vital-scans open quality ledger

www.medicaid.gov: week 2026-W39

This is the 2026-W39 ISO-week report (6888 pages fetched, 6869 unique pages audited by axe/Alfa). Generated 2026-09-30. Compared against 2026-W38 (7197 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: 10 required finding type(s) (handling: review). Aspirational queue: 0 finding type(s). Advisory queue: 0 finding type(s). Unmapped review queue: 9 finding type(s).

New this week
0
Fixed this week
0
Regressed this week
8

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 3426 — 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 3426 — See remediation guidance: https://alfa.siteimprove.com/rules/sia-r111 pages (CSV)
Scrolling content can be accessed by keyboard (WCAG criterion undetermined) (rule↗) Moderate 3425 — 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 2885 — 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 1046 — Wrap all page content in landmarks (header, nav, main, footer) so users can navigate by region. pages (CSV)
Document should have one main landmark (WCAG criterion undetermined) (rule↗) Moderate 1041 — Each page should have exactly one <main> landmark. pages (CSV)
Page should contain a level-one heading (WCAG criterion undetermined) (rule↗) Moderate 1041 — See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/page-has-heading-one?application=axeAPI pages (CSV)
First focusable element is link to main content (WCAG criterion undetermined) (rule↗) Moderate 543 — See remediation guidance: https://alfa.siteimprove.com/rules/sia-r87 pages (CSV)

Progress

Open findings by severity over 16 weeks (lower is better)
Critical Serious Moderate Minor W24W31W39300

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 33 issue type(s)
Median axe violations / page
0
Pages with axe violations
1312 of 6869 CSV
Median Alfa failures / page
83
Pages with Alfa failures
3426 of 3426 CSV
Unique pages audited
6869
Lighthouse performance (median)
67/100 662 sampled details
Lighthouse SEO (median)
100/100
Lighthouse best practices (median)
100/100
Lighthouse agentic (median)
100/100
Words per page (median)
732 main content, nav excluded
Reading ease (median)
35 1004 prose pages details
Reading grade (median)
17
Misspellings
25+ distinct details
Broken links
7 details
Median page weight
1.7 MB +4 KB worse
Median requests per page
156
Estimated energy per page (mean)
0.5011 Wh

Note: page counts differ between weeks (7197 → 6888). Prefer the "pages affected" columns over raw instance counts when comparing.

Scan coverage this week (6888 pages · 7165 succeeded of 7166 attempted)
Pages each engine ran on, per the configured weekly sampling rates.
EnginePagesCoverage
axe6869100%
resources6869100%
standards343750%
alfa342650%
plain-language338049%
deprecated-html67010%
lighthouse66810%
security66610%
tech66510%
sustainability6499%

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

Changes since 2026-W38 17 change(s)

axe-core

  • New: aria-prohibited-attr appeared this week.
  • New: landmark-contentinfo-is-top-level appeared this week.
  • New: landmark-no-duplicate-contentinfo appeared this week.
  • New: link-name appeared this week.
  • New: landmark-main-is-top-level appeared this week.
  • New: landmark-no-duplicate-main appeared this week.
  • Resolved: label-title-only no longer fails on any scanned page.
  • landmark-one-main shrank: 1401 → 1041 pages affected (rate: 20% → 15% of pages scanned).
  • page-has-heading-one shrank: 1403 → 1041 pages affected (rate: 20% → 15% of pages scanned).
  • region shrank: 1404 → 1046 pages affected (rate: 20% → 15% of pages scanned).

Alfa

  • New: sia-r85 appeared this week.
  • New: sia-r72 appeared this week.
  • New: sia-r69 appeared this week.
  • sia-r73 spread: 2793 → 2885 pages affected (rate: 81% → 84% of pages scanned).
  • sia-r61 shrank: 668 → 539 pages affected (rate: 19% → 16% of pages scanned).
  • sia-r87 shrank: 670 → 543 pages affected (rate: 19% → 16% of pages scanned).
  • sia-r68 shrank: 274 → 183 pages affected (rate: 8% → 5% 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 (532)

5220 distinct resources, by type.
TypeCount
PDF documents5064
Spreadsheets78
Archives (zip, etc.)57
Audio files18
Embedded media players1
Iframes1
Images1