vital-scans open quality ledger

www.medicaid.gov: week 2026-W38

This is the 2026-W38 ISO-week report (7197 pages fetched, 6968 unique pages audited by axe/Alfa). Generated 2026-09-30. Compared against 2026-W37 (7188 fetched). The dashboard headline uses a rolling last-7-days window; this page is the full ISO week. Machine-readable API: snapshot.json · findings.json.

Primary standards queue: 0 required finding type(s) (handling: report). Verification queue: 7 required finding type(s) (handling: review). Aspirational queue: 0 finding type(s). Advisory queue: 0 finding type(s). Unmapped review queue: 7 finding type(s).

New this week
0
Fixed this week
0
Regressed this week
0

Fix these first

Highest-leverage issues, ranked by pages affected × severity × people reached. Fixing a shared component often clears many pages at once. Issue links go to the full bug detail on the Accessibility page.

Top 8 issues to prioritize this week.
IssueSeverityPagesWho it affectsHow to fixEvidence
Text has enhanced contrast (WCAG 1.4.6) (rule↗) Moderate 3463 — Increase text contrast to meet WCAG AAA (7:1). pages (CSV)
Target size is at least 44×44 CSS pixels (Enhanced) (WCAG 2.5.5) (rule↗) Moderate 3463 — See remediation guidance: https://alfa.siteimprove.com/rules/sia-r111 pages (CSV)
Scrolling content can be accessed by keyboard (WCAG criterion undetermined) (rule↗) Moderate 3463 — See remediation guidance: https://alfa.siteimprove.com/rules/sia-r57 pages (CSV)
Text has minimum contrast ratio of 4.5:1 (WCAG 1.4.8) (rule↗) Moderate 2793 — See remediation guidance: https://alfa.siteimprove.com/rules/sia-r73 pages (CSV)
All page content should be contained by landmarks (WCAG criterion undetermined) (rule↗) Moderate 1404 — Wrap all page content in landmarks (header, nav, main, footer) so users can navigate by region. pages (CSV)
Page should contain a level-one heading (WCAG criterion undetermined) (rule↗) Moderate 1403 — See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/page-has-heading-one?application=axeAPI pages (CSV)
Document should have one main landmark (WCAG criterion undetermined) (rule↗) Moderate 1401 — Each page should have exactly one <main> landmark. pages (CSV)
Elements must only use supported ARIA attributes (WCAG 4.1.2) (rule↗) Critical 335 Without vision, Limited vision Remove ARIA attributes that aren't allowed on this role/element. pages (CSV)

Progress

Open findings by severity over 15 weeks (lower is better)
Critical Serious Moderate Minor W24W31W38300

Dropped from this week's sample

These stopped appearing in scan results, but their pages were not re-checked this week — this is not a confirmed fix.

This week at a glance 25 issue type(s)
Median axe violations / page
0
Pages with axe violations
1780 of 6968 CSV
Median Alfa failures / page
81
Pages with Alfa failures
3463 of 3463 CSV
Unique pages audited
6968
Lighthouse performance (median)
70/100 701 sampled details
Lighthouse SEO (median)
100/100
Lighthouse best practices (median)
100/100
Lighthouse agentic (median)
100/100
Words per page (median)
714 main content, nav excluded
Reading ease (median)
35.4 1203 prose pages details
Reading grade (median)
16.9
Misspellings
25+ distinct details
Broken links
5 details
Median page weight
1.7 MB +1 KB worse
Median requests per page
156
Estimated energy per page (mean)
0.4649 Wh

Note: page counts differ between weeks (7188 → 7197). Prefer the "pages affected" columns over raw instance counts when comparing.

Scan coverage this week (7197 pages · 6968 succeeded of 7158 attempted)
Pages each engine ran on, per the configured weekly sampling rates.
EnginePagesCoverage
axe696897%
resources696897%
plain-language348348%
alfa346348%
standards342748%
deprecated-html74210%
sustainability73610%
security72210%
lighthouse72110%
tech6789%

History & Trends → Severity, Lighthouse and other measures across 17 weeks.

Changes since 2026-W37 14 change(s)

axe-core

  • Resolved: aria-prohibited-attr no longer fails on any scanned page.
  • Resolved: landmark-main-is-top-level no longer fails on any scanned page.
  • Resolved: landmark-no-duplicate-main no longer fails on any scanned page.
  • landmark-one-main shrank: 1732 → 1401 pages affected (rate: 25% → 20% of pages scanned).
  • page-has-heading-one shrank: 1731 → 1403 pages affected (rate: 25% → 20% of pages scanned).
  • region shrank: 1732 → 1404 pages affected (rate: 25% → 20% of pages scanned).

Alfa

  • Resolved: sia-r72 no longer fails on any scanned page.
  • Resolved: sia-r46 no longer fails on any scanned page.
  • Resolved: sia-r77 no longer fails on any scanned page.
  • sia-r61 shrank: 878 → 668 pages affected (rate: 26% → 19% of pages scanned).
  • sia-r87 shrank: 882 → 670 pages affected (rate: 26% → 19% of pages scanned).
  • sia-r73 spread: 2552 → 2793 pages affected (rate: 74% → 81% of pages scanned).
  • sia-r14 shrank: 471 → 355 pages affected (rate: 14% → 10% of pages scanned).
  • sia-r68 shrank: 341 → 274 pages affected (rate: 10% → 8% of pages scanned).

Embedded & linked resources

Non-HTML resources this site links to or embeds — PDFs, Office documents, iframes, and media. The site owner is responsible for their accessibility too. Full inventory with first-seen dates: CSV.

New this week (935)

6491 distinct resources, by type.
TypeCount
PDF documents6249
Spreadsheets162
Archives (zip, etc.)51
Word/text documents20
Embedded media players7
Audio files1
Images1