{
 "domain": "www.medicare.gov",
 "week": "2026-W29",
 "generatedAt": "2026-07-24T13:06:56.345Z",
 "reports": [
  {
   "instance_id": "VS-0f4c6e89",
   "pattern_id": "VS-f7dba940",
   "a11y_pattern_fingerprint": "84dac43fe90c9591e283e973fc2eb8a6fb6cecd8dab6d7016305a8bd81af0ef4",
   "a11y_pattern_display_id": "A11Y-PAT-84DAC43FE90C",
   "a11y_occurrence_fingerprint": "c433f4f9838dea438e6f5512a23add5e2328c8f5a3f7c0386a2fe2a2b014b464",
   "a11y_occurrence_display_id": "A11Y-OCC-C433F4F9838D",
   "url": "https://www.medicare.gov/prescription-payment-plan",
   "xpath": "<button class=\"video-embed-field-lazy-play\" aria-label=\"Play video\">",
   "html_snippet": null,
   "wcag_sc": "2.5.3",
   "wcag_name": "Label in Name",
   "wcag_level": "A",
   "wcag_version": "2.1",
   "wcag_category": "WCAG 2.1 A",
   "evidence_status": "automated-indicator",
   "rule_id": "sia-r14",
   "rule_label": "Accessible name of link or button matches visible label",
   "engine_key": "alfa",
   "tool": "Siteimprove Alfa",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r14",
   "severity": "Moderate",
   "frequency": {
    "instances": 15,
    "pages_affected": 15,
    "total_pages_scanned": 1913
   },
   "likely_source": "template",
   "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 15 of 1913 scanned pages (15 instances).",
   "examples": [
    {
     "url": "https://www.medicare.gov/prescription-payment-plan",
     "xpath": "<button class=\"video-embed-field-lazy-play\" aria-label=\"Play video\">",
     "html_snippet": null
    },
    {
     "url": "https://www.medicare.gov/basics/get-started-with-medicare/get-more-coverage/your-coverage-options",
     "xpath": "<button class=\"video-embed-field-lazy-play\" aria-label=\"Play video\">",
     "html_snippet": null
    },
    {
     "url": "https://www.medicare.gov/basics/get-started-with-medicare/sign-up/when-does-medicare-coverage-start",
     "xpath": "<button class=\"video-embed-field-lazy-play\" aria-label=\"Play video\">",
     "html_snippet": null
    },
    {
     "url": "http://medicare.gov/basics/get-started-with-medicare/sign-up/when-does-medicare-coverage-start",
     "xpath": "<button class=\"video-embed-field-lazy-play\" aria-label=\"Play video\">",
     "html_snippet": null
    },
    {
     "url": "http://medicare.gov/basics/costs/medicare-costs/avoid-penalties",
     "xpath": "<button class=\"video-embed-field-lazy-play\" aria-label=\"Play video\">",
     "html_snippet": null
    }
   ],
   "example_pages": [
    "https://www.medicare.gov/prescription-payment-plan",
    "https://www.medicare.gov/basics/get-started-with-medicare/get-more-coverage/your-coverage-options",
    "https://www.medicare.gov/basics/get-started-with-medicare/sign-up/when-does-medicare-coverage-start"
   ],
   "affected_pages": [
    "https://www.medicare.gov/prescription-payment-plan",
    "https://www.medicare.gov/basics/get-started-with-medicare/get-more-coverage/your-coverage-options",
    "https://www.medicare.gov/basics/get-started-with-medicare/sign-up/when-does-medicare-coverage-start",
    "http://medicare.gov/basics/get-started-with-medicare/sign-up/when-does-medicare-coverage-start",
    "http://medicare.gov/basics/costs/medicare-costs/avoid-penalties",
    "https://www.medicare.gov/basics/get-started-with-medicare/using-medicare/how-to-get-medicare-services",
    "http://medicare.gov/prescription-payment-plan",
    "https://medicare.gov/basics/get-started-with-medicare/get-more-coverage/your-coverage-options",
    "https://www.medicare.gov/basics/get-started-with-medicare/medicare-basics/parts-of-medicare",
    "http://medicare.gov/basics/get-started-with-medicare/get-more-coverage/your-coverage-options",
    "https://www.medicare.gov/basics/reporting-medicare-fraud-and-abuse",
    "http://medicare.gov/basics/get-started-with-medicare/using-medicare/how-to-get-medicare-services",
    "https://medicare.gov/basics/get-started-with-medicare/medicare-basics/parts-of-medicare",
    "https://medicare.gov/basics/get-started-with-medicare/using-medicare/how-to-get-medicare-services",
    "https://medicare.gov/basics/reporting-medicare-fraud-and-abuse"
   ],
   "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%)."
   },
   "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.medicare.gov/prescription-payment-plan.",
    "Locate the element: <button class=\"video-embed-field-lazy-play\" aria-label=\"Play video\">",
    "Confirm the Siteimprove Alfa finding for rule sia-r14 against WCAG 2.5.3 Label in Name."
   ],
   "remediation_tip": null,
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r14",
   "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-W29",
   "weeks_seen": 6,
   "affected_pages_csv": "csv/alfa__sia-r14.csv"
  },
  {
   "instance_id": "VS-539e0a46",
   "pattern_id": "VS-3f76c7ea",
   "a11y_pattern_fingerprint": "c47646cb6c39b55c9f4284fcf4ad023d908f8784375c94abe6e56c788fce5f72",
   "a11y_pattern_display_id": "A11Y-PAT-C47646CB6C39",
   "a11y_occurrence_fingerprint": "f61e53ce8f2fc3ff9112994a1420096735c986b24388a951f3145b80592384e5",
   "a11y_occurrence_display_id": "A11Y-OCC-F61E53CE8F2F",
   "url": "http://medicare.gov/health-apps/welldoc",
   "xpath": "iframe[height=\"100%\"]",
   "html_snippet": "<iframe data-src=\"https://surveys.cms.gov/jfe/form/SV_9LbdFueyKSYZ2nk?Q_CHL=si&amp;Q_CanScreenCapture=1\" width=\"100%\" height=\"100%\" frameborder=\"0\" name=\"survey-iframe-SI_6tbIx8xW9ShoDfU\" data-name=\"e",
   "wcag_sc": "4.1.2",
   "wcag_name": "Name, Role, Value",
   "wcag_level": "A",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.0 A",
   "evidence_status": "automated-indicator",
   "rule_id": "frame-title",
   "rule_label": "Frames must have an accessible name",
   "engine_key": "axe-core",
   "tool": "axe-core",
   "rule_url": "https://dequeuniversity.com/rules/axe/4.12/frame-title?application=axeAPI",
   "severity": "Serious",
   "frequency": {
    "instances": 14,
    "pages_affected": 14,
    "total_pages_scanned": 1913
   },
   "likely_source": "template",
   "summary": "Frames must have an accessible name (WCAG 4.1.2)",
   "description": "Frames must have an accessible name. Detected by axe-core rule frame-title on 14 of 1913 scanned pages (14 instances).",
   "examples": [
    {
     "url": "http://medicare.gov/health-apps/welldoc",
     "xpath": "iframe[height=\"100%\"]",
     "html_snippet": "<iframe data-src=\"https://surveys.cms.gov/jfe/form/SV_9LbdFueyKSYZ2nk?Q_CHL=si&amp;Q_CanScreenCapture=1\" width=\"100%\" height=\"100%\" frameborder=\"0\" name=\"survey-iframe-SI_6tbIx8xW9ShoDfU\" data-name=\"e"
    },
    {
     "url": "http://medicare.gov/publication-ordering/12200",
     "xpath": "iframe[height=\"100%\"]",
     "html_snippet": "<iframe data-src=\"https://surveys.cms.gov/jfe/form/SV_9LbdFueyKSYZ2nk?Q_CHL=si&amp;Q_CanScreenCapture=1\" width=\"100%\" height=\"100%\" frameborder=\"0\" name=\"survey-iframe-SI_6tbIx8xW9ShoDfU\" data-name=\"e"
    },
    {
     "url": "http://medicare.gov/basics/forms-publications-mailings/mailings/costs-and-coverage/upcoming-plan-changes",
     "xpath": "iframe[height=\"100%\"]",
     "html_snippet": "<iframe data-src=\"https://surveys.cms.gov/jfe/form/SV_9LbdFueyKSYZ2nk?Q_CHL=si&amp;Q_CanScreenCapture=1\" width=\"100%\" height=\"100%\" frameborder=\"0\" name=\"survey-iframe-SI_6tbIx8xW9ShoDfU\" data-name=\"e"
    },
    {
     "url": "http://medicare.gov/publications/search/all-non-english-pubs?page=10",
     "xpath": "iframe[height=\"100%\"]",
     "html_snippet": "<iframe data-src=\"https://surveys.cms.gov/jfe/form/SV_9LbdFueyKSYZ2nk?Q_CHL=si&amp;Q_CanScreenCapture=1\" width=\"100%\" height=\"100%\" frameborder=\"0\" name=\"survey-iframe-SI_6tbIx8xW9ShoDfU\" data-name=\"e"
    },
    {
     "url": "http://medicare.gov/basics/forms-publications-mailings/forms/enrollment",
     "xpath": "iframe[height=\"100%\"]",
     "html_snippet": "<iframe data-src=\"https://surveys.cms.gov/jfe/form/SV_9LbdFueyKSYZ2nk?Q_CHL=si&amp;Q_CanScreenCapture=1\" width=\"100%\" height=\"100%\" frameborder=\"0\" name=\"survey-iframe-SI_6tbIx8xW9ShoDfU\" data-name=\"e"
    }
   ],
   "example_pages": [
    "http://medicare.gov/health-apps/welldoc",
    "http://medicare.gov/publication-ordering/12200",
    "http://medicare.gov/basics/forms-publications-mailings/mailings/costs-and-coverage/upcoming-plan-changes"
   ],
   "affected_pages": [
    "http://medicare.gov/health-apps/welldoc",
    "http://medicare.gov/publication-ordering/12200",
    "http://medicare.gov/basics/forms-publications-mailings/mailings/costs-and-coverage/upcoming-plan-changes",
    "http://medicare.gov/publications/search/all-non-english-pubs?page=10",
    "http://medicare.gov/basics/forms-publications-mailings/forms/enrollment",
    "https://medicare.gov/publication-ordering/11472",
    "http://medicare.gov/basics/forms-publications-mailings/mailings/signing-up/welcome-to-medicare-package",
    "http://medicare.gov/providers-services/coordinating-care/accountable-care-organizations-ACOs",
    "http://medicare.gov/basics/forms-publications-mailings/mailings/other-mailings/beneficiary-survey-letter",
    "https://www.medicare.gov/publication-ordering/11392-S",
    "http://medicare.gov/publication-ordering/11360-S",
    "https://medicare.gov/publication-ordering/11022-LE",
    "https://medicare.gov/basics/forms-publications-mailings/mailings/costs-and-coverage/change-in-social-security-payment",
    "http://medicare.gov/publication-ordering/12181-S"
   ],
   "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%)."
   },
   "testing_environment": "Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open http://medicare.gov/health-apps/welldoc.",
    "Locate the element: iframe[height=\"100%\"]",
    "Confirm the axe-core finding for rule frame-title against WCAG 4.1.2 Name, Role, Value."
   ],
   "remediation_tip": "Give every <iframe> a descriptive title attribute.",
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/frame-title?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-W29",
   "weeks_seen": 6,
   "affected_pages_csv": "csv/axe-core__frame-title.csv"
  },
  {
   "instance_id": "VS-0239d7e6",
   "pattern_id": "VS-f6cf30ff",
   "a11y_pattern_fingerprint": "16612354b9b96d651b39b193da345736d91281f6f586ffd11896324d95751562",
   "a11y_pattern_display_id": "A11Y-PAT-16612354B9B9",
   "a11y_occurrence_fingerprint": "399374aeb33da6a94900ffa28f01373b8cddcb1e760cae23f8a34cba131a1c0b",
   "a11y_occurrence_display_id": "A11Y-OCC-399374AEB33D",
   "url": "https://www.medicare.gov/coverage/emergency-department-services",
   "xpath": "<div class=\"search-block__content\" aria-hidden=\"true\" id=\"search_form_block-content\">",
   "html_snippet": null,
   "wcag_sc": "4.1.2",
   "wcag_name": "Name, Role, Value",
   "wcag_level": "A",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.0 A",
   "evidence_status": "automated-indicator",
   "rule_id": "sia-r17",
   "rule_label": "aria-hidden element does not contain focusable elements",
   "engine_key": "alfa",
   "tool": "Siteimprove Alfa",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r17",
   "severity": "Moderate",
   "frequency": {
    "instances": 897,
    "pages_affected": 877,
    "total_pages_scanned": 1913
   },
   "likely_source": "template",
   "summary": "aria-hidden element does not contain focusable elements (WCAG 4.1.2)",
   "description": "aria-hidden element does not contain focusable elements. Detected by Siteimprove Alfa rule sia-r17 on 877 of 1913 scanned pages (897 instances).",
   "examples": [
    {
     "url": "https://www.medicare.gov/coverage/emergency-department-services",
     "xpath": "<div class=\"search-block__content\" aria-hidden=\"true\" id=\"search_form_block-content\">",
     "html_snippet": null
    },
    {
     "url": "https://www.medicare.gov/publication-ordering/02179",
     "xpath": "<div class=\"search-block__content\" aria-hidden=\"true\" id=\"search_form_block-content\">",
     "html_snippet": null
    },
    {
     "url": "http://medicare.gov/publication-ordering/11376-S",
     "xpath": "<div class=\"search-block__content\" aria-hidden=\"true\" id=\"search_form_block-content\">",
     "html_snippet": null
    },
    {
     "url": "https://medicare.gov/basics/forms-publications-mailings/mailings/signing-up/welcome-to-medicare-package",
     "xpath": "<div class=\"search-block__content\" aria-hidden=\"true\" id=\"search_form_block-content\">",
     "html_snippet": null
    },
    {
     "url": "https://www.medicare.gov/prescription-payment-plan",
     "xpath": "<div class=\"search-block__content\" aria-hidden=\"true\" id=\"search_form_block-content\">",
     "html_snippet": null
    }
   ],
   "example_pages": [
    "https://www.medicare.gov/coverage/emergency-department-services",
    "https://www.medicare.gov/publication-ordering/02179",
    "http://medicare.gov/publication-ordering/11376-S"
   ],
   "affected_pages": [
    "https://www.medicare.gov/coverage/emergency-department-services",
    "https://www.medicare.gov/publication-ordering/02179",
    "http://medicare.gov/publication-ordering/11376-S",
    "https://medicare.gov/basics/forms-publications-mailings/mailings/signing-up/welcome-to-medicare-package",
    "https://www.medicare.gov/prescription-payment-plan",
    "https://www.medicare.gov/health-drug-plans/part-d/basics/costs",
    "http://medicare.gov/health-drug-plans/medigap/ready-to-buy/when",
    "https://medicare.gov/coverage/alcohol-misuse-screenings-counseling",
    "http://medicare.gov/publication-ordering/11417",
    "http://medicare.gov/publication-ordering/12200-S",
    "https://medicare.gov/publication-ordering/12033-S",
    "https://medicare.gov/publications/search/all-non-english-pubs?page=4",
    "https://medicare.gov/coverage/abdominal-aortic-aneurysm-screenings",
    "https://medicare.gov/providers-services/claims-appeals-complaints/claims",
    "http://medicare.gov/health-apps/noom",
    "https://www.medicare.gov/coverage/occupational-therapy-services",
    "http://medicare.gov/publication-ordering/12217-S",
    "http://medicare.gov/health-drug-plans/part-d/basics",
    "https://medicare.gov/prescription-payment-plan/will-this-help-me",
    "https://www.medicare.gov/providers-services/original-medicare/nursing-homes/return-to-community",
    "https://medicare.gov/publications/search/all-non-english-pubs",
    "http://medicare.gov/publications/search?page=2",
    "http://medicare.gov/coverage/flexible-sigmoidoscopies",
    "https://www.medicare.gov/basics/costs",
    "https://www.medicare.gov/privacy-policy/third-party-privacy-policies"
   ],
   "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%)."
   },
   "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.medicare.gov/coverage/emergency-department-services.",
    "Locate the element: <div class=\"search-block__content\" aria-hidden=\"true\" id=\"search_form_block-content\">",
    "Confirm the Siteimprove Alfa finding for rule sia-r17 against WCAG 4.1.2 Name, Role, Value."
   ],
   "remediation_tip": null,
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r17",
   "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-W29",
   "weeks_seen": 6,
   "affected_pages_csv": "csv/alfa__sia-r17.csv"
  },
  {
   "instance_id": "VS-8024475d",
   "pattern_id": "VS-f7e99f4b",
   "a11y_pattern_fingerprint": "fe5c9015c2ca97e9012d6931161e79420a5cb3b52bd4f56972a5a3a2034ba954",
   "a11y_pattern_display_id": "A11Y-PAT-FE5C9015C2CA",
   "a11y_occurrence_fingerprint": "3fc6a83dc9080170a4dd033a1b093517ca8054d18d596cc7c704c419b0028a45",
   "a11y_occurrence_display_id": "A11Y-OCC-3FC6A83DC908",
   "url": "http://medicare.gov/coverage/mental-health-substance-use-disorder",
   "xpath": "text: \"For finding the care you need\"",
   "html_snippet": null,
   "wcag_sc": "1.4.3",
   "wcag_name": "Contrast (Minimum)",
   "wcag_level": "AA",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.0 AA",
   "evidence_status": "automated-indicator",
   "rule_id": "sia-r69",
   "rule_label": "Text has sufficient color contrast (Enhanced)",
   "engine_key": "alfa",
   "tool": "Siteimprove Alfa",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r69",
   "severity": "Moderate",
   "frequency": {
    "instances": 185,
    "pages_affected": 23,
    "total_pages_scanned": 1913
   },
   "likely_source": "template",
   "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 23 of 1913 scanned pages (185 instances).",
   "examples": [
    {
     "url": "http://medicare.gov/coverage/mental-health-substance-use-disorder",
     "xpath": "text: \"For finding the care you need\"",
     "html_snippet": null
    },
    {
     "url": "http://medicare.gov/coverage/mental-health-substance-use-disorder",
     "xpath": "text: \"To learn more about mental health care\"",
     "html_snippet": null
    },
    {
     "url": "http://medicare.gov/coverage/mental-health-substance-use-disorder",
     "xpath": "text: \"To learn about substance use disorders and treatment\"",
     "html_snippet": null
    },
    {
     "url": "https://medicare.gov/basics/your-medicare-rights/your-rights",
     "xpath": "text: \"If you have \n  Original Medicare\"",
     "html_snippet": null
    },
    {
     "url": "https://medicare.gov/basics/your-medicare-rights/your-rights",
     "xpath": "text: \"If you have a \n  Medicare Advantage Plan or other Medicare health plan\"",
     "html_snippet": null
    }
   ],
   "example_pages": [
    "http://medicare.gov/coverage/mental-health-substance-use-disorder",
    "https://medicare.gov/basics/your-medicare-rights/your-rights",
    "http://medicare.gov/providers-services/claims-appeals-complaints/appeals/drug-plans"
   ],
   "affected_pages": [
    "http://medicare.gov/coverage/mental-health-substance-use-disorder",
    "https://medicare.gov/basics/your-medicare-rights/your-rights",
    "http://medicare.gov/providers-services/claims-appeals-complaints/appeals/drug-plans",
    "http://medicare.gov/health-drug-plans/health-plans/your-coverage-options/MSA/Examples",
    "https://medicare.gov/providers-services/original-medicare/nursing-homes/choosing",
    "https://medicare.gov/coverage/mental-health-substance-use-disorder",
    "https://www.medicare.gov/providers-services/original-medicare/nursing-homes/choosing",
    "https://www.medicare.gov/basics/your-medicare-rights/your-rights",
    "https://www.medicare.gov/prescription-payment-plan/examples",
    "http://medicare.gov/basics/your-medicare-rights/your-rights",
    "https://www.medicare.gov/health-drug-plans/health-plans/your-coverage-options/MSA/Examples",
    "https://medicare.gov/basics/end-stage-renal-disease",
    "http://medicare.gov/prescription-payment-plan/examples",
    "https://www.medicare.gov/providers-services/claims-appeals-complaints/appeals/original-medicare/denial-part-a-hospital-status",
    "https://www.medicare.gov/providers-services/disaster-emergency",
    "https://www.medicare.gov/basics/get-started-with-medicare/get-more-coverage/joining-a-plan/special-enrollment-periods",
    "http://medicare.gov/basics/get-started-with-medicare/get-more-coverage/joining-a-plan/special-enrollment-periods",
    "https://medicare.gov/providers-services/claims-appeals-complaints/appeals/original-medicare",
    "https://medicare.gov/providers-services/claims-appeals-complaints/appeals/drug-plans",
    "https://medicare.gov/what-medicare-covers/what-part-a-covers/health-care-prescriptions-in-a-nursing-home",
    "http://medicare.gov/providers-services/original-medicare/nursing-homes/choosing",
    "http://medicare.gov/providers-services/claims-appeals-complaints/appeals/original-medicare/denial-part-a-hospital-status",
    "https://www.medicare.gov/basics/get-started-with-medicare/medicare-basics/working-past-65"
   ],
   "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%)."
   },
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open http://medicare.gov/coverage/mental-health-substance-use-disorder.",
    "Locate the element: text: \"For finding the care you need\"",
    "Confirm the Siteimprove Alfa finding for rule sia-r69 against WCAG 1.4.3 Contrast (Minimum)."
   ],
   "remediation_tip": "Increase text contrast to meet WCAG AA (4.5:1, or 3:1 for large text).",
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r69",
   "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-W29",
   "weeks_seen": 6,
   "affected_pages_csv": "csv/alfa__sia-r69.csv"
  },
  {
   "instance_id": "VS-3a61213c",
   "pattern_id": "VS-646b1e0b",
   "a11y_pattern_fingerprint": "3fd793ec2cf93a80eeb5629510d39738f54cab5d1afafb09f931122c8e91e8a0",
   "a11y_pattern_display_id": "A11Y-PAT-3FD793EC2CF9",
   "a11y_occurrence_fingerprint": "b71a96a1bd2031179d717c0edf34a213e9cc6aa6e127cfa13683e5311127ae6b",
   "a11y_occurrence_display_id": "A11Y-OCC-B71A96A1BD20",
   "url": "https://www.medicare.gov/account/create-account?Lang=es-mx",
   "xpath": "text: \"Paso 1 de 3\"",
   "html_snippet": null,
   "wcag_sc": "1.4.6",
   "wcag_name": "Contrast (Enhanced)",
   "wcag_level": "AAA",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.x AAA",
   "evidence_status": "automated-indicator",
   "rule_id": "sia-r66",
   "rule_label": "Text has enhanced contrast",
   "engine_key": "alfa",
   "tool": "Siteimprove Alfa",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r66",
   "severity": "Moderate",
   "frequency": {
    "instances": 586,
    "pages_affected": 55,
    "total_pages_scanned": 1913
   },
   "likely_source": "template",
   "summary": "Text has enhanced contrast (WCAG 1.4.6)",
   "description": "Text has enhanced contrast. Detected by Siteimprove Alfa rule sia-r66 on 55 of 1913 scanned pages (586 instances).",
   "examples": [
    {
     "url": "https://www.medicare.gov/account/create-account?Lang=es-mx",
     "xpath": "text: \"Paso 1 de 3\"",
     "html_snippet": null
    },
    {
     "url": "https://www.medicare.gov/account/create-account?Lang=es-mx",
     "xpath": "text: \"Utilice el formato MM/AAAA\"",
     "html_snippet": null
    },
    {
     "url": "https://www.medicare.gov/account/create-account?Lang=es-mx",
     "xpath": "text: \"Sig\"",
     "html_snippet": null
    },
    {
     "url": "http://medicare.gov/coverage/mental-health-substance-use-disorder",
     "xpath": "text: \"For finding the care you need\"",
     "html_snippet": null
    },
    {
     "url": "http://medicare.gov/coverage/mental-health-substance-use-disorder",
     "xpath": "text: \"To learn more about mental health care\"",
     "html_snippet": null
    }
   ],
   "example_pages": [
    "https://www.medicare.gov/account/create-account?Lang=es-mx",
    "http://medicare.gov/coverage/mental-health-substance-use-disorder",
    "https://www.medicare.gov/care-compare?providerType=DialysisFacility"
   ],
   "affected_pages": [
    "https://www.medicare.gov/account/create-account?Lang=es-mx",
    "http://medicare.gov/coverage/mental-health-substance-use-disorder",
    "https://www.medicare.gov/care-compare?providerType=DialysisFacility",
    "https://www.medicare.gov/care-compare?providerType=HomeHealth",
    "https://www.medicare.gov/care-compare?guidedSearch=Hospital",
    "https://www.medicare.gov/care-compare?providerType=MedicalEquipmentSuppliers",
    "http://medicare.gov/care-compare?guidedSearch=HomeHealth",
    "https://www.medicare.gov/care-compare?providerType=LongTermCare",
    "http://medicare.gov/care-compare",
    "https://medicare.gov/basics/your-medicare-rights/your-rights",
    "http://medicare.gov/providers-services/claims-appeals-complaints/appeals/drug-plans",
    "https://medicare.gov/coverage/popular-topics",
    "https://www.medicare.gov/account/create-account?Lang=en-us",
    "https://medicare.gov/care-compare?guidedSearch=Hospice",
    "https://medicare.gov/care-compare",
    "http://medicare.gov/health-drug-plans/health-plans/your-coverage-options/MSA/Examples",
    "https://www.medicare.gov/care-compare?providerType=Physician",
    "https://medicare.gov/providers-services/original-medicare/nursing-homes/choosing",
    "https://medicare.gov/coverage/mental-health-substance-use-disorder",
    "https://www.medicare.gov/providers-services/original-medicare/nursing-homes/choosing",
    "http://medicare.gov/coverage/find-alphabetically",
    "http://medicare.gov/care-compare/resources/information-about-provider-types",
    "https://medicare.gov/coverage/find-alphabetically",
    "https://www.medicare.gov/care-compare?guidedSearch=NursingHome",
    "https://www.medicare.gov/basics/your-medicare-rights/your-rights"
   ],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   },
   "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.medicare.gov/account/create-account?Lang=es-mx.",
    "Locate the element: text: \"Paso 1 de 3\"",
    "Confirm the Siteimprove Alfa finding for rule sia-r66 against WCAG 1.4.6 Contrast (Enhanced)."
   ],
   "remediation_tip": "Increase text contrast to meet WCAG AAA (7:1).",
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r66",
   "obligation": "aspirational",
   "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-W29",
   "weeks_seen": 6,
   "affected_pages_csv": "csv/alfa__sia-r66.csv"
  },
  {
   "instance_id": "VS-4c700c1d",
   "pattern_id": "VS-2208081b",
   "a11y_pattern_fingerprint": "3aadee51640b16197008402fafff2a0827b6dbf31b48efc7b71c2627094f3cad",
   "a11y_pattern_display_id": "A11Y-PAT-3AADEE51640B",
   "a11y_occurrence_fingerprint": "15868d801da14e147783983db62349035c2edcc89b119ebd699d27e554573aec",
   "a11y_occurrence_display_id": "A11Y-OCC-15868D801DA1",
   "url": "https://www.medicare.gov/coverage/emergency-department-services",
   "xpath": "<p>",
   "html_snippet": null,
   "wcag_sc": "1.4.8",
   "wcag_name": "Visual Presentation",
   "wcag_level": "AAA",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.x AAA",
   "evidence_status": "automated-indicator",
   "rule_id": "sia-r73",
   "rule_label": "Text has minimum contrast ratio of 4.5:1",
   "engine_key": "alfa",
   "tool": "Siteimprove Alfa",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r73",
   "severity": "Serious",
   "frequency": {
    "instances": 9429,
    "pages_affected": 972,
    "total_pages_scanned": 1913
   },
   "likely_source": "template",
   "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 972 of 1913 scanned pages (9429 instances).",
   "examples": [
    {
     "url": "https://www.medicare.gov/coverage/emergency-department-services",
     "xpath": "<p>",
     "html_snippet": null
    },
    {
     "url": "https://www.medicare.gov/coverage/emergency-department-services",
     "xpath": "<p>",
     "html_snippet": null
    },
    {
     "url": "https://www.medicare.gov/coverage/emergency-department-services",
     "xpath": "<p>",
     "html_snippet": null
    },
    {
     "url": "https://www.medicare.gov/publication-ordering/02179",
     "xpath": "<p>",
     "html_snippet": null
    },
    {
     "url": "https://www.medicare.gov/publication-ordering/02179",
     "xpath": "<p>",
     "html_snippet": null
    }
   ],
   "example_pages": [
    "https://www.medicare.gov/coverage/emergency-department-services",
    "https://www.medicare.gov/publication-ordering/02179",
    "http://medicare.gov/publication-ordering/11376-S"
   ],
   "affected_pages": [
    "https://www.medicare.gov/coverage/emergency-department-services",
    "https://www.medicare.gov/publication-ordering/02179",
    "http://medicare.gov/publication-ordering/11376-S",
    "https://www.medicare.gov/account/login?client_id=carecompare&Lang=en-us&redirect_uri=https%3A%2F%2Fwww.medicare.gov%2Fcare-compare%2Foauth&relay=eyJhY3Rpb24iOiJsb2dpbiIsImRhdGEiOnsibGFzdFVybCI6Ij9wcm92aWRlclR5cGU9TWVkaWNhbEVxdWlwbWVudFN1cHBsaWVycyJ9fQ%3D%3D",
    "https://medicare.gov/basics/forms-publications-mailings/mailings/signing-up/welcome-to-medicare-package",
    "https://www.medicare.gov/account/create-account?Lang=es-mx",
    "https://www.medicare.gov/prescription-payment-plan",
    "https://www.medicare.gov/health-drug-plans/part-d/basics/costs",
    "http://medicare.gov/health-drug-plans/medigap/ready-to-buy/when",
    "https://medicare.gov/coverage/alcohol-misuse-screenings-counseling",
    "http://medicare.gov/publication-ordering/11417",
    "http://medicare.gov/publication-ordering/12200-S",
    "https://medicare.gov/publication-ordering/12033-S",
    "https://medicare.gov/publications/search/all-non-english-pubs?page=4",
    "https://medicare.gov/coverage/abdominal-aortic-aneurysm-screenings",
    "https://medicare.gov/providers-services/claims-appeals-complaints/claims",
    "http://medicare.gov/health-apps/noom",
    "https://www.medicare.gov/coverage/occupational-therapy-services",
    "http://medicare.gov/account/login?Lang=en-us",
    "http://medicare.gov/publication-ordering/12217-S",
    "http://medicare.gov/health-drug-plans/part-d/basics",
    "https://medicare.gov/prescription-payment-plan/will-this-help-me",
    "https://www.medicare.gov/providers-services/original-medicare/nursing-homes/return-to-community",
    "https://medicare.gov/publications/search/all-non-english-pubs",
    "https://www.medicare.gov/account/login?client_id=carecompare&Lang=en-us&redirect_uri=https%3A%2F%2Fwww.medicare.gov%2Fcare-compare%2Foauth&relay=eyJhY3Rpb24iOiJsb2dpbiIsImRhdGEiOnsibGFzdFVybCI6Ij9ndWlkZWRTZWFyY2g9SG9zcGl0YWwifX0%3D"
   ],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   },
   "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.medicare.gov/coverage/emergency-department-services.",
    "Locate the element: <p>",
    "Confirm the Siteimprove Alfa finding for rule sia-r73 against WCAG 1.4.8 Visual Presentation."
   ],
   "remediation_tip": null,
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r73",
   "obligation": "aspirational",
   "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-W29",
   "weeks_seen": 6,
   "affected_pages_csv": "csv/alfa__sia-r73.csv"
  },
  {
   "instance_id": "VS-5523cc85",
   "pattern_id": "VS-388b5438",
   "a11y_pattern_fingerprint": "3ac4d0ebbd64acbde5920960a712bd0eebba2c1960c62c1ba490b2067b4f02f7",
   "a11y_pattern_display_id": "A11Y-PAT-3AC4D0EBBD64",
   "a11y_occurrence_fingerprint": "efdeef8eb8635975837e15c82e7df2e456e681cef4e78e0799ac2c2f873c0400",
   "a11y_occurrence_display_id": "A11Y-OCC-EFDEEF8EB863",
   "url": "https://www.medicare.gov/account/create-account?Lang=es-mx",
   "xpath": "<p class=\"ds-text-heading--sm\">",
   "html_snippet": null,
   "wcag_sc": "1.4.8",
   "wcag_name": "Visual Presentation",
   "wcag_level": "AAA",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.x AAA",
   "evidence_status": "automated-indicator",
   "rule_id": "sia-r80",
   "rule_label": "Scrollable element is keyboard accessible",
   "engine_key": "alfa",
   "tool": "Siteimprove Alfa",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r80",
   "severity": "Moderate",
   "frequency": {
    "instances": 4,
    "pages_affected": 2,
    "total_pages_scanned": 1913
   },
   "likely_source": "content",
   "summary": "Scrollable element is keyboard accessible (WCAG 1.4.8)",
   "description": "Scrollable element is keyboard accessible. Detected by Siteimprove Alfa rule sia-r80 on 2 of 1913 scanned pages (4 instances).",
   "examples": [
    {
     "url": "https://www.medicare.gov/account/create-account?Lang=es-mx",
     "xpath": "<p class=\"ds-text-heading--sm\">",
     "html_snippet": null
    },
    {
     "url": "https://www.medicare.gov/account/create-account?Lang=es-mx",
     "xpath": "<p class=\"ds-u-color--base ds-u-margin-bottom--1 ds-text-heading--sm\">",
     "html_snippet": null
    },
    {
     "url": "https://www.medicare.gov/account/create-account?Lang=en-us",
     "xpath": "<p class=\"ds-text-heading--sm\">",
     "html_snippet": null
    },
    {
     "url": "https://www.medicare.gov/account/create-account?Lang=en-us",
     "xpath": "<p class=\"ds-u-color--base ds-u-margin-bottom--1 ds-text-heading--sm\">",
     "html_snippet": null
    }
   ],
   "example_pages": [
    "https://www.medicare.gov/account/create-account?Lang=es-mx",
    "https://www.medicare.gov/account/create-account?Lang=en-us"
   ],
   "affected_pages": [
    "https://www.medicare.gov/account/create-account?Lang=es-mx",
    "https://www.medicare.gov/account/create-account?Lang=en-us"
   ],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   },
   "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.medicare.gov/account/create-account?Lang=es-mx.",
    "Locate the element: <p class=\"ds-text-heading--sm\">",
    "Confirm the Siteimprove Alfa finding for rule sia-r80 against WCAG 1.4.8 Visual Presentation."
   ],
   "remediation_tip": null,
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r80",
   "obligation": "aspirational",
   "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-W29",
   "weeks_seen": 6,
   "affected_pages_csv": "csv/alfa__sia-r80.csv"
  },
  {
   "instance_id": "VS-a073d653",
   "pattern_id": "VS-cb53cc4d",
   "a11y_pattern_fingerprint": "fa7dc41f933a0e49b891fbdda2abf3150a8fd11a57416b241d2e3a91ee961e89",
   "a11y_pattern_display_id": "A11Y-PAT-FA7DC41F933A",
   "a11y_occurrence_fingerprint": "8b4fd81f792c127ccecb146364afb686d8d7ae44a68a58819b929f0da5550f6c",
   "a11y_occurrence_display_id": "A11Y-OCC-8B4FD81F792C",
   "url": "https://www.medicare.gov/coverage/emergency-department-services",
   "xpath": "<a href=\"/\" data-listener-attached=\"true\">",
   "html_snippet": null,
   "wcag_sc": "2.5.5",
   "wcag_name": "Target Size (Enhanced)",
   "wcag_level": "AAA",
   "wcag_version": "2.1",
   "wcag_category": "WCAG 2.x AAA",
   "evidence_status": "automated-indicator",
   "rule_id": "sia-r111",
   "rule_label": "Target size is at least 44×44 CSS pixels (Enhanced)",
   "engine_key": "alfa",
   "tool": "Siteimprove Alfa",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r111",
   "severity": "Serious",
   "frequency": {
    "instances": 37874,
    "pages_affected": 986,
    "total_pages_scanned": 1913
   },
   "likely_source": "template",
   "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 986 of 1913 scanned pages (37874 instances).",
   "examples": [
    {
     "url": "https://www.medicare.gov/coverage/emergency-department-services",
     "xpath": "<a href=\"/\" data-listener-attached=\"true\">",
     "html_snippet": null
    },
    {
     "url": "https://www.medicare.gov/coverage/emergency-department-services",
     "xpath": "<a href=\"/coverage\" data-listener-attached=\"true\">",
     "html_snippet": null
    },
    {
     "url": "https://www.medicare.gov/coverage/emergency-department-services",
     "xpath": "<a href=\"/coverage/ambulance-services\" data-listener-attached=\"true\" data-once=\"other-related-info-block\">",
     "html_snippet": null
    },
    {
     "url": "https://www.medicare.gov/publication-ordering/02179",
     "xpath": "<a href=\"/\" data-listener-attached=\"true\">",
     "html_snippet": null
    },
    {
     "url": "https://www.medicare.gov/publication-ordering/02179",
     "xpath": "<a href=\"https://www.medicare.gov/publications\" data-listener-attached=\"true\">",
     "html_snippet": null
    }
   ],
   "example_pages": [
    "https://www.medicare.gov/coverage/emergency-department-services",
    "https://www.medicare.gov/publication-ordering/02179",
    "http://medicare.gov/publication-ordering/11376-S"
   ],
   "affected_pages": [
    "https://www.medicare.gov/coverage/emergency-department-services",
    "https://www.medicare.gov/publication-ordering/02179",
    "http://medicare.gov/publication-ordering/11376-S",
    "https://www.medicare.gov/account/login?client_id=carecompare&Lang=en-us&redirect_uri=https%3A%2F%2Fwww.medicare.gov%2Fcare-compare%2Foauth&relay=eyJhY3Rpb24iOiJsb2dpbiIsImRhdGEiOnsibGFzdFVybCI6Ij9wcm92aWRlclR5cGU9TWVkaWNhbEVxdWlwbWVudFN1cHBsaWVycyJ9fQ%3D%3D",
    "https://medicare.gov/basics/forms-publications-mailings/mailings/signing-up/welcome-to-medicare-package",
    "https://www.medicare.gov/account/create-account?Lang=es-mx",
    "https://www.medicare.gov/prescription-payment-plan",
    "https://www.medicare.gov/health-drug-plans/part-d/basics/costs",
    "http://medicare.gov/health-drug-plans/medigap/ready-to-buy/when",
    "https://medicare.gov/coverage/alcohol-misuse-screenings-counseling",
    "http://medicare.gov/publication-ordering/11417",
    "http://medicare.gov/publication-ordering/12200-S",
    "https://medicare.gov/publication-ordering/12033-S",
    "https://medicare.gov/publications/search/all-non-english-pubs?page=4",
    "https://medicare.gov/coverage/abdominal-aortic-aneurysm-screenings",
    "https://medicare.gov/providers-services/claims-appeals-complaints/claims",
    "http://medicare.gov/health-apps/noom",
    "https://www.medicare.gov/coverage/occupational-therapy-services",
    "http://medicare.gov/account/login?Lang=en-us",
    "http://medicare.gov/publication-ordering/12217-S",
    "http://medicare.gov/health-drug-plans/part-d/basics",
    "https://medicare.gov/prescription-payment-plan/will-this-help-me",
    "https://www.medicare.gov/providers-services/original-medicare/nursing-homes/return-to-community",
    "https://medicare.gov/publications/search/all-non-english-pubs",
    "https://www.medicare.gov/account/login?client_id=carecompare&Lang=en-us&redirect_uri=https%3A%2F%2Fwww.medicare.gov%2Fcare-compare%2Foauth&relay=eyJhY3Rpb24iOiJsb2dpbiIsImRhdGEiOnsibGFzdFVybCI6Ij9ndWlkZWRTZWFyY2g9SG9zcGl0YWwifX0%3D"
   ],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   },
   "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.medicare.gov/coverage/emergency-department-services.",
    "Locate the element: <a href=\"/\" data-listener-attached=\"true\">",
    "Confirm the Siteimprove Alfa finding for rule sia-r111 against WCAG 2.5.5 Target Size (Enhanced)."
   ],
   "remediation_tip": null,
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r111",
   "obligation": "aspirational",
   "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-W29",
   "weeks_seen": 6,
   "affected_pages_csv": "csv/alfa__sia-r111.csv"
  },
  {
   "instance_id": "VS-99e6ff9b",
   "pattern_id": "VS-d25f622d",
   "a11y_pattern_fingerprint": "a2500a4a576ae712a07dbc0e28de92cf6dab9ae9886f5d716616c658db9a095e",
   "a11y_pattern_display_id": "A11Y-PAT-A2500A4A576A",
   "a11y_occurrence_fingerprint": "89c6e429e3727ba503b4b1bc84e18885dd489ae678692840eff1cf3454bd0c48",
   "a11y_occurrence_display_id": "A11Y-OCC-89C6E429E372",
   "url": "https://medicare.gov/publications/search/all-non-english-pubs?page=4",
   "xpath": ".layout__column.ds-l-col--12 > h3:nth-child(1)",
   "html_snippet": "<h3>Polish</h3>",
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Best Practice",
   "evidence_status": "automated-indicator",
   "rule_id": "heading-order",
   "rule_label": "Heading levels should only increase by one",
   "engine_key": "axe-core",
   "tool": "axe-core",
   "rule_url": "https://dequeuniversity.com/rules/axe/4.12/heading-order?application=axeAPI",
   "severity": "Moderate",
   "frequency": {
    "instances": 40,
    "pages_affected": 40,
    "total_pages_scanned": 1913
   },
   "likely_source": "template",
   "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 40 of 1913 scanned pages (40 instances).",
   "examples": [
    {
     "url": "https://medicare.gov/publications/search/all-non-english-pubs?page=4",
     "xpath": ".layout__column.ds-l-col--12 > h3:nth-child(1)",
     "html_snippet": "<h3>Polish</h3>"
    },
    {
     "url": "https://medicare.gov/publications/search/all-non-english-pubs",
     "xpath": ".layout__column.ds-l-col--12 > h3:nth-child(1)",
     "html_snippet": "<h3>Amharic</h3>"
    },
    {
     "url": "http://medicare.gov/publications/search/all-non-english-pubs?page=7",
     "xpath": ".layout__column.ds-l-col--12 > h3:nth-child(1)",
     "html_snippet": "<h3>Spanish</h3>"
    },
    {
     "url": "http://medicare.gov/basics/end-stage-renal-disease",
     "xpath": ".ds-l-md-col--6.layout__column.ds-l-col--12:nth-child(1) > .basic-block[data-track-component=\"basic block\"] > .ds-content.ds-content--m-evo.clearfix > h3",
     "html_snippet": "<h3>Related resources</h3>"
    },
    {
     "url": "https://medicare.gov/publications/search/all-non-english-pubs?page=5",
     "xpath": ".layout__column.ds-l-col--12 > h3:nth-child(1)",
     "html_snippet": "<h3>Vietnamese</h3>"
    }
   ],
   "example_pages": [
    "https://medicare.gov/publications/search/all-non-english-pubs?page=4",
    "https://medicare.gov/publications/search/all-non-english-pubs",
    "http://medicare.gov/publications/search/all-non-english-pubs?page=7"
   ],
   "affected_pages": [
    "https://medicare.gov/publications/search/all-non-english-pubs?page=4",
    "https://medicare.gov/publications/search/all-non-english-pubs",
    "http://medicare.gov/publications/search/all-non-english-pubs?page=7",
    "http://medicare.gov/basics/end-stage-renal-disease",
    "https://medicare.gov/publications/search/all-non-english-pubs?page=5",
    "https://www.medicare.gov/publications/search/all-non-english-pubs?page=1",
    "https://medicare.gov/publications/search/all-non-english-pubs?page=1",
    "https://medicare.gov/publications/search/all-non-english-pubs?page=10",
    "https://medicare.gov/publications/search/all-non-english-pubs?page=3",
    "https://www.medicare.gov/publications/search/all-non-english-pubs?page=8",
    "http://medicare.gov/publications/search/all-non-english-pubs?page=6",
    "http://medicare.gov/publications/search/all-non-english-pubs?page=10",
    "http://medicare.gov/publications/search/all-non-english-pubs?page=5",
    "http://medicare.gov/publications/search/all-non-english-pubs?page=1",
    "https://medicare.gov/publications/search/all-non-english-pubs?page=6",
    "https://medicare.gov/publications/search/all-non-english-pubs?page=7",
    "http://medicare.gov/publications/search/all-non-english-pubs?page=3",
    "https://medicare.gov/publications/search/all-non-english-pubs?page=0",
    "http://medicare.gov/publications/search/all-non-english-pubs",
    "https://www.medicare.gov/care-compare/resources/about-this-tool",
    "https://medicare.gov/publications/search/all-non-english-pubs?page=2",
    "https://www.medicare.gov/publications/search/all-non-english-pubs?page=0",
    "https://www.medicare.gov/publications/search/all-non-english-pubs?page=2",
    "https://www.medicare.gov/publications/search/all-non-english-pubs?page=10",
    "https://www.medicare.gov/publications/search/all-non-english-pubs?page=9"
   ],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   },
   "testing_environment": "Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://medicare.gov/publications/search/all-non-english-pubs?page=4.",
    "Locate the element: .layout__column.ds-l-col--12 > h3:nth-child(1)",
    "Confirm the axe-core finding for rule heading-order."
   ],
   "remediation_tip": "Use heading levels in order (h1 → h2 → h3) without skipping; structure, not size.",
   "tech_name": "Drupal",
   "tech_remediation_tip": "Drupal Views and blocks can insert headings at arbitrary levels. In the Views UI, set \"Title tag\" for each display. For block titles, configure the heading level in the block's layout settings.",
   "suggested_fix": "See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/heading-order?application=axeAPI",
   "obligation": "advisory",
   "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-W29",
   "weeks_seen": 6,
   "affected_pages_csv": "csv/axe-core__heading-order.csv"
  },
  {
   "instance_id": "VS-76f781fc",
   "pattern_id": "VS-fa44f293",
   "a11y_pattern_fingerprint": "c65699efd9d0046ca005300827f60c171a3e636fe0fee42b0ca6c4aa5917ae60",
   "a11y_pattern_display_id": "A11Y-PAT-C65699EFD9D0",
   "a11y_occurrence_fingerprint": "b2dddbdd39a9cbed36cec5a1ac2b8359f12cf2e312225c4e90ceca514431d0c0",
   "a11y_occurrence_display_id": "A11Y-OCC-B2DDDBDD39A9",
   "url": "http://medicare.gov/publications/search/item/112371",
   "xpath": "html",
   "html_snippet": "<html lang=\"en\" dir=\"ltr\" prefix=\"og: https://ogp.me/ns#\" class=\" js\">",
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Best Practice",
   "evidence_status": "automated-indicator",
   "rule_id": "page-has-heading-one",
   "rule_label": "Page should contain a level-one heading",
   "engine_key": "axe-core",
   "tool": "axe-core",
   "rule_url": "https://dequeuniversity.com/rules/axe/4.12/page-has-heading-one?application=axeAPI",
   "severity": "Moderate",
   "frequency": {
    "instances": 9,
    "pages_affected": 9,
    "total_pages_scanned": 1913
   },
   "likely_source": "unknown",
   "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 9 of 1913 scanned pages (9 instances).",
   "examples": [
    {
     "url": "http://medicare.gov/publications/search/item/112371",
     "xpath": "html",
     "html_snippet": "<html lang=\"en\" dir=\"ltr\" prefix=\"og: https://ogp.me/ns#\" class=\" js\">"
    },
    {
     "url": "https://medicare.gov/publications/search/item/112376",
     "xpath": "html",
     "html_snippet": "<html lang=\"en\" dir=\"ltr\" prefix=\"og: https://ogp.me/ns#\" class=\" js\">"
    },
    {
     "url": "http://medicare.gov/health-drug-plans/medigap/ready-to-buy/spanish-medigap-open-enrollment",
     "xpath": "html",
     "html_snippet": "<html lang=\"en\" dir=\"ltr\" prefix=\"og: https://ogp.me/ns#\" class=\" js\">"
    },
    {
     "url": "http://medicare.gov/publications/search/item/112376",
     "xpath": "html",
     "html_snippet": "<html lang=\"en\" dir=\"ltr\" prefix=\"og: https://ogp.me/ns#\" class=\" js\">"
    },
    {
     "url": "https://medicare.gov/publications/search/item/112371",
     "xpath": "html",
     "html_snippet": "<html lang=\"en\" dir=\"ltr\" prefix=\"og: https://ogp.me/ns#\" class=\" js\">"
    }
   ],
   "example_pages": [
    "http://medicare.gov/publications/search/item/112371",
    "https://medicare.gov/publications/search/item/112376",
    "http://medicare.gov/health-drug-plans/medigap/ready-to-buy/spanish-medigap-open-enrollment"
   ],
   "affected_pages": [
    "http://medicare.gov/publications/search/item/112371",
    "https://medicare.gov/publications/search/item/112376",
    "http://medicare.gov/health-drug-plans/medigap/ready-to-buy/spanish-medigap-open-enrollment",
    "http://medicare.gov/publications/search/item/112376",
    "https://medicare.gov/publications/search/item/112371",
    "https://www.medicare.gov/health-drug-plans/medigap/ready-to-buy/spanish-medigap-open-enrollment",
    "https://www.medicare.gov/publications/search/item/112376",
    "https://medicare.gov/health-drug-plans/medigap/ready-to-buy/spanish-medigap-open-enrollment",
    "https://www.medicare.gov/publications/search/item/112371"
   ],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   },
   "testing_environment": "Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open http://medicare.gov/publications/search/item/112371.",
    "Locate the element: html",
    "Confirm the axe-core finding for rule page-has-heading-one."
   ],
   "remediation_tip": null,
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/page-has-heading-one?application=axeAPI",
   "obligation": "advisory",
   "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-W29",
   "weeks_seen": 6,
   "affected_pages_csv": "csv/axe-core__page-has-heading-one.csv"
  },
  {
   "instance_id": "VS-926f7c8f",
   "pattern_id": "VS-d5d82446",
   "a11y_pattern_fingerprint": "657fa5714715fa64131896c313aa9d255fe6ebb91896d139e062bcef8ef0efd9",
   "a11y_pattern_display_id": "A11Y-PAT-657FA5714715",
   "a11y_occurrence_fingerprint": "009536d509b6337c1e999fd6838b2627ac3de2de24783aac823d45149a779f11",
   "a11y_occurrence_display_id": "A11Y-OCC-009536D509B6",
   "url": "https://medicare.gov/my/medicare-complaint",
   "xpath": "html",
   "html_snippet": "<html lang=\"en\" data-react-helmet=\"lang\">",
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Best Practice",
   "evidence_status": "automated-indicator",
   "rule_id": "landmark-one-main",
   "rule_label": "Document should have one main landmark",
   "engine_key": "axe-core",
   "tool": "axe-core",
   "rule_url": "https://dequeuniversity.com/rules/axe/4.12/landmark-one-main?application=axeAPI",
   "severity": "Moderate",
   "frequency": {
    "instances": 3,
    "pages_affected": 3,
    "total_pages_scanned": 1913
   },
   "likely_source": "unknown",
   "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 3 of 1913 scanned pages (3 instances).",
   "examples": [
    {
     "url": "https://medicare.gov/my/medicare-complaint",
     "xpath": "html",
     "html_snippet": "<html lang=\"en\" data-react-helmet=\"lang\">"
    },
    {
     "url": "http://medicare.gov/my/medicare-complaint",
     "xpath": "html",
     "html_snippet": "<html lang=\"en\" data-react-helmet=\"lang\">"
    },
    {
     "url": "https://www.medicare.gov/my/medicare-complaint",
     "xpath": "html",
     "html_snippet": "<html lang=\"en\" data-react-helmet=\"lang\">"
    }
   ],
   "example_pages": [
    "https://medicare.gov/my/medicare-complaint",
    "http://medicare.gov/my/medicare-complaint",
    "https://www.medicare.gov/my/medicare-complaint"
   ],
   "affected_pages": [
    "https://medicare.gov/my/medicare-complaint",
    "http://medicare.gov/my/medicare-complaint",
    "https://www.medicare.gov/my/medicare-complaint"
   ],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   },
   "testing_environment": "Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://medicare.gov/my/medicare-complaint.",
    "Locate the element: html",
    "Confirm the axe-core finding for rule landmark-one-main."
   ],
   "remediation_tip": "Each page should have exactly one <main> landmark.",
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/landmark-one-main?application=axeAPI",
   "obligation": "advisory",
   "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-W29",
   "weeks_seen": 6,
   "affected_pages_csv": "csv/axe-core__landmark-one-main.csv"
  },
  {
   "instance_id": "VS-5e90e434",
   "pattern_id": "VS-f18df681",
   "a11y_pattern_fingerprint": "1ab5849499389952b0bde018f02b142bf5f85af86fbef30d6611fb64db31c8be",
   "a11y_pattern_display_id": "A11Y-PAT-1AB584949938",
   "a11y_occurrence_fingerprint": "aec79a70dd286c3f0872e439c50eebde907eddef2e44b4477b698811630b751d",
   "a11y_occurrence_display_id": "A11Y-OCC-AEC79A70DD28",
   "url": "https://medicare.gov/my/medicare-complaint",
   "xpath": "#maincontent",
   "html_snippet": "<h1 class=\"ds-text-heading--3xl my-u-mb--20\" id=\"maincontent\" tabindex=\"-1\">Medicare Complaint Form</h1>",
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Best Practice",
   "evidence_status": "automated-indicator",
   "rule_id": "region",
   "rule_label": "All page content should be contained by landmarks",
   "engine_key": "axe-core",
   "tool": "axe-core",
   "rule_url": "https://dequeuniversity.com/rules/axe/4.12/region?application=axeAPI",
   "severity": "Moderate",
   "frequency": {
    "instances": 9,
    "pages_affected": 3,
    "total_pages_scanned": 1913
   },
   "likely_source": "unknown",
   "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 3 of 1913 scanned pages (9 instances).",
   "examples": [
    {
     "url": "https://medicare.gov/my/medicare-complaint",
     "xpath": "#maincontent",
     "html_snippet": "<h1 class=\"ds-text-heading--3xl my-u-mb--20\" id=\"maincontent\" tabindex=\"-1\">Medicare Complaint Form</h1>"
    },
    {
     "url": "https://medicare.gov/my/medicare-complaint",
     "xpath": "form > p",
     "html_snippet": "<p>Complete this form to file a complaint about your Medicare health or drug plan.</p>"
    },
    {
     "url": "https://medicare.gov/my/medicare-complaint",
     "xpath": ".ds-c-alert",
     "html_snippet": "<div class=\"ds-c-alert ds-c-alert--hide-icon my-u-my--20\">"
    },
    {
     "url": "http://medicare.gov/my/medicare-complaint",
     "xpath": "#maincontent",
     "html_snippet": "<h1 class=\"ds-text-heading--3xl my-u-mb--20\" id=\"maincontent\" tabindex=\"-1\">Medicare Complaint Form</h1>"
    },
    {
     "url": "http://medicare.gov/my/medicare-complaint",
     "xpath": "form > p",
     "html_snippet": "<p>Complete this form to file a complaint about your Medicare health or drug plan.</p>"
    }
   ],
   "example_pages": [
    "https://medicare.gov/my/medicare-complaint",
    "http://medicare.gov/my/medicare-complaint",
    "https://www.medicare.gov/my/medicare-complaint"
   ],
   "affected_pages": [
    "https://medicare.gov/my/medicare-complaint",
    "http://medicare.gov/my/medicare-complaint",
    "https://www.medicare.gov/my/medicare-complaint"
   ],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   },
   "testing_environment": "Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://medicare.gov/my/medicare-complaint.",
    "Locate the element: #maincontent",
    "Confirm the axe-core finding for rule region."
   ],
   "remediation_tip": "Wrap all page content in landmarks (header, nav, main, footer) so users can navigate by region.",
   "tech_name": "Drupal",
   "tech_remediation_tip": "Use Drupal's region system (header, navigation, main, sidebar, footer) and map each to an HTML5 landmark element in your theme's page.html.twig.",
   "suggested_fix": "See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/region?application=axeAPI",
   "obligation": "advisory",
   "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-W29",
   "weeks_seen": 6,
   "affected_pages_csv": "csv/axe-core__region.csv"
  },
  {
   "instance_id": "VS-3a2f2791",
   "pattern_id": "VS-d69fc059",
   "a11y_pattern_fingerprint": "a4104797324640347367b7299315d44b80f5bd3c0d5f214770eac91b98a3afb3",
   "a11y_pattern_display_id": "A11Y-PAT-A41047973246",
   "a11y_occurrence_fingerprint": "64b56a1e3e8df95a6af2e9ef4379b99d1588d245f8c1f5cfdf478cebb71b337e",
   "a11y_occurrence_display_id": "A11Y-OCC-64B56A1E3E8D",
   "url": "https://medicare.gov/account/login/help",
   "xpath": "thead > tr > th:nth-child(1)",
   "html_snippet": "<th class=\"\">&nbsp;</th>",
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Best Practice",
   "evidence_status": "automated-indicator",
   "rule_id": "empty-table-header",
   "rule_label": "Table header text should not be empty",
   "engine_key": "axe-core",
   "tool": "axe-core",
   "rule_url": "https://dequeuniversity.com/rules/axe/4.12/empty-table-header?application=axeAPI",
   "severity": "Minor",
   "frequency": {
    "instances": 3,
    "pages_affected": 3,
    "total_pages_scanned": 1913
   },
   "likely_source": "unknown",
   "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 3 of 1913 scanned pages (3 instances).",
   "examples": [
    {
     "url": "https://medicare.gov/account/login/help",
     "xpath": "thead > tr > th:nth-child(1)",
     "html_snippet": "<th class=\"\">&nbsp;</th>"
    },
    {
     "url": "https://www.medicare.gov/account/login/help",
     "xpath": "thead > tr > th:nth-child(1)",
     "html_snippet": "<th class=\"\">&nbsp;</th>"
    },
    {
     "url": "http://medicare.gov/account/login/help",
     "xpath": "thead > tr > th:nth-child(1)",
     "html_snippet": "<th class=\"\">&nbsp;</th>"
    }
   ],
   "example_pages": [
    "https://medicare.gov/account/login/help",
    "https://www.medicare.gov/account/login/help",
    "http://medicare.gov/account/login/help"
   ],
   "affected_pages": [
    "https://medicare.gov/account/login/help",
    "https://www.medicare.gov/account/login/help",
    "http://medicare.gov/account/login/help"
   ],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   },
   "testing_environment": "Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://medicare.gov/account/login/help.",
    "Locate the element: thead > tr > th:nth-child(1)",
    "Confirm the axe-core finding for rule empty-table-header."
   ],
   "remediation_tip": null,
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/empty-table-header?application=axeAPI",
   "obligation": "advisory",
   "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-W29",
   "weeks_seen": 6,
   "affected_pages_csv": "csv/axe-core__empty-table-header.csv"
  },
  {
   "instance_id": "VS-292e110a",
   "pattern_id": "VS-2cd767ca",
   "a11y_pattern_fingerprint": "98dc2fa5798dd3ea670e2b59d635f144b30589796d688cea960788512cd6b65e",
   "a11y_pattern_display_id": "A11Y-PAT-98DC2FA5798D",
   "a11y_occurrence_fingerprint": "f2132ae93ab41f18bbafb7c84c349169868e6c9563ecdbeac33d6336f467bd63",
   "a11y_occurrence_display_id": "A11Y-OCC-F2132AE93AB4",
   "url": "https://www.medicare.gov/coverage/emergency-department-services",
   "xpath": "<h2 class=\"text-align-center ds-u-padding-x--4 ds-u-md-padding-x--0 ds-u-margin-bottom--0\">",
   "html_snippet": null,
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Undetermined",
   "evidence_status": "automated-indicator",
   "rule_id": "sia-r78",
   "rule_label": "Table header has scope",
   "engine_key": "alfa",
   "tool": "Siteimprove Alfa",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r78",
   "severity": "Moderate",
   "frequency": {
    "instances": 367,
    "pages_affected": 275,
    "total_pages_scanned": 1913
   },
   "likely_source": "template",
   "summary": "Table header has scope (WCAG criterion undetermined)",
   "description": "Table header has scope. Detected by Siteimprove Alfa rule sia-r78 on 275 of 1913 scanned pages (367 instances).",
   "examples": [
    {
     "url": "https://www.medicare.gov/coverage/emergency-department-services",
     "xpath": "<h2 class=\"text-align-center ds-u-padding-x--4 ds-u-md-padding-x--0 ds-u-margin-bottom--0\">",
     "html_snippet": null
    },
    {
     "url": "https://www.medicare.gov/prescription-payment-plan",
     "xpath": "<h2>",
     "html_snippet": null
    },
    {
     "url": "https://medicare.gov/coverage/alcohol-misuse-screenings-counseling",
     "xpath": "<h2 class=\"text-align-center ds-u-padding-x--4 ds-u-md-padding-x--0 ds-u-margin-bottom--0\">",
     "html_snippet": null
    },
    {
     "url": "https://medicare.gov/publications/search/all-non-english-pubs?page=4",
     "xpath": "<h3>",
     "html_snippet": null
    },
    {
     "url": "https://medicare.gov/publications/search/all-non-english-pubs?page=4",
     "xpath": "<h3>",
     "html_snippet": null
    }
   ],
   "example_pages": [
    "https://www.medicare.gov/coverage/emergency-department-services",
    "https://www.medicare.gov/prescription-payment-plan",
    "https://medicare.gov/coverage/alcohol-misuse-screenings-counseling"
   ],
   "affected_pages": [
    "https://www.medicare.gov/coverage/emergency-department-services",
    "https://www.medicare.gov/prescription-payment-plan",
    "https://medicare.gov/coverage/alcohol-misuse-screenings-counseling",
    "https://medicare.gov/publications/search/all-non-english-pubs?page=4",
    "https://medicare.gov/coverage/abdominal-aortic-aneurysm-screenings",
    "https://www.medicare.gov/coverage/occupational-therapy-services",
    "http://medicare.gov/health-drug-plans/part-d/basics",
    "https://medicare.gov/publications/search/all-non-english-pubs",
    "http://medicare.gov/coverage/flexible-sigmoidoscopies",
    "https://medicare.gov/coverage/osteoporosis-drugs",
    "https://www.medicare.gov/coverage/monoclonal-antibodies-for-the-treatment-of-early-alzheimers-disease",
    "https://medicare.gov/coverage/eye-exams-for-diabetes",
    "http://medicare.gov/coverage/foot-care-other",
    "https://www.medicare.gov/publications",
    "https://www.medicare.gov/coverage/blood",
    "https://www.medicare.gov/coverage/cataract-surgery",
    "http://medicare.gov/coverage/mental-health-substance-use-disorder",
    "https://www.medicare.gov/coverage/insulin",
    "http://medicare.gov/coverage/surgery",
    "https://www.medicare.gov/coverage/ambulatory-surgical-centers",
    "https://www.medicare.gov/coverage/flexible-sigmoidoscopies",
    "https://medicare.gov/coverage/counseling-to-prevent-tobacco-use-tobacco-caused-disease",
    "https://medicare.gov/coverage/e-visits",
    "https://www.medicare.gov/coverage/diagnostic-laboratory-tests",
    "https://www.medicare.gov/coverage/suction-pumps"
   ],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   },
   "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.medicare.gov/coverage/emergency-department-services.",
    "Locate the element: <h2 class=\"text-align-center ds-u-padding-x--4 ds-u-md-padding-x--0 ds-u-margin-bottom--0\">",
    "Confirm the Siteimprove Alfa finding for rule sia-r78."
   ],
   "remediation_tip": null,
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r78",
   "obligation": "unmapped",
   "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-W29",
   "weeks_seen": 6,
   "affected_pages_csv": "csv/alfa__sia-r78.csv"
  },
  {
   "instance_id": "VS-ea353f72",
   "pattern_id": "VS-aa242c2d",
   "a11y_pattern_fingerprint": "2b17f2237f163480716e759027c06eb66c9a4d40cc34612cb8bcccdf4b1dc503",
   "a11y_pattern_display_id": "A11Y-PAT-2B17F2237F16",
   "a11y_occurrence_fingerprint": "b0a775903d8690d26d77bae996de60f769022d4c64a8809733070c7156314038",
   "a11y_occurrence_display_id": "A11Y-OCC-B0A775903D86",
   "url": "https://www.medicare.gov/care-compare?providerType=DialysisFacility",
   "xpath": "{\"type\":\"document\",\"children\":[{\"type\":\"type\",\"name\":\"html\",\"publicId\":null,\"sys",
   "html_snippet": null,
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Undetermined",
   "evidence_status": "automated-indicator",
   "rule_id": "sia-r87",
   "rule_label": "First focusable element is link to main content",
   "engine_key": "alfa",
   "tool": "Siteimprove Alfa",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r87",
   "severity": "Moderate",
   "frequency": {
    "instances": 25,
    "pages_affected": 25,
    "total_pages_scanned": 1913
   },
   "likely_source": "template",
   "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 25 of 1913 scanned pages (25 instances).",
   "examples": [
    {
     "url": "https://www.medicare.gov/care-compare?providerType=DialysisFacility",
     "xpath": "{\"type\":\"document\",\"children\":[{\"type\":\"type\",\"name\":\"html\",\"publicId\":null,\"sys",
     "html_snippet": null
    },
    {
     "url": "https://www.medicare.gov/care-compare?providerType=HomeHealth",
     "xpath": "{\"type\":\"document\",\"children\":[{\"type\":\"type\",\"name\":\"html\",\"publicId\":null,\"sys",
     "html_snippet": null
    },
    {
     "url": "https://www.medicare.gov/care-compare?guidedSearch=Hospital",
     "xpath": "{\"type\":\"document\",\"children\":[{\"type\":\"type\",\"name\":\"html\",\"publicId\":null,\"sys",
     "html_snippet": null
    },
    {
     "url": "https://www.medicare.gov/care-compare?providerType=MedicalEquipmentSuppliers",
     "xpath": "{\"type\":\"document\",\"children\":[{\"type\":\"type\",\"name\":\"html\",\"publicId\":null,\"sys",
     "html_snippet": null
    },
    {
     "url": "http://medicare.gov/care-compare?guidedSearch=HomeHealth",
     "xpath": "{\"type\":\"document\",\"children\":[{\"type\":\"type\",\"name\":\"html\",\"publicId\":null,\"sys",
     "html_snippet": null
    }
   ],
   "example_pages": [
    "https://www.medicare.gov/care-compare?providerType=DialysisFacility",
    "https://www.medicare.gov/care-compare?providerType=HomeHealth",
    "https://www.medicare.gov/care-compare?guidedSearch=Hospital"
   ],
   "affected_pages": [
    "https://www.medicare.gov/care-compare?providerType=DialysisFacility",
    "https://www.medicare.gov/care-compare?providerType=HomeHealth",
    "https://www.medicare.gov/care-compare?guidedSearch=Hospital",
    "https://www.medicare.gov/care-compare?providerType=MedicalEquipmentSuppliers",
    "http://medicare.gov/care-compare?guidedSearch=HomeHealth",
    "https://www.medicare.gov/care-compare?providerType=LongTermCare",
    "http://medicare.gov/care-compare",
    "https://medicare.gov/care-compare?guidedSearch=Hospice",
    "https://medicare.gov/care-compare",
    "https://www.medicare.gov/care-compare?providerType=Physician",
    "http://medicare.gov/care-compare/resources/information-about-provider-types",
    "https://www.medicare.gov/care-compare?guidedSearch=NursingHome",
    "https://medicare.gov/care-compare?guidedSearch=CommunityHealthCenter",
    "http://medicare.gov/care-compare?guidedSearch=DialysisFacility",
    "http://medicare.gov/care-compare?guidedSearch=NursingHome",
    "https://medicare.gov/care-compare?guidedSearch=Hospital",
    "https://www.medicare.gov/care-compare/resources/nursing-home/quality-of-resident-care",
    "http://medicare.gov/care-compare?guidedSearch=Physician",
    "https://www.medicare.gov/care-compare/resources/nursing-home/health-inspections",
    "https://www.medicare.gov/care-compare?providertype=nursinghome",
    "http://medicare.gov/care-compare?guidedSearch=InpatientRehabilitation",
    "https://www.medicare.gov/care-compare?guidedSearch=DialysisFacility&providerType=DialysisFacility",
    "https://www.medicare.gov/care-compare?guidedSearch=Hospice",
    "https://www.medicare.gov/care-compare?providerType=Hospital",
    "https://medicare.gov/care-compare?guidedSearch=NursingHome"
   ],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   },
   "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.medicare.gov/care-compare?providerType=DialysisFacility.",
    "Locate the element: {\"type\":\"document\",\"children\":[{\"type\":\"type\",\"name\":\"html\",\"publicId\":null,\"sys",
    "Confirm the Siteimprove Alfa finding for rule sia-r87."
   ],
   "remediation_tip": null,
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r87",
   "obligation": "unmapped",
   "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-W29",
   "weeks_seen": 6,
   "affected_pages_csv": "csv/alfa__sia-r87.csv"
  },
  {
   "instance_id": "VS-89ff333e",
   "pattern_id": "VS-f054f4a4",
   "a11y_pattern_fingerprint": "ee01a3eb7dde9497f35e79ed8e1ee68c6fbe97215bcc9710b07cce69a60ca23c",
   "a11y_pattern_display_id": "A11Y-PAT-EE01A3EB7DDE",
   "a11y_occurrence_fingerprint": "cc081765a4614d45504a575d9daea2af1fe64a2b93288eaf270b855c0c344cb6",
   "a11y_occurrence_display_id": "A11Y-OCC-CC081765A461",
   "url": "https://medicare.gov/publications/search/all-non-english-pubs?page=4",
   "xpath": "<h3>",
   "html_snippet": null,
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Undetermined",
   "evidence_status": "automated-indicator",
   "rule_id": "sia-r53",
   "rule_label": "Headings are structured hierarchically",
   "engine_key": "alfa",
   "tool": "Siteimprove Alfa",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r53",
   "severity": "Moderate",
   "frequency": {
    "instances": 19,
    "pages_affected": 19,
    "total_pages_scanned": 1913
   },
   "likely_source": "template",
   "summary": "Headings are structured hierarchically (WCAG criterion undetermined)",
   "description": "Headings are structured hierarchically. Detected by Siteimprove Alfa rule sia-r53 on 19 of 1913 scanned pages (19 instances).",
   "examples": [
    {
     "url": "https://medicare.gov/publications/search/all-non-english-pubs?page=4",
     "xpath": "<h3>",
     "html_snippet": null
    },
    {
     "url": "https://medicare.gov/publications/search/all-non-english-pubs",
     "xpath": "<h3>",
     "html_snippet": null
    },
    {
     "url": "https://medicare.gov/publications/search/all-non-english-pubs?page=1",
     "xpath": "<h3>",
     "html_snippet": null
    },
    {
     "url": "https://medicare.gov/publications/search/all-non-english-pubs?page=10",
     "xpath": "<h3>",
     "html_snippet": null
    },
    {
     "url": "https://www.medicare.gov/publications/search/all-non-english-pubs?page=8",
     "xpath": "<h3>",
     "html_snippet": null
    }
   ],
   "example_pages": [
    "https://medicare.gov/publications/search/all-non-english-pubs?page=4",
    "https://medicare.gov/publications/search/all-non-english-pubs",
    "https://medicare.gov/publications/search/all-non-english-pubs?page=1"
   ],
   "affected_pages": [
    "https://medicare.gov/publications/search/all-non-english-pubs?page=4",
    "https://medicare.gov/publications/search/all-non-english-pubs",
    "https://medicare.gov/publications/search/all-non-english-pubs?page=1",
    "https://medicare.gov/publications/search/all-non-english-pubs?page=10",
    "https://www.medicare.gov/publications/search/all-non-english-pubs?page=8",
    "http://medicare.gov/publications/search/all-non-english-pubs?page=6",
    "http://medicare.gov/publications/search/all-non-english-pubs?page=1",
    "https://medicare.gov/publications/search/all-non-english-pubs?page=6",
    "https://medicare.gov/publications/search/all-non-english-pubs?page=0",
    "http://medicare.gov/publications/search/all-non-english-pubs",
    "https://www.medicare.gov/publications/search/all-non-english-pubs?page=0",
    "https://www.medicare.gov/publications/search/all-non-english-pubs?page=2",
    "https://www.medicare.gov/publications/search/all-non-english-pubs?page=10",
    "https://medicare.gov/basics/end-stage-renal-disease",
    "https://medicare.gov/publications/search/all-non-english-pubs?page=8",
    "http://medicare.gov/publications/search/all-non-english-pubs?page=2",
    "https://www.medicare.gov/publications/search/all-non-english-pubs",
    "https://www.medicare.gov/publications/search/all-non-english-pubs?page=3",
    "http://medicare.gov/publications/search/all-non-english-pubs?page=4"
   ],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   },
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://medicare.gov/publications/search/all-non-english-pubs?page=4.",
    "Locate the element: <h3>",
    "Confirm the Siteimprove Alfa finding for rule sia-r53."
   ],
   "remediation_tip": "Use headings in a logical, non-skipping order.",
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r53",
   "obligation": "unmapped",
   "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-W29",
   "weeks_seen": 6,
   "affected_pages_csv": "csv/alfa__sia-r53.csv"
  },
  {
   "instance_id": "VS-b9cde055",
   "pattern_id": "VS-e05344b9",
   "a11y_pattern_fingerprint": "8b9e1d4c705698e03fdc350964c75fac5009054477bc5bf2fddbb380680378cd",
   "a11y_pattern_display_id": "A11Y-PAT-8B9E1D4C7056",
   "a11y_occurrence_fingerprint": "44263666ad89ef1bb702f485ac68db1ad5bd27088ec4c72342738de87fe43318",
   "a11y_occurrence_display_id": "A11Y-OCC-44263666AD89",
   "url": "https://www.medicare.gov/account/create-account?Lang=es-mx",
   "xpath": "@aria-invalid=\"false\"",
   "html_snippet": null,
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Undetermined",
   "evidence_status": "automated-indicator",
   "rule_id": "sia-r18",
   "rule_label": "aria attribute is permitted for element role",
   "engine_key": "alfa",
   "tool": "Siteimprove Alfa",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r18",
   "severity": "Moderate",
   "frequency": {
    "instances": 5,
    "pages_affected": 5,
    "total_pages_scanned": 1913
   },
   "likely_source": "unknown",
   "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 5 of 1913 scanned pages (5 instances).",
   "examples": [
    {
     "url": "https://www.medicare.gov/account/create-account?Lang=es-mx",
     "xpath": "@aria-invalid=\"false\"",
     "html_snippet": null
    },
    {
     "url": "https://www.medicare.gov/account/create-account?Lang=en-us",
     "xpath": "@aria-invalid=\"false\"",
     "html_snippet": null
    },
    {
     "url": "https://www.medicare.gov/providers-services/claims-appeals-complaints/claims/share-your-medicare-claims/connected-apps",
     "xpath": "@aria-labelledby=\"block-contentb0ba37f0-ea8d-46ab-a2fa-4e3517887f3b-accordion-button\"",
     "html_snippet": null
    },
    {
     "url": "https://medicare.gov/providers-services/claims-appeals-complaints/claims/share-your-medicare-claims/connected-apps",
     "xpath": "@aria-labelledby=\"block-contentb0ba37f0-ea8d-46ab-a2fa-4e3517887f3b-accordion-button\"",
     "html_snippet": null
    },
    {
     "url": "http://medicare.gov/providers-services/claims-appeals-complaints/claims/share-your-medicare-claims/connected-apps",
     "xpath": "@aria-labelledby=\"block-contentb0ba37f0-ea8d-46ab-a2fa-4e3517887f3b-accordion-button\"",
     "html_snippet": null
    }
   ],
   "example_pages": [
    "https://www.medicare.gov/account/create-account?Lang=es-mx",
    "https://www.medicare.gov/account/create-account?Lang=en-us",
    "https://www.medicare.gov/providers-services/claims-appeals-complaints/claims/share-your-medicare-claims/connected-apps"
   ],
   "affected_pages": [
    "https://www.medicare.gov/account/create-account?Lang=es-mx",
    "https://www.medicare.gov/account/create-account?Lang=en-us",
    "https://www.medicare.gov/providers-services/claims-appeals-complaints/claims/share-your-medicare-claims/connected-apps",
    "https://medicare.gov/providers-services/claims-appeals-complaints/claims/share-your-medicare-claims/connected-apps",
    "http://medicare.gov/providers-services/claims-appeals-complaints/claims/share-your-medicare-claims/connected-apps"
   ],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   },
   "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.medicare.gov/account/create-account?Lang=es-mx.",
    "Locate the element: @aria-invalid=\"false\"",
    "Confirm the Siteimprove Alfa finding for rule sia-r18."
   ],
   "remediation_tip": "Only use ARIA states/properties that are allowed on this element/role.",
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r18",
   "obligation": "unmapped",
   "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-W29",
   "weeks_seen": 6,
   "affected_pages_csv": "csv/alfa__sia-r18.csv"
  },
  {
   "instance_id": "VS-727cccf6",
   "pattern_id": "VS-7118fead",
   "a11y_pattern_fingerprint": "b83217b91054976b1b9debe595a196bc8fa90ac2f2460c90f10f3c3523b097d5",
   "a11y_pattern_display_id": "A11Y-PAT-B83217B91054",
   "a11y_occurrence_fingerprint": "40f1a5bc0df82e00a564496183a0f5bcba8d190bd4f52b524c9dfdd28790b780",
   "a11y_occurrence_display_id": "A11Y-OCC-40F1A5BC0DF8",
   "url": "http://medicare.gov/publications/search/item/112371",
   "xpath": "{\"type\":\"document\",\"children\":[{\"type\":\"type\",\"name\":\"html\",\"publicId\":null,\"sys",
   "html_snippet": null,
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Undetermined",
   "evidence_status": "automated-indicator",
   "rule_id": "sia-r61",
   "rule_label": "Form field label is visible",
   "engine_key": "alfa",
   "tool": "Siteimprove Alfa",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r61",
   "severity": "Moderate",
   "frequency": {
    "instances": 4,
    "pages_affected": 4,
    "total_pages_scanned": 1913
   },
   "likely_source": "unknown",
   "summary": "Form field label is visible (WCAG criterion undetermined)",
   "description": "Form field label is visible. Detected by Siteimprove Alfa rule sia-r61 on 4 of 1913 scanned pages (4 instances).",
   "examples": [
    {
     "url": "http://medicare.gov/publications/search/item/112371",
     "xpath": "{\"type\":\"document\",\"children\":[{\"type\":\"type\",\"name\":\"html\",\"publicId\":null,\"sys",
     "html_snippet": null
    },
    {
     "url": "https://medicare.gov/publications/search/item/112376",
     "xpath": "{\"type\":\"document\",\"children\":[{\"type\":\"type\",\"name\":\"html\",\"publicId\":null,\"sys",
     "html_snippet": null
    },
    {
     "url": "https://medicare.gov/health-drug-plans/medigap/ready-to-buy/spanish-medigap-open-enrollment",
     "xpath": "{\"type\":\"document\",\"children\":[{\"type\":\"type\",\"name\":\"html\",\"publicId\":null,\"sys",
     "html_snippet": null
    },
    {
     "url": "https://www.medicare.gov/publications/search/item/112371",
     "xpath": "{\"type\":\"document\",\"children\":[{\"type\":\"type\",\"name\":\"html\",\"publicId\":null,\"sys",
     "html_snippet": null
    }
   ],
   "example_pages": [
    "http://medicare.gov/publications/search/item/112371",
    "https://medicare.gov/publications/search/item/112376",
    "https://medicare.gov/health-drug-plans/medigap/ready-to-buy/spanish-medigap-open-enrollment"
   ],
   "affected_pages": [
    "http://medicare.gov/publications/search/item/112371",
    "https://medicare.gov/publications/search/item/112376",
    "https://medicare.gov/health-drug-plans/medigap/ready-to-buy/spanish-medigap-open-enrollment",
    "https://www.medicare.gov/publications/search/item/112371"
   ],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   },
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open http://medicare.gov/publications/search/item/112371.",
    "Locate the element: {\"type\":\"document\",\"children\":[{\"type\":\"type\",\"name\":\"html\",\"publicId\":null,\"sys",
    "Confirm the Siteimprove Alfa finding for rule sia-r61."
   ],
   "remediation_tip": null,
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r61",
   "obligation": "unmapped",
   "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-W29",
   "weeks_seen": 6,
   "affected_pages_csv": "csv/alfa__sia-r61.csv"
  },
  {
   "instance_id": "VS-fb383d8e",
   "pattern_id": "VS-c18be945",
   "a11y_pattern_fingerprint": "369a086a5c15cc672b2f2318877123c3d934907219be41c09c72e937eb9be52a",
   "a11y_pattern_display_id": "A11Y-PAT-369A086A5C15",
   "a11y_occurrence_fingerprint": "4ce986341fbbc75ff1207dc7e30360b6b1b45b36b908b0ffe3276b73cb9be86d",
   "a11y_occurrence_display_id": "A11Y-OCC-4CE986341FBB",
   "url": "https://www.medicare.gov/medigap-supplemental-insurance-plans",
   "xpath": "text: \"Find a Medigap policy that works for you\"",
   "html_snippet": null,
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Undetermined",
   "evidence_status": "automated-indicator",
   "rule_id": "sia-r57",
   "rule_label": "Scrolling content can be accessed by keyboard",
   "engine_key": "alfa",
   "tool": "Siteimprove Alfa",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r57",
   "severity": "Moderate",
   "frequency": {
    "instances": 10,
    "pages_affected": 3,
    "total_pages_scanned": 1913
   },
   "likely_source": "unknown",
   "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 3 of 1913 scanned pages (10 instances).",
   "examples": [
    {
     "url": "https://www.medicare.gov/medigap-supplemental-insurance-plans",
     "xpath": "text: \"Find a Medigap policy that works for you\"",
     "html_snippet": null
    },
    {
     "url": "https://www.medicare.gov/plan-compare",
     "xpath": "text: \"Explore your Medicare coverage options\"",
     "html_snippet": null
    },
    {
     "url": "https://www.medicare.gov/my/premiums/dashboard",
     "xpath": "text: \"Version\"",
     "html_snippet": null
    },
    {
     "url": "https://www.medicare.gov/my/premiums/dashboard",
     "xpath": "text: \"medicare-my\"",
     "html_snippet": null
    },
    {
     "url": "https://www.medicare.gov/my/premiums/dashboard",
     "xpath": "text: \":\"",
     "html_snippet": null
    }
   ],
   "example_pages": [
    "https://www.medicare.gov/medigap-supplemental-insurance-plans",
    "https://www.medicare.gov/plan-compare",
    "https://www.medicare.gov/my/premiums/dashboard"
   ],
   "affected_pages": [
    "https://www.medicare.gov/medigap-supplemental-insurance-plans",
    "https://www.medicare.gov/plan-compare",
    "https://www.medicare.gov/my/premiums/dashboard"
   ],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   },
   "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.medicare.gov/medigap-supplemental-insurance-plans.",
    "Locate the element: text: \"Find a Medigap policy that works for you\"",
    "Confirm the Siteimprove Alfa finding for rule sia-r57."
   ],
   "remediation_tip": null,
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r57",
   "obligation": "unmapped",
   "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-W29",
   "weeks_seen": 6,
   "affected_pages_csv": "csv/alfa__sia-r57.csv"
  }
 ],
 "policy": {
  "suppression": {
   "patterns": 0,
   "pages": 0,
   "occurrences": 0,
   "entries": []
  }
 }
}