vital-scans open quality ledger

www.medicare.gov: week 2026-W32

This is the 2026-W32 ISO-week report (1974 pages fetched, 1924 unique pages audited by axe/Alfa). Generated 2026-08-05. Compared against 2026-W31 (1968 fetched). The dashboard headline uses a rolling last-7-days window; this page is the full ISO week. Machine-readable API: snapshot.json · findings.json.

Primary standards queue: 0 required finding type(s) (handling: report). Verification queue: 6 required finding type(s) (handling: review). Aspirational queue: 0 finding type(s). Advisory queue: 0 finding type(s). Unmapped review queue: 5 finding type(s).

New this week
2
Fixed this week
1
Regressed this week
0

Fix these first

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

Top 8 issues to prioritize this week.
IssueSeverityPagesWho it affectsHow to fixEvidence
All page content should be contained by landmarks (WCAG criterion undetermined) (rule↗) Serious 1629 — Wrap all page content in landmarks (header, nav, main, footer) so users can navigate by region. pages (CSV)
Target size is at least 44×44 CSS pixels (Enhanced) (WCAG 2.5.5) (rule↗) Moderate 462 — See remediation guidance: https://alfa.siteimprove.com/rules/sia-r111 pages (CSV)
Text has minimum contrast ratio of 4.5:1 (WCAG 1.4.8) (rule↗) Moderate 455 — See remediation guidance: https://alfa.siteimprove.com/rules/sia-r73 pages (CSV)
aria-hidden element does not contain focusable elements (WCAG 4.1.2) (rule↗) Moderate 394 Without vision, Limited vision See remediation guidance: https://alfa.siteimprove.com/rules/sia-r17 pages (CSV)
Scrolling content can be accessed by keyboard (WCAG criterion undetermined) (rule↗) Moderate 392 — See remediation guidance: https://alfa.siteimprove.com/rules/sia-r57 pages (CSV)
Table header has scope (WCAG criterion undetermined) (rule↗) Moderate 116 — See remediation guidance: https://alfa.siteimprove.com/rules/sia-r78 pages (CSV)
Heading levels should only increase by one (WCAG criterion undetermined) (rule↗) Moderate 40 — Use heading levels in order (h1 → h2 → h3) without skipping; structure, not size. pages (CSV)
Documents must have <title> element to aid in navigation (WCAG 2.4.2) (rule↗) Serious 18 Without vision, Limited vision Give the page a unique, descriptive <title>. pages (CSV)

Progress

Open findings by severity over 9 weeks (lower is better)
Serious Moderate Minor W24W28W32170

Fixed this week

Dropped from this week's sample

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

This week at a glance 19 issue type(s)
Median axe violations / page
2
Pages with axe violations
1629 of 1924
Median Alfa failures / page
51
Pages with Alfa failures
462 of 462
Unique pages audited
1924
Lighthouse performance (median)
44/100 191 sampled details
Lighthouse SEO (median)
92/100
Lighthouse best practices (median)
54/100
Lighthouse agentic (median)
100/100
Words per page (median)
199 main content, nav excluded
Reading ease (median)
40 590 prose pages
Reading grade (median)
14
Misspellings
25+ distinct details
Broken links
35 details
Median page weight
7.2 MB +144 KB worse
Median requests per page
107
Estimated energy per page (mean)
2.2789 Wh

Note: page counts differ between weeks (1968 → 1974). Prefer the "pages affected" columns over raw instance counts when comparing.

Scan coverage this week (1974 pages · 2207 succeeded of 2222 attempted)
Pages each engine ran on, per the configured weekly sampling rates.
EnginePagesCoverage
axe192497%
resources192497%
standards99650%
plain-language93747%
alfa46223%
tech21611%
lighthouse19210%
deprecated-html18910%
security1869%
sustainability1809%

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

Changes since 2026-W31 8 change(s)

axe-core

  • New: document-title appeared this week.
  • region spread: 792 → 1629 pages affected (rate: 41% → 85% of pages scanned).

Alfa

  • New: sia-r1 appeared this week.
  • Resolved: sia-r80 no longer fails on any scanned page.
  • Resolved: sia-r18 no longer fails on any scanned page.
  • Resolved: sia-r59 no longer fails on any scanned page.
  • sia-r17 shrank: 405 → 394 pages affected (rate: 83% → 85% of pages scanned).
  • sia-r57 spread: 186 → 392 pages affected (rate: 38% → 85% of pages scanned).

Embedded & linked resources

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

New this week (195)

1506 distinct resources, by type.
TypeCount
PDF documents1250
Iframes200
Audio files54
Images1
Archives (zip, etc.)1