{ "domain": "www.healthcare.gov", "week": "2026-W25", "generatedAt": "2026-07-12T18:37:47.790Z", "reports": [ { "instance_id": "VS-67fd8a63", "pattern_id": "VS-179ad9b3", "a11y_pattern_fingerprint": "30cf36a0a4fc5d03dd37ab3a4d3909064b7e86d3817def5bf862061cd44de55d", "a11y_pattern_display_id": "A11Y-PAT-30CF36A0A4FC", "a11y_occurrence_fingerprint": "84d30aa4497d6204da38ae8a0a3c439964af5b4cbad9331d1b7cea657212273a", "a11y_occurrence_display_id": "A11Y-OCC-84D30AA4497D", "url": "https://www.healthcare.gov/glossary/grievance", "xpath": "", "html_snippet": null, "wcag_sc": "2.5.8", "wcag_name": "Target Size (Minimum)", "wcag_level": "AA", "wcag_version": "2.2", "wcag_category": "WCAG 2.2 AA", "evidence_status": "automated-indicator", "rule_id": "sia-r113", "rule_label": "Target size is at least 24×24 CSS pixels or has spacing (Minimum)", "engine_key": "alfa", "tool": "Siteimprove Alfa", "rule_url": "https://alfa.siteimprove.com/rules/sia-r113", "severity": "Moderate", "frequency": { "instances": 30, "pages_affected": 30, "total_pages_scanned": 569 }, "likely_source": "template", "summary": "Target size is at least 24×24 CSS pixels or has spacing (Minimum) (WCAG 2.5.8)", "description": "Target size is at least 24×24 CSS pixels or has spacing (Minimum). Detected by Siteimprove Alfa rule sia-r113 on 30 of 569 scanned pages (30 instances).", "examples": [ { "url": "https://www.healthcare.gov/glossary/grievance", "xpath": "", "html_snippet": null }, { "url": "https://www.healthcare.gov/glossary/employer-or-union-retiree-plans", "xpath": "", "html_snippet": null }, { "url": "https://www.healthcare.gov/glossary/specialist", "xpath": "", "html_snippet": null }, { "url": "https://www.healthcare.gov/taxes/marketplace-plan-without-savings", "xpath": "", "html_snippet": null }, { "url": "https://www.healthcare.gov/glossary/broker", "xpath": "", "html_snippet": null } ], "example_pages": [ "https://www.healthcare.gov/glossary/grievance", "https://www.healthcare.gov/glossary/employer-or-union-retiree-plans", "https://www.healthcare.gov/glossary/specialist" ], "affected_pages": [ "https://www.healthcare.gov/glossary/grievance", "https://www.healthcare.gov/glossary/employer-or-union-retiree-plans", "https://www.healthcare.gov/glossary/specialist", "https://www.healthcare.gov/taxes/marketplace-plan-without-savings", "https://www.healthcare.gov/glossary/broker", "https://www.healthcare.gov/taxes-reconciling", "https://www.healthcare.gov/glossary/conversion", "https://www.healthcare.gov/glossary/coordination-of-benefits", "https://www.healthcare.gov/glossary/allowed-amount", "https://www.healthcare.gov/glossary/non-preferred-provider", "https://www.healthcare.gov/glossary/pre-existing-condition-insurance-plan-pcip", "https://www.healthcare.gov/glossary/annual-limit", "https://www.healthcare.gov/glossary/well-baby-and-well-child-visits", "https://www.healthcare.gov/glossary/co-op", "https://www.healthcare.gov/glossary/plan-year", "https://www.healthcare.gov/glossary/nondiscrimination", "https://www.healthcare.gov/glossary/hospital-readmissions", "https://www.healthcare.gov/glossary/summary-of-benefits-and-coverage", "https://www.healthcare.gov/glossary/long-term-care", "https://www.healthcare.gov/glossary/net-rental-income", "https://www.healthcare.gov/glossary/referral", "https://www.healthcare.gov/glossary/emergency-services", "https://www.healthcare.gov/glossary/emergency-room-care", "https://www.healthcare.gov/glossary/dependent-coverage", "https://www.healthcare.gov/glossary/original-medicare" ], "impact": { "groups": [ { "code": "LM", "group": "Limited manipulation/strength", "prevalence": 0.13, "percent": "13.0%", "estimatedExcluded": null }, { "code": "LR", "group": "Limited reach", "prevalence": 0.02, "percent": "2.0%", "estimatedExcluded": null }, { "code": "LV", "group": "Limited vision", "prevalence": 0.024, "percent": "2.4%", "estimatedExcluded": null } ], "summary": "Affects Limited manipulation/strength (13.0%), Limited reach (2.0%), Limited vision (2.4%)." }, "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.", "steps_to_reproduce": [ "Open https://www.healthcare.gov/glossary/grievance.", "Locate the element: ", "Confirm the Siteimprove Alfa finding for rule sia-r113 against WCAG 2.5.8 Target Size (Minimum)." ], "remediation_tip": null, "tech_name": null, "tech_remediation_tip": null, "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r113", "obligation": "required", "handling": "review", "policy_source": "default", "policy_reason": null, "policy_evidence": [], "policy_owner": null, "policy_expires": null, "included_in_primary_score": false, "first_seen": "2026-W24", "last_seen": "2026-W25", "weeks_seen": 2, "affected_pages_csv": "csv/alfa__sia-r113.csv" }, { "instance_id": "VS-93f18414", "pattern_id": "VS-9074b4dd", "a11y_pattern_fingerprint": "3b01bd944234db6eebb0024de0224c33ae6177f3b8688ebdb9cf5dd436cc3f03", "a11y_pattern_display_id": "A11Y-PAT-3B01BD944234", "a11y_occurrence_fingerprint": "dbc4e244b4dfafcb006acc6c5e0792dd8e9e39974870b7a01c85cc8564581d16", "a11y_occurrence_display_id": "A11Y-OCC-DBC4E244B4DF", "url": "https://www.healthcare.gov/medicaid-chip/using-medicaid-or-chip-coverage", "xpath": "div:nth-child(1) > div > img", "html_snippet": "", "wcag_sc": "1.1.1", "wcag_name": "Non-text Content", "wcag_level": "A", "wcag_version": "2.0", "wcag_category": "WCAG 2.0 A", "evidence_status": "automated-indicator", "rule_id": "image-alt", "rule_label": "Images must have alternative text", "engine_key": "axe-core", "tool": "axe-core", "rule_url": "https://dequeuniversity.com/rules/axe/4.12/image-alt?application=axeAPI", "severity": "Critical", "frequency": { "instances": 4, "pages_affected": 2, "total_pages_scanned": 569 }, "likely_source": "content", "summary": "Images must have alternative text (WCAG 1.1.1)", "description": "Images must have alternative text. Detected by axe-core rule image-alt on 2 of 569 scanned pages (4 instances).", "examples": [ { "url": "https://www.healthcare.gov/medicaid-chip/using-medicaid-or-chip-coverage", "xpath": "div:nth-child(1) > div > img", "html_snippet": "" }, { "url": "https://www.healthcare.gov/medicaid-chip/using-medicaid-or-chip-coverage", "xpath": "div:nth-child(2) > div > img", "html_snippet": "" }, { "url": "https://www.healthcare.gov/medicaid-chip", "xpath": "div:nth-child(1) > div > img", "html_snippet": "" }, { "url": "https://www.healthcare.gov/medicaid-chip", "xpath": "div:nth-child(2) > div > img", "html_snippet": "" } ], "example_pages": [ "https://www.healthcare.gov/medicaid-chip/using-medicaid-or-chip-coverage", "https://www.healthcare.gov/medicaid-chip" ], "affected_pages": [ "https://www.healthcare.gov/medicaid-chip/using-medicaid-or-chip-coverage", "https://www.healthcare.gov/medicaid-chip" ], "impact": { "groups": [ { "code": "WV", "group": "Without vision", "prevalence": 0.01, "percent": "1.0%", "estimatedExcluded": null }, { "code": "LV", "group": "Limited vision", "prevalence": 0.024, "percent": "2.4%", "estimatedExcluded": null }, { "code": "LCLA", "group": "Limited cognitive, language, or learning ability", "prevalence": 0.11, "percent": "11.0%", "estimatedExcluded": null } ], "summary": "Affects Without vision (1.0%), Limited vision (2.4%), Limited cognitive, language, or learning ability (11.0%)." }, "testing_environment": "Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.", "steps_to_reproduce": [ "Open https://www.healthcare.gov/medicaid-chip/using-medicaid-or-chip-coverage.", "Locate the element: div:nth-child(1) > div > img", "Confirm the axe-core finding for rule image-alt against WCAG 1.1.1 Non-text Content." ], "remediation_tip": "Give every a meaningful alt attribute. Use alt=\"\" only for decorative images so screen readers skip them.", "tech_name": null, "tech_remediation_tip": null, "suggested_fix": "See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/image-alt?application=axeAPI", "obligation": "required", "handling": "review", "policy_source": "default", "policy_reason": null, "policy_evidence": [], "policy_owner": null, "policy_expires": null, "included_in_primary_score": false, "first_seen": "2026-W24", "last_seen": "2026-W25", "weeks_seen": 2, "affected_pages_csv": "csv/axe-core__image-alt.csv" }, { "instance_id": "VS-5fc7a72b", "pattern_id": "VS-4bcaa7bf", "a11y_pattern_fingerprint": "e4617211b1eab90f6b90b5c7db83538b2e66f5091f43015ebfa6f5dd51cc72a4", "a11y_pattern_display_id": "A11Y-PAT-E4617211B1EA", "a11y_occurrence_fingerprint": "e759d358c3b1019bf204677eb38432a8c0e90c483894ed0ff0dfb6ac95a69641", "a11y_occurrence_display_id": "A11Y-OCC-E759D358C3B1", "url": "https://www.healthcare.gov/medicaid-chip/getting-medicaid-chip", "xpath": "dl:nth-child(4)", "html_snippet": "
", "wcag_sc": "1.3.1", "wcag_name": "Info and Relationships", "wcag_level": "A", "wcag_version": "2.0", "wcag_category": "WCAG 2.0 A", "evidence_status": "automated-indicator", "rule_id": "definition-list", "rule_label": "
elements must only directly contain properly-ordered
and
groups, ", "engine_key": "axe-core", "tool": "axe-core", "rule_url": "https://dequeuniversity.com/rules/axe/4.12/definition-list?application=axeAPI", "severity": "Serious", "frequency": { "instances": 4, "pages_affected": 2, "total_pages_scanned": 569 }, "likely_source": "content", "summary": "
elements must only directly contain properly-ordered
and
groups, (WCAG 1.3.1)", "description": "
elements must only directly contain properly-ordered
and
groups, . Detected by axe-core rule definition-list on 2 of 569 scanned pages (4 instances).", "examples": [ { "url": "https://www.healthcare.gov/medicaid-chip/getting-medicaid-chip", "xpath": "dl:nth-child(4)", "html_snippet": "
" }, { "url": "https://www.healthcare.gov/medicaid-chip/getting-medicaid-chip", "xpath": "dl:nth-child(6)", "html_snippet": "
" }, { "url": "https://www.healthcare.gov/medicaid-chip", "xpath": "dl:nth-child(4)", "html_snippet": "
" }, { "url": "https://www.healthcare.gov/medicaid-chip", "xpath": "dl:nth-child(6)", "html_snippet": "
" } ], "example_pages": [ "https://www.healthcare.gov/medicaid-chip/getting-medicaid-chip", "https://www.healthcare.gov/medicaid-chip" ], "affected_pages": [ "https://www.healthcare.gov/medicaid-chip/getting-medicaid-chip", "https://www.healthcare.gov/medicaid-chip" ], "impact": { "groups": [ { "code": "WV", "group": "Without vision", "prevalence": 0.01, "percent": "1.0%", "estimatedExcluded": null }, { "code": "LV", "group": "Limited vision", "prevalence": 0.024, "percent": "2.4%", "estimatedExcluded": null }, { "code": "LCLA", "group": "Limited cognitive, language, or learning ability", "prevalence": 0.11, "percent": "11.0%", "estimatedExcluded": null } ], "summary": "Affects Without vision (1.0%), Limited vision (2.4%), Limited cognitive, language, or learning ability (11.0%)." }, "testing_environment": "Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.", "steps_to_reproduce": [ "Open https://www.healthcare.gov/medicaid-chip/getting-medicaid-chip.", "Locate the element: dl:nth-child(4)", "Confirm the axe-core finding for rule definition-list against WCAG 1.3.1 Info and Relationships." ], "remediation_tip": null, "tech_name": null, "tech_remediation_tip": null, "suggested_fix": "See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/definition-list?application=axeAPI", "obligation": "required", "handling": "review", "policy_source": "default", "policy_reason": null, "policy_evidence": [], "policy_owner": null, "policy_expires": null, "included_in_primary_score": false, "first_seen": "2026-W24", "last_seen": "2026-W25", "weeks_seen": 2, "affected_pages_csv": "csv/axe-core__definition-list.csv" }, { "instance_id": "VS-b2aec309", "pattern_id": "VS-07ba3b17", "a11y_pattern_fingerprint": "845c3ea8afe5fe17c6f88251faa17a1bef61822204ac34238435f7596be98ccf", "a11y_pattern_display_id": "A11Y-PAT-845C3EA8AFE5", "a11y_occurrence_fingerprint": "0c210f95b17663da606733ef738bf96546b2002dc697cd355feb13b854f2f23f", "a11y_occurrence_display_id": "A11Y-OCC-0C210F95B176", "url": "https://www.healthcare.gov/small-businesses/learn-more/hra-guide", "xpath": "table", "html_snippet": "", "wcag_sc": "1.3.1", "wcag_name": "Info and Relationships", "wcag_level": "A", "wcag_version": "2.0", "wcag_category": "WCAG 2.0 A", "evidence_status": "automated-indicator", "rule_id": "td-headers-attr", "rule_label": "Table cell headers attributes must refer to other
elements in the same tabl", "engine_key": "axe-core", "tool": "axe-core", "rule_url": "https://dequeuniversity.com/rules/axe/4.12/td-headers-attr?application=axeAPI", "severity": "Serious", "frequency": { "instances": 1, "pages_affected": 1, "total_pages_scanned": 569 }, "likely_source": "content", "summary": "Table cell headers attributes must refer to other elements in the same tabl (WCAG 1.3.1)", "description": "Table cell headers attributes must refer to other elements in the same tabl. Detected by axe-core rule td-headers-attr on 1 of 569 scanned pages (1 instances).", "examples": [ { "url": "https://www.healthcare.gov/small-businesses/learn-more/hra-guide", "xpath": "table", "html_snippet": "" } ], "example_pages": [ "https://www.healthcare.gov/small-businesses/learn-more/hra-guide" ], "affected_pages": [ "https://www.healthcare.gov/small-businesses/learn-more/hra-guide" ], "impact": { "groups": [ { "code": "WV", "group": "Without vision", "prevalence": 0.01, "percent": "1.0%", "estimatedExcluded": null }, { "code": "LV", "group": "Limited vision", "prevalence": 0.024, "percent": "2.4%", "estimatedExcluded": null }, { "code": "LCLA", "group": "Limited cognitive, language, or learning ability", "prevalence": 0.11, "percent": "11.0%", "estimatedExcluded": null } ], "summary": "Affects Without vision (1.0%), Limited vision (2.4%), Limited cognitive, language, or learning ability (11.0%)." }, "testing_environment": "Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.", "steps_to_reproduce": [ "Open https://www.healthcare.gov/small-businesses/learn-more/hra-guide.", "Locate the element: table", "Confirm the axe-core finding for rule td-headers-attr against WCAG 1.3.1 Info and Relationships." ], "remediation_tip": "Associate data cells with their headers correctly using headers/id or scope.", "tech_name": null, "tech_remediation_tip": null, "suggested_fix": "See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/td-headers-attr?application=axeAPI", "obligation": "required", "handling": "review", "policy_source": "default", "policy_reason": null, "policy_evidence": [], "policy_owner": null, "policy_expires": null, "included_in_primary_score": false, "first_seen": "2026-W24", "last_seen": "2026-W25", "weeks_seen": 2, "affected_pages_csv": "csv/axe-core__td-headers-attr.csv" }, { "instance_id": "VS-2c7d8471", "pattern_id": "VS-a0bdbdf6", "a11y_pattern_fingerprint": "ee4fa70e9625272fba7d0ed18185f080f4a7b8b4d8226a8ed0f3a0c3cd149367", "a11y_pattern_display_id": "A11Y-PAT-EE4FA70E9625", "a11y_occurrence_fingerprint": "fd6fd5127451596432c1c1ff1ac514f8898ac9116f26fc4b39b89a96843b2f8b", "a11y_occurrence_display_id": "A11Y-OCC-FD6FD5127451", "url": "https://www.healthcare.gov/glossary", "xpath": ".jumpTool-module--jump-list--99f14", "html_snippet": "
    ", "wcag_sc": "1.3.1", "wcag_name": "Info and Relationships", "wcag_level": "A", "wcag_version": "2.0", "wcag_category": "WCAG 2.0 A", "evidence_status": "automated-indicator", "rule_id": "list", "rule_label": "
      and
        must only directly contain
      1. ,