootstrap are 2.13× more likely to have finding alfa:sia-r74."
  },
  {
   "technology": "Bootstrap",
   "finding": "alfa:sia-r14",
   "lift": 2.13,
   "pages_with_both": 107,
   "technology_pages": 218,
   "interpretation": "Pages using Bootstrap are 2.13× more likely to have finding alfa:sia-r14."
  },
  {
   "technology": "Microsoft ASP.NET",
   "finding": "alfa:sia-r74",
   "lift": 2.13,
   "pages_with_both": 107,
   "technology_pages": 218,
   "interpretation": "Pages using Microsoft ASP.NET are 2.13× more likely to have finding alfa:sia-r74."
  },
  {
   "technology": "Microsoft ASP.NET",
   "finding": "alfa:sia-r14",
   "lift": 2.13,
   "pages_with_both": 107,
   "technology_pages": 218,
   "interpretation": "Pages using Microsoft ASP.NET are 2.13× more likely to have finding alfa:sia-r14."
  },
  {
   "technology": "Bootstrap",
   "finding": "axe:link-in-text-block",
   "lift": 2.13,
   "pages_with_both": 33,
   "technology_pages": 218,
   "interpretation": "Pages using Bootstrap are 2.13× more likely to have finding axe:link-in-text-block."
  },
  {
   "technology": "Microsoft ASP.NET",
   "finding": "axe:link-in-text-block",
   "lift": 2.13,
   "pages_with_both": 33,
   "technology_pages": 218,
   "interpretation": "Pages using Microsoft ASP.NET are 2.13× more likely to have finding axe:link-in-text-block."
  },
  {
   "technology": "Bootstrap",
   "finding": "alfa:sia-r46",
   "lift": 2.13,
   "pages_with_both": 22,
   "technology_pages": 218,
   "interpretation": "Pages using Bootstrap are 2.13× more likely to have finding alfa:sia-r46."
  },
  {
   "technology": "Microsoft ASP.NET",
   "finding": "alfa:sia-r46",
   "lift": 2.13,
   "pages_with_both": 22,
   "technology_pages": 218,
   "interpretation": "Pages using Microsoft ASP.NET are 2.13× more likely to have finding alfa:sia-r46."
  },
  {
   "technology": "Bootstrap",
   "finding": "alfa:sia-r80",
   "lift": 2.13,
   "pages_with_both": 10,
   "technology_pages": 218,
   "interpretation": "Pages using Bootstrap are 2.13× more likely to have finding alfa:sia-r80."
  },
  {
   "technology": "Microsoft ASP.NET",
   "finding": "alfa:sia-r80",
   "lift": 2.13,
   "pages_with_both": 10,
   "technology_pages": 218,
   "interpretation": "Pages using Microsoft ASP.NET are 2.13× more likely to have finding alfa:sia-r80."
  }
 ],
 "third_party_findings": [
  {
   "origin": "gstatic.com",
   "pages_served": 361,
   "pages_with_findings": 239,
   "finding_co_occurrence_rate": 0.66,
   "median_bytes": 1676218,
   "example_pages": [
    "http://www.cms.gov/medicare-coverage-database/view/medcac-meeting.aspx?bc=15&medcacid=30&sortBy=meetingdate&year=all",
    "http://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=59597&articleStatus=all&bc=4&contractorName=all&contractorNumber=all&sortBy=title&ver=3",
    "http://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=52754&articleStatus=all&bc=4&contractorName=all&contractorNumber=all&sortBy=title&ver=6"
   ]
  },
  {
   "origin": "google.com",
   "pages_served": 361,
   "pages_with_findings": 239,
   "finding_co_occurrence_rate": 0.66,
   "median_bytes": 41902,
   "example_pages": [
    "http://www.cms.gov/medicare-coverage-database/view/medcac-meeting.aspx?bc=15&medcacid=30&sortBy=meetingdate&year=all",
    "http://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=59597&articleStatus=all&bc=4&contractorName=all&contractorNumber=all&sortBy=title&ver=3",
    "http://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=52754&articleStatus=all&bc=4&contractorName=all&contractorNumber=all&sortBy=title&ver=6"
   ]
  },
  {
   "origin": "youtube.com",
   "pages_served": 449,
   "pages_with_findings": 235,
   "finding_co_occurrence_rate": 0.52,
   "median_bytes": 9835,
   "example_pages": [
    "https://www.cms.gov/medicare/regulations-guidance/transmittals/2013-transmittals?items_per_page=25&order=field_dyna_release_date&page=5&sort=asc",
    "https://cms.gov/medicare/coding-billing/ncci-medicaid/medicaid-ncci-edit-files",
    "https://www.cms.gov/medicare/regulations-guidance/transmittals/2017-transmittals?items_per_page=25&order=field_dyna_pe_number&page=2&sort=desc"
   ]
  },
  {
   "origin": "qualtrics.com",
   "pages_served": 447,
   "pages_with_findings": 233,
   "finding_co_occurrence_rate": 0.52,
   "median_bytes": 878591,
   "example_pages": [
    "https://www.cms.gov/medicare/regulations-guidance/transmittals/2013-transmittals?items_per_page=25&order=field_dyna_release_date&page=5&sort=asc",
    "https://cms.gov/medicare/coding-billing/ncci-medicaid/medicaid-ncci-edit-files",
    "https://www.cms.gov/medicare/regulations-guidance/transmittals/2017-transmittals?items_per_page=25&order=field_dyna_pe_number&page=2&sort=desc"
   ]
  },
  {
   "origin": "googletagmanager.com",
   "pages_served": 447,
   "pages_with_findings": 233,
   "finding_co_occurrence_rate": 0.52,
   "median_bytes": 152741,
   "example_pages": [
    "https://www.cms.gov/medicare/regulations-guidance/transmittals/2013-transmittals?items_per_page=25&order=field_dyna_release_date&page=5&sort=asc",
    "https://cms.gov/medicare/coding-billing/ncci-medicaid/medicaid-ncci-edit-files",
    "https://www.cms.gov/medicare/regulations-guidance/transmittals/2017-transmittals?items_per_page=25&order=field_dyna_pe_number&page=2&sort=desc"
   ]
  }
 ],
 "metadata": {
  "generator": "vital-core",
  "schema_version": "0.1",
  "total_pages_scanned": 8304,
  "notes": [
   "Healthy pages (no known issues) are intentionally excluded.",
   "Representative examples are used instead of complete occurrence lists.",
   "Fingerprints are stable hashes for tracking recurring patterns over time.",
   "Fragment fingerprints normalize volatile attributes (id, style, data-*) before hashing.",
   "Technology lift values indicate association, not causation.",
   "Confidence reflects sample size: high=10+ affected pages, medium=3-9, low=1-2."
  ]
 }
}