{
 "domain": "www.medicare.gov",
 "week": "2026-W32",
 "generatedAt": "2026-08-05T13:12:44.309Z",
 "reports": [
  {
   "instance_id": "VS-c6c9af2f",
   "pattern_id": "VS-f7dba940",
   "a11y_pattern_fingerprint": "84dac43fe90c9591e283e973fc2eb8a6fb6cecd8dab6d7016305a8bd81af0ef4",
   "a11y_pattern_display_id": "A11Y-PAT-84DAC43FE90C",
   "a11y_occurrence_fingerprint": "fafc5d1e1e8f5e9a0ff8884f300d5f0744aed687227cd338f5d1631604099345",
   "a11y_occurrence_display_id": "A11Y-OCC-FAFC5D1E1E8F",
   "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,
   "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": 2,
    "pages_affected": 2,
    "total_pages_scanned": 1974
   },
   "likely_source": "content",
   "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 2 of 1974 scanned pages (2 instances).",
   "examples": [
    {
     "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": "https://www.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/basics/get-started-with-medicare/sign-up/when-does-medicare-coverage-start",
    "https://www.medicare.gov/basics/costs/medicare-costs/avoid-penalties"
   ],
   "affected_pages": [
    "https://www.medicare.gov/basics/get-started-with-medicare/sign-up/when-does-medicare-coverage-start",
    "https://www.medicare.gov/basics/costs/medicare-costs/avoid-penalties"
   ],
   "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/basics/get-started-with-medicare/sign-up/when-does-medicare-coverage-start.",
    "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-W32",
   "weeks_seen": 9,
   "affected_pages_csv": "csv/alfa__sia-r14.csv"
  },
  {
   "instance_id": "VS-6b7a29c6",
   "pattern_id": "VS-c80d5faa",
   "a11y_pattern_fingerprint": "794296bd4eb55ba84df78bf58edac152735e338a626b95fcfc497e5a55ece521",
   "a11y_pattern_display_id": "A11Y-PAT-794296BD4EB5",
   "a11y_occurrence_fingerprint": "1790971df23a55e2533026c5d76677295f2addfd7afb372e97c23c7af953128f",
   "a11y_occurrence_display_id": "A11Y-OCC-1790971DF23A",
   "url": "https://www.medicare.gov/care-compare/resources/nursing-home/care-compare/resources/nursing-home/quality-of-resident-care",
   "xpath": "html",
   "html_snippet": "<html lang=\"en\">",
   "wcag_sc": "2.4.2",
   "wcag_name": "Page Titled",
   "wcag_level": "A",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.0 A",
   "evidence_status": "automated-indicator",
   "rule_id": "document-title",
   "rule_label": "Documents must have <title> element to aid in navigation",
   "engine_key": "axe-core",
   "tool": "axe-core",
   "rule_url": "https://dequeuniversity.com/rules/axe/4.12/document-title?application=axeAPI",
   "severity": "Serious",
   "frequency": {
    "instances": 18,
    "pages_affected": 18,
    "total_pages_scanned": 1974
   },
   "likely_source": "template",
   "summary": "Documents must have <title> element to aid in navigation (WCAG 2.4.2)",
   "description": "Documents must have <title> element to aid in navigation. Detected by axe-core rule document-title on 18 of 1974 scanned pages (18 instances).",
   "examples": [
    {
     "url": "https://www.medicare.gov/care-compare/resources/nursing-home/care-compare/resources/nursing-home/quality-of-resident-care",
     "xpath": "html",
     "html_snippet": "<html lang=\"en\">"
    },
    {
     "url": "https://www.medicare.gov/care-compare/resources/nursing-home/staffing",
     "xpath": "html",
     "html_snippet": "<html lang=\"en\">"
    },
    {
     "url": "https://www.medicare.gov/care-compare/resources/care-compare/resources/information-for-providers",
     "xpath": "html",
     "html_snippet": "<html lang=\"en\">"
    },
    {
     "url": "https://medicare.gov/care-compare/resources/information-about-provider-types",
     "xpath": "html",
     "html_snippet": "<html lang=\"en\">"
    },
    {
     "url": "http://medicare.gov/care-compare/resources/information-about-provider-types",
     "xpath": "html",
     "html_snippet": "<html lang=\"en\">"
    }
   ],
   "example_pages": [
    "https://www.medicare.gov/care-compare/resources/nursing-home/care-compare/resources/nursing-home/quality-of-resident-care",
    "https://www.medicare.gov/care-compare/resources/nursing-home/staffing",
    "https://www.medicare.gov/care-compare/resources/care-compare/resources/information-for-providers"
   ],
   "affected_pages": [
    "https://www.medicare.gov/care-compare/resources/nursing-home/care-compare/resources/nursing-home/quality-of-resident-care",
    "https://www.medicare.gov/care-compare/resources/nursing-home/staffing",
    "https://www.medicare.gov/care-compare/resources/care-compare/resources/information-for-providers",
    "https://medicare.gov/care-compare/resources/information-about-provider-types",
    "http://medicare.gov/care-compare/resources/information-about-provider-types",
    "https://www.medicare.gov/care-compare/resources/nursing-home/care-compare/resources/nursing-home/staffing",
    "https://www.medicare.gov/care-compare/resources/about-this-tool",
    "https://www.medicare.gov/care-compare/resources/information-about-provider-types",
    "https://www.medicare.gov/care-compare/resources/information-for-providers",
    "https://www.medicare.gov/care-compare/resources/care-compare/resources/information-about-provider-types",
    "https://medicare.gov/care-compare/resources/care-compare/resources/information-about-provider-types",
    "https://www.medicare.gov/care-compare/resources/nursing-home/care-compare/resources/nursing-home/health-inspections",
    "https://www.medicare.gov/care-compare/resources/care-compare/resources/resources-and-information",
    "http://medicare.gov/care-compare/resources/care-compare/resources/information-about-provider-types",
    "https://www.medicare.gov/care-compare/resources/nursing-home/quality-of-resident-care",
    "https://www.medicare.gov/care-compare/resources/nursing-home/health-inspections",
    "https://www.medicare.gov/care-compare/resources/care-compare/resources/about-this-tool",
    "https://www.medicare.gov/care-compare/resources/resources-and-information"
   ],
   "impact": {
    "groups": [
     {
      "code": "WV",
      "group": "Without vision",
      "prevalence": 0.01,
      "percent": "1.0%",
      "estimatedExcluded": null
     },
     {
      "code": "LV",
      "group": "Limited vision",
      "prevalence": 0.024,
      "percent": "2.4%",
      "estimatedExcluded": null
     },
     {
      "code": "LCLA",
      "group": "Limited cognitive, language, or learning ability",
      "prevalence": 0.11,
      "percent": "11.0%",
      "estimatedExcluded": null
     }
    ],
    "summary": "Affects Without vision (1.0%), Limited vision (2.4%), Limited cognitive, language, or learning ability (11.0%)."
   },
   "testing_environment": "Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "steps_to_reproduce": [
    "Open https://www.medicare.gov/care-compare/resources/nursing-home/care-compare/resources/nursing-home/quality-of-resident-care.",
    "Locate the element: html",
    "Confirm the axe-core finding for rule document-title against WCAG 2.4.2 Page Titled."
   ],
   "remediation_tip": "Give the page a unique, descriptive <title>.",
   "tech_name": "Drupal",
   "tech_remediation_tip": "Drupal generates page titles from the node title + site name. Customise the pattern at Admin › Configuration › Search and metadata › Metatag.",
   "suggested_fix": "See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/document-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-W32",
   "last_seen": "2026-W32",
   "weeks_seen": 1,
   "affected_pages_csv": "csv/axe-core__document-title.csv"
  },
  {
   "instance_id": "VS-46db3629",
   "pattern_id": "VS-0728f339",
   "a11y_pattern_fingerprint": "ea150bffe9c48aef966f4641feb34b4636ac4d7f412b0a5f917b271d6e70e705",
   "a11y_pattern_display_id": "A11Y-PAT-EA150BFFE9C4",
   "a11y_occurrence_fingerprint": "55f4e8aceb1ebf208349708150e302f3248505188fe6003c7a8aa57071b62c11",
   "a11y_occurrence_display_id": "A11Y-OCC-55F4E8ACEB1E",
   "url": "https://www.medicare.gov/care-compare/resources/nursing-home/care-compare/resources/nursing-home/quality-of-resident-care",
   "xpath": "{\"type\":\"document\",\"children\":[{\"type\":\"type\",\"name\":\"html\",\"publicId\":null,\"sys",
   "html_snippet": null,
   "wcag_sc": "2.4.2",
   "wcag_name": "Page Titled",
   "wcag_level": "A",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.0 A",
   "evidence_status": "automated-indicator",
   "rule_id": "sia-r1",
   "rule_label": "Document has a title element",
   "engine_key": "alfa",
   "tool": "Siteimprove Alfa",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r1",
   "severity": "Moderate",
   "frequency": {
    "instances": 7,
    "pages_affected": 7,
    "total_pages_scanned": 1974
   },
   "likely_source": "unknown",
   "summary": "Document has a title element (WCAG 2.4.2)",
   "description": "Document has a title element. Detected by Siteimprove Alfa rule sia-r1 on 7 of 1974 scanned pages (7 instances).",
   "examples": [
    {
     "url": "https://www.medicare.gov/care-compare/resources/nursing-home/care-compare/resources/nursing-home/quality-of-resident-care",
     "xpath": "{\"type\":\"document\",\"children\":[{\"type\":\"type\",\"name\":\"html\",\"publicId\":null,\"sys",
     "html_snippet": null
    },
    {
     "url": "https://www.medicare.gov/care-compare/resources/nursing-home/staffing",
     "xpath": "{\"type\":\"document\",\"children\":[{\"type\":\"type\",\"name\":\"html\",\"publicId\":null,\"sys",
     "html_snippet": null
    },
    {
     "url": "https://www.medicare.gov/care-compare/resources/care-compare/resources/information-for-providers",
     "xpath": "{\"type\":\"document\",\"children\":[{\"type\":\"type\",\"name\":\"html\",\"publicId\":null,\"sys",
     "html_snippet": null
    },
    {
     "url": "http://medicare.gov/care-compare/resources/information-about-provider-types",
     "xpath": "{\"type\":\"document\",\"children\":[{\"type\":\"type\",\"name\":\"html\",\"publicId\":null,\"sys",
     "html_snippet": null
    },
    {
     "url": "https://www.medicare.gov/care-compare/resources/about-this-tool",
     "xpath": "{\"type\":\"document\",\"children\":[{\"type\":\"type\",\"name\":\"html\",\"publicId\":null,\"sys",
     "html_snippet": null
    }
   ],
   "example_pages": [
    "https://www.medicare.gov/care-compare/resources/nursing-home/care-compare/resources/nursing-home/quality-of-resident-care",
    "https://www.medicare.gov/care-compare/resources/nursing-home/staffing",
    "https://www.medicare.gov/care-compare/resources/care-compare/resources/information-for-providers"
   ],
   "affected_pages": [
    "https://www.medicare.gov/care-compare/resources/nursing-home/care-compare/resources/nursing-home/quality-of-resident-care",
    "https://www.medicare.gov/care-compare/resources/nursing-home/staffing",
    "https://www.medicare.gov/care-compare/resources/care-compare/resources/information-for-providers",
    "http://medicare.gov/care-compare/resources/information-about-provider-types",
    "https://www.medicare.gov/care-compare/resources/about-this-tool",
    "https://medicare.gov/care-compare/resources/care-compare/resources/information-about-provider-types",
    "https://www.medicare.gov/care-compare/resources/nursing-home/care-compare/resources/nursing-home/health-inspections"
   ],
   "impact": {
    "groups": [
     {
      "code": "WV",
      "group": "Without vision",
      "prevalence": 0.01,
      "percent": "1.0%",
      "estimatedExcluded": null
     },
     {
      "code": "LV",
      "group": "Limited vision",
      "prevalence": 0.024,
      "percent": "2.4%",
      "estimatedExcluded": null
     },
     {
      "code": "LCLA",
      "group": "Limited cognitive, language, or learning ability",
      "prevalence": 0.11,
      "percent": "11.0%",
      "estimatedExcluded": null
     }
    ],
    "summary": "Affects Without vision (1.0%), Limited vision (2.4%), Limited cognitive, language, or learning ability (11.0%)."
   },
   "testing_environment": "Automated: 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/resources/nursing-home/care-compare/resources/nursing-home/quality-of-resident-care.",
    "Locate the element: {\"type\":\"document\",\"children\":[{\"type\":\"type\",\"name\":\"html\",\"publicId\":null,\"sys",
    "Confirm the Siteimprove Alfa finding for rule sia-r1 against WCAG 2.4.2 Page Titled."
   ],
   "remediation_tip": null,
   "tech_name": null,
   "tech_remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r1",
   "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-W32",
   "last_seen": "2026-W32",
   "weeks_seen": 1,
   "affected_pages_csv": "csv/alfa__sia-r1.csv"
  },
  {
   "instance_id": "VS-7d10ca87",
   "pattern_id": "VS-3f76c7ea",
   "a11y_pattern_fingerprint": "c47646cb6c39b55c9f4284fcf4ad023d908f8784375c94abe6e56c788fce5f72",
   "a11y_pattern_display_id": "A11Y-PAT-C47646CB6C39",
   "a11y_occurrence_fingerprint": "2b6dfe4a1c47f81499ad38cc9107321e0cf9d92c796d8060229a066987d7aa54",
   "a11y_occurrence_display_id": "A11Y-OCC-2B6DFE4A1C47",
   "url": "https://medicare.gov/publications/search/all-non-english-pubs?page=4",
   "xpath": "iframe[height=\"100%\"]",
   "html_snippet": "<iframe data-src=\"https://surveys.cms....\" width=\"100%\" height=\"100%\" frameborder=\"0\" name=\"survey-iframe-SI_6tb...\" data-name=\"embedded-iframe-SI_6...\" allow=\"local-network-access\" style=\"border-radi",
   "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": 13,
    "pages_affected": 13,
    "total_pages_scanned": 1974
   },
   "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 13 of 1974 scanned pages (13 instances).",
   "examples": [
    {
     "url": "https://medicare.gov/publications/search/all-non-english-pubs?page=4",
     "xpath": "iframe[height=\"100%\"]",
     "html_snippet": "<iframe data-src=\"https://surveys.cms....\" width=\"100%\" height=\"100%\" frameborder=\"0\" name=\"survey-iframe-SI_6tb...\" data-name=\"embedded-iframe-SI_6...\" allow=\"local-network-access\" style=\"border-radi"
    },
    {
     "url": "https://www.medicare.gov/?reset=true",
     "xpath": "iframe[height=\"100%\"]",
     "html_snippet": "<iframe data-src=\"https://surveys.cms....\" width=\"100%\" height=\"100%\" frameborder=\"0\" name=\"survey-iframe-SI_6tb...\" data-name=\"embedded-iframe-SI_6...\" allow=\"local-network-access\" style=\"border-radi"
    },
    {
     "url": "http://medicare.gov/providers-services/claims-appeals-complaints/appeals/drug-plans",
     "xpath": "iframe[height=\"100%\"]",
     "html_snippet": "<iframe data-src=\"https://surveys.cms....\" width=\"100%\" height=\"100%\" frameborder=\"0\" name=\"survey-iframe-SI_6tb...\" data-name=\"embedded-iframe-SI_6...\" allow=\"local-network-access\" style=\"border-radi"
    },
    {
     "url": "http://medicare.gov/?reset=true",
     "xpath": "iframe[height=\"100%\"]",
     "html_snippet": "<iframe data-src=\"https://surveys.cms....\" width=\"100%\" height=\"100%\" frameborder=\"0\" name=\"survey-iframe-SI_6tb...\" data-name=\"embedded-iframe-SI_6...\" allow=\"local-network-access\" style=\"border-radi"
    },
    {
     "url": "https://medicare.gov/?reset=true",
     "xpath": "iframe[height=\"100%\"]",
     "html_snippet": "<iframe data-src=\"https://surveys.cms....\" width=\"100%\" height=\"100%\" frameborder=\"0\" name=\"survey-iframe-SI_6tb...\" data-name=\"embedded-iframe-SI_6...\" allow=\"local-network-access\" style=\"border-radi"
    }
   ],
   "example_pages": [
    "https://medicare.gov/publications/search/all-non-english-pubs?page=4",
    "https://www.medicare.gov/?reset=true",
    "http://medicare.gov/providers-services/claims-appeals-complaints/appeals/drug-plans"
   ],
   "affected_pages": [
    "https://medicare.gov/publications/search/all-non-english-pubs?page=4",
    "https://www.medicare.gov/?reset=true",
    "http://medicare.gov/providers-services/claims-appeals-complaints/appeals/drug-plans",
    "http://medicare.gov/?reset=true",
    "https://medicare.gov/?reset=true",
    "https://www.medicare.gov/coverage/counseling-to-prevent-tobacco-use-tobacco-caused-disease",
    "https://medicare.gov/coverage/chiropractic-services",
    "https://www.medicare.gov/coverage/cognitive-assessment-care-plan-services",
    "https://medicare.gov/coverage/cervical-vaginal-cancer-screenings",
    "https://www.medicare.gov/coverage/federally-qualified-health-center-services",
    "https://www.medicare.gov/coverage/mammograms",
    "http://medicare.gov/providers-services/claims-appeals-complaints/claims",
    "https://medicare.gov/coverage/doctor-other-health-care-provider-services"
   ],
   "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 https://medicare.gov/publications/search/all-non-english-pubs?page=4.",
    "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-W32",
   "weeks_seen": 9,
   "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": 403,
    "pages_affected": 394,
    "total_pages_scanned": 1974
   },
   "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 394 of 1974 scanned pages (403 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://medicare.gov/health-drug-plans/medigap/basics/compare-plan-benefits/wisconsin",
     "xpath": "<div class=\"search-block__content\" aria-hidden=\"true\" id=\"search_form_block-content\">",
     "html_snippet": null
    },
    {
     "url": "http://medicare.gov/coverage/covid-19-vaccine",
     "xpath": "<div class=\"search-block__content\" aria-hidden=\"true\" id=\"search_form_block-content\">",
     "html_snippet": null
    },
    {
     "url": "https://www.medicare.gov/basics/forms-publications-mailings/mailings/other-mailings/plan-marketing-materials",
     "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/help-with-costs/qualifying-for-help-with-costs/extra-help-annual-eligibility-decision",
     "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://medicare.gov/health-drug-plans/medigap/basics/compare-plan-benefits/wisconsin",
    "http://medicare.gov/coverage/covid-19-vaccine"
   ],
   "affected_pages": [
    "https://www.medicare.gov/coverage/emergency-department-services",
    "https://medicare.gov/health-drug-plans/medigap/basics/compare-plan-benefits/wisconsin",
    "http://medicare.gov/coverage/covid-19-vaccine",
    "https://www.medicare.gov/basics/forms-publications-mailings/mailings/other-mailings/plan-marketing-materials",
    "https://medicare.gov/basics/forms-publications-mailings/mailings/help-with-costs/qualifying-for-help-with-costs/extra-help-annual-eligibility-decision",
    "https://medicare.gov/coverage/abdominal-aortic-aneurysm-screenings",
    "https://medicare.gov/providers-services/claims-appeals-complaints/claims",
    "http://medicare.gov/health-apps/noom",
    "http://medicare.gov/publication-ordering/12217-S",
    "http://medicare.gov/health-drug-plans/part-d/basics",
    "https://www.medicare.gov/providers-services/original-medicare/nursing-homes/return-to-community",
    "http://medicare.gov/publication-ordering/12219-S",
    "https://medicare.gov/coverage/opioid-use-disorder-treatment-services",
    "https://medicare.gov/publications/search?page=3",
    "http://medicare.gov/basics/forms-publications-mailings/mailings/costs-and-coverage/medicare-premium-bill",
    "https://medicare.gov/coverage/osteoporosis-drugs",
    "https://www.medicare.gov/health-drug-plans/health-plans/your-health-plan-options/PFFS",
    "http://medicare.gov/coverage/foot-care-other",
    "https://www.medicare.gov/publications",
    "http://medicare.gov/publication-ordering/11361-S",
    "https://medicare.gov/coverage/mental-health-care-inpatient",
    "https://medicare.gov/health-drug-plans/health-plans/your-coverage-options/other-medicare-health-plans/PACE",
    "http://medicare.gov/basics/forms-publications-mailings/mailings/help-with-costs/copayment-changing",
    "http://medicare.gov/coverage/hepatitis-b-virus-hbv-infection-screenings",
    "https://medicare.gov/coverage/hospice-care"
   ],
   "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-W32",
   "weeks_seen": 9,
   "affected_pages_csv": "csv/alfa__sia-r17.csv"
  },
  {
   "instance_id": "VS-0b5e3706",
   "pattern_id": "VS-f7e99f4b",
   "a11y_pattern_fingerprint": "cf49c64b653d765521ce0b56a81c2d3743940f4d3c870f5b89b264f48df66df6",
   "a11y_pattern_display_id": "A11Y-PAT-CF49C64B653D",
   "a11y_occurrence_fingerprint": "92e6bb36f7c1fc87c6cc04917df2b935674fb847efaa3e519bbf7452f80aea6c",
   "a11y_occurrence_display_id": "A11Y-OCC-92E6BB36F7C1",
   "url": "https://www.medicare.gov/providers-services/claims-appeals-complaints/appeals/original-medicare",
   "xpath": "text: \"Level 1 appeals : Redetermination\"",
   "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": 77,
    "pages_affected": 8,
    "total_pages_scanned": 1974
   },
   "likely_source": "unknown",
   "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 8 of 1974 scanned pages (77 instances).",
   "examples": [
    {
     "url": "https://www.medicare.gov/providers-services/claims-appeals-complaints/appeals/original-medicare",
     "xpath": "text: \"Level 1 appeals : Redetermination\"",
     "html_snippet": null
    },
    {
     "url": "https://www.medicare.gov/providers-services/claims-appeals-complaints/appeals/original-medicare",
     "xpath": "text: \"Level 2 appeals: Qualified Independent Contractor (QIC) Reconsideration\"",
     "html_snippet": null
    },
    {
     "url": "https://www.medicare.gov/providers-services/claims-appeals-complaints/appeals/original-medicare",
     "xpath": "text: \"Level 3 appeals: Decision by the Office of Medicare Hearings and Appeals (OMHA)\"",
     "html_snippet": null
    },
    {
     "url": "http://medicare.gov/providers-services/claims-appeals-complaints/appeals/medicare-health-plans",
     "xpath": "text: \"Level 1 appeals: Reconsideration from your plan\"",
     "html_snippet": null
    },
    {
     "url": "http://medicare.gov/providers-services/claims-appeals-complaints/appeals/medicare-health-plans",
     "xpath": "text: \"Level 2 appeals: Review by an Independent Review Entity\"",
     "html_snippet": null
    }
   ],
   "example_pages": [
    "https://www.medicare.gov/providers-services/claims-appeals-complaints/appeals/original-medicare",
    "http://medicare.gov/providers-services/claims-appeals-complaints/appeals/medicare-health-plans",
    "https://medicare.gov/basics/end-stage-renal-disease"
   ],
   "affected_pages": [
    "https://www.medicare.gov/providers-services/claims-appeals-complaints/appeals/original-medicare",
    "http://medicare.gov/providers-services/claims-appeals-complaints/appeals/medicare-health-plans",
    "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",
    "http://medicare.gov/basics/get-started-with-medicare/get-more-coverage/joining-a-plan/special-enrollment-periods",
    "http://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"
   ],
   "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 https://www.medicare.gov/providers-services/claims-appeals-complaints/appeals/original-medicare.",
    "Locate the element: text: \"Level 1 appeals : Redetermination\"",
    "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-W32",
   "weeks_seen": 9,
   "affected_pages_csv": "csv/alfa__sia-r69.csv"
  },
  {
   "instance_id": "VS-93268b44",
   "pattern_id": "VS-646b1e0b",
   "a11y_pattern_fingerprint": "830ddd853d5ff4b703940661d78564e9bbc0244dfb357fc9a371ff1d558d9cf8",
   "a11y_pattern_display_id": "A11Y-PAT-830DDD853D5F",
   "a11y_occurrence_fingerprint": "832c9b6a581bcd4634962167730712db163f7ba2c39954e65f73793da96f1f46",
   "a11y_occurrence_display_id": "A11Y-OCC-832C9B6A581B",
   "url": "http://medicare.gov/care-compare?guidedSearch=LongTermCare",
   "xpath": "text: \"Long-term care hospitals\"",
   "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": 216,
    "pages_affected": 27,
    "total_pages_scanned": 1974
   },
   "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 27 of 1974 scanned pages (216 instances).",
   "examples": [
    {
     "url": "http://medicare.gov/care-compare?guidedSearch=LongTermCare",
     "xpath": "text: \"Long-term care hospitals\"",
     "html_snippet": null
    },
    {
     "url": "http://medicare.gov/care-compare?guidedSearch=LongTermCare",
     "xpath": "text: \"Enter street, ZIP code, city, or state.\"",
     "html_snippet": null
    },
    {
     "url": "http://medicare.gov/care-compare?guidedSearch=HomeHealth",
     "xpath": "text: \"Home health services\"",
     "html_snippet": null
    },
    {
     "url": "http://medicare.gov/care-compare?guidedSearch=HomeHealth",
     "xpath": "text: \"Enter street, ZIP code, city, or state.\"",
     "html_snippet": null
    },
    {
     "url": "https://www.medicare.gov/providers-services/claims-appeals-complaints/appeals/original-medicare",
     "xpath": "text: \"Level 1 appeals : Redetermination\"",
     "html_snippet": null
    }
   ],
   "example_pages": [
    "http://medicare.gov/care-compare?guidedSearch=LongTermCare",
    "http://medicare.gov/care-compare?guidedSearch=HomeHealth",
    "https://www.medicare.gov/providers-services/claims-appeals-complaints/appeals/original-medicare"
   ],
   "affected_pages": [
    "http://medicare.gov/care-compare?guidedSearch=LongTermCare",
    "http://medicare.gov/care-compare?guidedSearch=HomeHealth",
    "https://www.medicare.gov/providers-services/claims-appeals-complaints/appeals/original-medicare",
    "https://www.medicare.gov/care-compare/resources/nursing-home/care-compare/resources/nursing-home/quality-of-resident-care",
    "https://medicare.gov/care-compare?guidedSearch=Hospice",
    "https://www.medicare.gov/care-compare/resources/nursing-home/staffing",
    "https://www.medicare.gov/care-compare/resources/care-compare/resources/information-for-providers",
    "http://medicare.gov/care-compare/resources/information-about-provider-types",
    "https://medicare.gov/coverage/find-alphabetically",
    "https://www.medicare.gov/coverage/find-alphabetically",
    "https://www.medicare.gov/care-compare/resources/about-this-tool",
    "https://medicare.gov/care-compare?guidedSearch=Physician",
    "http://medicare.gov/providers-services/claims-appeals-complaints/appeals/medicare-health-plans",
    "https://medicare.gov/care-compare?guidedSearch=CommunityHealthCenter",
    "https://medicare.gov/care-compare?guidedSearch=DialysisFacility",
    "https://medicare.gov/basics/end-stage-renal-disease",
    "https://medicare.gov/care-compare?guidedSearch=InpatientRehabilitation",
    "http://medicare.gov/prescription-payment-plan/examples",
    "https://www.medicare.gov/care-compare/resources/nursing-home/care-compare/resources/nursing-home/health-inspections",
    "https://www.medicare.gov/providers-services/claims-appeals-complaints/appeals/original-medicare/denial-part-a-hospital-status",
    "http://medicare.gov/care-compare?guidedSearch=NursingHome",
    "https://www.medicare.gov/care-compare?guidedSearch=InpatientRehabilitation",
    "http://medicare.gov/basics/get-started-with-medicare/get-more-coverage/joining-a-plan/special-enrollment-periods",
    "http://medicare.gov/what-medicare-covers/what-part-a-covers/health-care-prescriptions-in-a-nursing-home",
    "https://medicare.gov/care-compare?guidedSearch=LongTermCare"
   ],
   "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/care-compare?guidedSearch=LongTermCare.",
    "Locate the element: text: \"Long-term care hospitals\"",
    "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-W32",
   "weeks_seen": 9,
   "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": "Moderate",
   "frequency": {
    "instances": 4457,
    "pages_affected": 455,
    "total_pages_scanned": 1974
   },
   "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 455 of 1974 scanned pages (4457 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://medicare.gov/health-drug-plans/medigap/basics/compare-plan-benefits/wisconsin",
     "xpath": "<p>",
     "html_snippet": null
    },
    {
     "url": "https://medicare.gov/health-drug-plans/medigap/basics/compare-plan-benefits/wisconsin",
     "xpath": "<p>",
     "html_snippet": null
    }
   ],
   "example_pages": [
    "https://www.medicare.gov/coverage/emergency-department-services",
    "https://medicare.gov/health-drug-plans/medigap/basics/compare-plan-benefits/wisconsin",
    "https://www.medicare.gov/medical-equipment-suppliers/note-for-suppliers"
   ],
   "affected_pages": [
    "https://www.medicare.gov/coverage/emergency-department-services",
    "https://medicare.gov/health-drug-plans/medigap/basics/compare-plan-benefits/wisconsin",
    "https://www.medicare.gov/medical-equipment-suppliers/note-for-suppliers",
    "http://medicare.gov/coverage/covid-19-vaccine",
    "https://www.medicare.gov/basics/forms-publications-mailings/mailings/other-mailings/plan-marketing-materials",
    "https://medicare.gov/basics/forms-publications-mailings/mailings/help-with-costs/qualifying-for-help-with-costs/extra-help-annual-eligibility-decision",
    "https://medicare.gov/coverage/abdominal-aortic-aneurysm-screenings",
    "https://medicare.gov/providers-services/claims-appeals-complaints/claims",
    "http://medicare.gov/health-apps/noom",
    "http://medicare.gov/publication-ordering/12217-S",
    "http://medicare.gov/health-drug-plans/part-d/basics",
    "https://www.medicare.gov/account/login?client_id=carecompare&redirect_uri=https%3A%2F%2Fwww.medicare.gov%2Fcare-compare%2Foauth&relay=eyJhY3Rpb24iOiJsb2dpbiIsImRhdGEiOnsibGFzdFVybCI6Ij9wcm92aWRlclR5cGU9RGlhbHlzaXNGYWNpbGl0eSJ9fQ%3D%3D",
    "https://www.medicare.gov/providers-services/original-medicare/nursing-homes/return-to-community",
    "http://medicare.gov/publication-ordering/12219-S",
    "https://medicare.gov/coverage/opioid-use-disorder-treatment-services",
    "https://medicare.gov/publications/search?page=3",
    "http://medicare.gov/basics/forms-publications-mailings/mailings/costs-and-coverage/medicare-premium-bill",
    "https://medicare.gov/coverage/osteoporosis-drugs",
    "https://www.medicare.gov/health-drug-plans/health-plans/your-health-plan-options/PFFS",
    "http://medicare.gov/coverage/foot-care-other",
    "https://www.medicare.gov/publications",
    "http://medicare.gov/publication-ordering/11361-S",
    "https://medicare.gov/coverage/mental-health-care-inpatient",
    "https://medicare.gov/health-drug-plans/health-plans/your-coverage-options/other-medicare-health-plans/PACE",
    "http://medicare.gov/basics/forms-publications-mailings/mailings/help-with-costs/copayment-changing"
   ],
   "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-W32",
   "weeks_seen": 9,
   "affected_pages_csv": "csv/alfa__sia-r73.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": "Moderate",
   "frequency": {
    "instances": 14784,
    "pages_affected": 462,
    "total_pages_scanned": 1974
   },
   "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 462 of 1974 scanned pages (14784 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 class=\"jump-links__link\" href=\"#coverage-content-costs\" data-listener-attached=\"true\">",
     "html_snippet": null
    },
    {
     "url": "https://medicare.gov/health-drug-plans/medigap/basics/compare-plan-benefits/wisconsin",
     "xpath": "<a href=\"/\" data-listener-attached=\"true\">",
     "html_snippet": null
    },
    {
     "url": "https://medicare.gov/health-drug-plans/medigap/basics/compare-plan-benefits/wisconsin",
     "xpath": "<a href=\"/health-drug-plans\" data-listener-attached=\"true\">",
     "html_snippet": null
    }
   ],
   "example_pages": [
    "https://www.medicare.gov/coverage/emergency-department-services",
    "https://medicare.gov/health-drug-plans/medigap/basics/compare-plan-benefits/wisconsin",
    "https://www.medicare.gov/medical-equipment-suppliers/note-for-suppliers"
   ],
   "affected_pages": [
    "https://www.medicare.gov/coverage/emergency-department-services",
    "https://medicare.gov/health-drug-plans/medigap/basics/compare-plan-benefits/wisconsin",
    "https://www.medicare.gov/medical-equipment-suppliers/note-for-suppliers",
    "http://medicare.gov/coverage/covid-19-vaccine",
    "https://www.medicare.gov/basics/forms-publications-mailings/mailings/other-mailings/plan-marketing-materials",
    "https://medicare.gov/basics/forms-publications-mailings/mailings/help-with-costs/qualifying-for-help-with-costs/extra-help-annual-eligibility-decision",
    "https://medicare.gov/coverage/abdominal-aortic-aneurysm-screenings",
    "https://medicare.gov/providers-services/claims-appeals-complaints/claims",
    "http://medicare.gov/health-apps/noom",
    "http://medicare.gov/publication-ordering/12217-S",
    "http://medicare.gov/health-drug-plans/part-d/basics",
    "https://www.medicare.gov/account/login?client_id=carecompare&redirect_uri=https%3A%2F%2Fwww.medicare.gov%2Fcare-compare%2Foauth&relay=eyJhY3Rpb24iOiJsb2dpbiIsImRhdGEiOnsibGFzdFVybCI6Ij9wcm92aWRlclR5cGU9RGlhbHlzaXNGYWNpbGl0eSJ9fQ%3D%3D",
    "https://www.medicare.gov/providers-services/original-medicare/nursing-homes/return-to-community",
    "http://medicare.gov/publication-ordering/12219-S",
    "https://medicare.gov/coverage/opioid-use-disorder-treatment-services",
    "https://medicare.gov/publications/search?page=3",
    "http://medicare.gov/basics/forms-publications-mailings/mailings/costs-and-coverage/medicare-premium-bill",
    "https://medicare.gov/coverage/osteoporosis-drugs",
    "https://www.medicare.gov/health-drug-plans/health-plans/your-health-plan-options/PFFS",
    "http://medicare.gov/coverage/foot-care-other",
    "https://www.medicare.gov/publications",
    "http://medicare.gov/publication-ordering/11361-S",
    "https://medicare.gov/coverage/mental-health-care-inpatient",
    "https://medicare.gov/health-drug-plans/health-plans/your-coverage-options/other-medicare-health-plans/PACE",
    "http://medicare.gov/basics/forms-publications-mailings/mailings/help-with-costs/copayment-changing"
   ],
   "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-W32",
   "weeks_seen": 9,
   "affected_pages_csv": "csv/alfa__sia-r111.csv"
  },
  {
   "instance_id": "VS-3c115d4d",
   "pattern_id": "VS-f18df681",
   "a11y_pattern_fingerprint": "d954ed6b2c4e54f2c2adda331221631bbaca042f9112099be0d8f9a205d6b22e",
   "a11y_pattern_display_id": "A11Y-PAT-D954ED6B2C4E",
   "a11y_occurrence_fingerprint": "4a012060a1efa025dda1dfc99700f7d28318f9b1e5c79aab3fff3e7bfa6578b7",
   "a11y_occurrence_display_id": "A11Y-OCC-4A012060A1EF",
   "url": "https://www.medicare.gov/coverage/emergency-department-services",
   "xpath": ".ds-u-clearfix",
   "html_snippet": "<div class=\"ds-u-clearfix form-block__intro\">",
   "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": "Serious",
   "frequency": {
    "instances": 3261,
    "pages_affected": 1629,
    "total_pages_scanned": 1974
   },
   "likely_source": "template",
   "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 1629 of 1974 scanned pages (3261 instances).",
   "examples": [
    {
     "url": "https://www.medicare.gov/coverage/emergency-department-services",
     "xpath": ".ds-u-clearfix",
     "html_snippet": "<div class=\"ds-u-clearfix form-block__intro\">"
    },
    {
     "url": "https://www.medicare.gov/coverage/emergency-department-services",
     "xpath": "#edit-step1",
     "html_snippet": "<fieldset role=\"group\" aria-label=\"Signup form for email updates\" class=\"ds-c-fieldset ds-u-margin-top--0 js-form-item form-item js-form-wrapper form-wrapper\" data-drupal-selector=\"edit-step1\" id=\"edi"
    },
    {
     "url": "https://www.medicare.gov/publication-ordering/02179",
     "xpath": ".ds-u-clearfix",
     "html_snippet": "<div class=\"ds-u-clearfix form-block__intro\">"
    },
    {
     "url": "https://www.medicare.gov/publication-ordering/02179",
     "xpath": "#edit-step1",
     "html_snippet": "<fieldset role=\"group\" aria-label=\"Signup form for email updates\" class=\"ds-c-fieldset ds-u-margin-top--0 js-form-item form-item js-form-wrapper form-wrapper\" data-drupal-selector=\"edit-step1\" id=\"edi"
    },
    {
     "url": "https://medicare.gov/coverage/blood-sugar-control-solutions",
     "xpath": ".ds-u-clearfix",
     "html_snippet": "<div class=\"ds-u-clearfix form-block__intro\">"
    }
   ],
   "example_pages": [
    "https://www.medicare.gov/coverage/emergency-department-services",
    "https://www.medicare.gov/publication-ordering/02179",
    "https://medicare.gov/coverage/blood-sugar-control-solutions"
   ],
   "affected_pages": [
    "https://www.medicare.gov/coverage/emergency-department-services",
    "https://www.medicare.gov/publication-ordering/02179",
    "https://medicare.gov/coverage/blood-sugar-control-solutions",
    "http://medicare.gov/publication-ordering/11376-S",
    "http://medicare.gov/basics/forms-publications-mailings/forms",
    "https://medicare.gov/health-drug-plans/medigap/basics/compare-plan-benefits/wisconsin",
    "https://www.medicare.gov/coverage/hospital-beds",
    "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/glp1bridge",
    "http://medicare.gov/publication-ordering/12200-S",
    "http://medicare.gov/coverage/alcohol-misuse-screenings-counseling",
    "https://www.medicare.gov/publication-ordering/12207",
    "https://medicare.gov/basics/get-started-with-medicare/get-more-coverage",
    "http://medicare.gov/coverage/covid-19-vaccine",
    "https://www.medicare.gov/coverage/radiation-therapy",
    "https://medicare.gov/publication-ordering/12033-S",
    "https://medicare.gov/publication-ordering/10988-S",
    "https://medicare.gov/publications/search/all-non-english-pubs?page=4",
    "http://medicare.gov/basics/get-started-with-medicare/sign-up/when-can-i-sign-up-for-medicare",
    "https://www.medicare.gov/basics/forms-publications-mailings/mailings/other-mailings/plan-marketing-materials"
   ],
   "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://www.medicare.gov/coverage/emergency-department-services.",
    "Locate the element: .ds-u-clearfix",
    "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-W32",
   "weeks_seen": 9,
   "affected_pages_csv": "csv/axe-core__region.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": 1974
   },
   "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 1974 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-W32",
   "weeks_seen": 9,
   "affected_pages_csv": "csv/axe-core__heading-order.csv"
  },
  {
   "instance_id": "VS-ecfe3a79",
   "pattern_id": "VS-d5d82446",
   "a11y_pattern_fingerprint": "657fa5714715fa64131896c313aa9d255fe6ebb91896d139e062bcef8ef0efd9",
   "a11y_pattern_display_id": "A11Y-PAT-657FA5714715",
   "a11y_occurrence_fingerprint": "d3d00050ad840049e159cf958551481c9f9492ca7836861d2d670778a3cc255f",
   "a11y_occurrence_display_id": "A11Y-OCC-D3D00050AD84",
   "url": "https://www.medicare.gov/care-compare/resources/nursing-home/care-compare/resources/nursing-home/quality-of-resident-care",
   "xpath": "html",
   "html_snippet": "<html lang=\"en\">",
   "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": 21,
    "pages_affected": 21,
    "total_pages_scanned": 1974
   },
   "likely_source": "template",
   "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 21 of 1974 scanned pages (21 instances).",
   "examples": [
    {
     "url": "https://www.medicare.gov/care-compare/resources/nursing-home/care-compare/resources/nursing-home/quality-of-resident-care",
     "xpath": "html",
     "html_snippet": "<html lang=\"en\">"
    },
    {
     "url": "https://medicare.gov/my/medicare-complaint",
     "xpath": "html",
     "html_snippet": "<html lang=\"en\" data-react-helmet=\"lang\">"
    },
    {
     "url": "https://www.medicare.gov/care-compare/resources/nursing-home/staffing",
     "xpath": "html",
     "html_snippet": "<html lang=\"en\">"
    },
    {
     "url": "https://www.medicare.gov/care-compare/resources/care-compare/resources/information-for-providers",
     "xpath": "html",
     "html_snippet": "<html lang=\"en\">"
    },
    {
     "url": "https://medicare.gov/care-compare/resources/information-about-provider-types",
     "xpath": "html",
     "html_snippet": "<html lang=\"en\">"
    }
   ],
   "example_pages": [
    "https://www.medicare.gov/care-compare/resources/nursing-home/care-compare/resources/nursing-home/quality-of-resident-care",
    "https://medicare.gov/my/medicare-complaint",
    "https://www.medicare.gov/care-compare/resources/nursing-home/staffing"
   ],
   "affected_pages": [
    "https://www.medicare.gov/care-compare/resources/nursing-home/care-compare/resources/nursing-home/quality-of-resident-care",
    "https://medicare.gov/my/medicare-complaint",
    "https://www.medicare.gov/care-compare/resources/nursing-home/staffing",
    "https://www.medicare.gov/care-compare/resources/care-compare/resources/information-for-providers",
    "https://medicare.gov/care-compare/resources/information-about-provider-types",
    "http://medicare.gov/care-compare/resources/information-about-provider-types",
    "http://medicare.gov/my/medicare-complaint",
    "https://www.medicare.gov/care-compare/resources/nursing-home/care-compare/resources/nursing-home/staffing",
    "https://www.medicare.gov/care-compare/resources/about-this-tool",
    "https://www.medicare.gov/care-compare/resources/information-about-provider-types",
    "https://www.medicare.gov/care-compare/resources/information-for-providers",
    "https://www.medicare.gov/care-compare/resources/care-compare/resources/information-about-provider-types",
    "https://www.medicare.gov/my/medicare-complaint",
    "https://medicare.gov/care-compare/resources/care-compare/resources/information-about-provider-types",
    "https://www.medicare.gov/care-compare/resources/nursing-home/care-compare/resources/nursing-home/health-inspections",
    "https://www.medicare.gov/care-compare/resources/care-compare/resources/resources-and-information",
    "http://medicare.gov/care-compare/resources/care-compare/resources/information-about-provider-types",
    "https://www.medicare.gov/care-compare/resources/nursing-home/quality-of-resident-care",
    "https://www.medicare.gov/care-compare/resources/nursing-home/health-inspections",
    "https://www.medicare.gov/care-compare/resources/care-compare/resources/about-this-tool",
    "https://www.medicare.gov/care-compare/resources/resources-and-information"
   ],
   "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://www.medicare.gov/care-compare/resources/nursing-home/care-compare/resources/nursing-home/quality-of-resident-care.",
    "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-W32",
   "weeks_seen": 9,
   "affected_pages_csv": "csv/axe-core__landmark-one-main.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": 1974
   },
   "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 1974 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-W32",
   "weeks_seen": 9,
   "affected_pages_csv": "csv/axe-core__page-has-heading-one.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": 1974
   },
   "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 1974 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-W32",
   "weeks_seen": 9,
   "affected_pages_csv": "csv/axe-core__empty-table-header.csv"
  },
  {
   "instance_id": "VS-26082ae4",
   "pattern_id": "VS-c18be945",
   "a11y_pattern_fingerprint": "850738a397ca4387fb39ba281f8c1f17c1d4f2a6fe0da2c1a11acca2f95107e3",
   "a11y_pattern_display_id": "A11Y-PAT-850738A397CA",
   "a11y_occurrence_fingerprint": "312c9106f59b73889584672f727ec1ae87ac6c45481bbadbff4e0bedc19a36a4",
   "a11y_occurrence_display_id": "A11Y-OCC-312C9106F59B",
   "url": "https://www.medicare.gov/coverage/emergency-department-services",
   "xpath": "text: \"\n            Important updates, straight to your inbox\n          \"",
   "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": 2431,
    "pages_affected": 392,
    "total_pages_scanned": 1974
   },
   "likely_source": "template",
   "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 392 of 1974 scanned pages (2431 instances).",
   "examples": [
    {
     "url": "https://www.medicare.gov/coverage/emergency-department-services",
     "xpath": "text: \"\n            Important updates, straight to your inbox\n          \"",
     "html_snippet": null
    },
    {
     "url": "https://www.medicare.gov/coverage/emergency-department-services",
     "xpath": "text: \"Get reminders about Open Enrollment, ways to save costs, and more.\"",
     "html_snippet": null
    },
    {
     "url": "https://www.medicare.gov/coverage/emergency-department-services",
     "xpath": "text: \"Enter your email address\"",
     "html_snippet": null
    },
    {
     "url": "https://medicare.gov/health-drug-plans/medigap/basics/compare-plan-benefits/wisconsin",
     "xpath": "text: \"\n            Important updates, straight to your inbox\n          \"",
     "html_snippet": null
    },
    {
     "url": "https://medicare.gov/health-drug-plans/medigap/basics/compare-plan-benefits/wisconsin",
     "xpath": "text: \"Get reminders about Open Enrollment, ways to save costs, and more.\"",
     "html_snippet": null
    }
   ],
   "example_pages": [
    "https://www.medicare.gov/coverage/emergency-department-services",
    "https://medicare.gov/health-drug-plans/medigap/basics/compare-plan-benefits/wisconsin",
    "http://medicare.gov/coverage/covid-19-vaccine"
   ],
   "affected_pages": [
    "https://www.medicare.gov/coverage/emergency-department-services",
    "https://medicare.gov/health-drug-plans/medigap/basics/compare-plan-benefits/wisconsin",
    "http://medicare.gov/coverage/covid-19-vaccine",
    "https://www.medicare.gov/basics/forms-publications-mailings/mailings/other-mailings/plan-marketing-materials",
    "https://medicare.gov/basics/forms-publications-mailings/mailings/help-with-costs/qualifying-for-help-with-costs/extra-help-annual-eligibility-decision",
    "https://medicare.gov/coverage/abdominal-aortic-aneurysm-screenings",
    "https://medicare.gov/providers-services/claims-appeals-complaints/claims",
    "http://medicare.gov/publication-ordering/12217-S",
    "http://medicare.gov/health-drug-plans/part-d/basics",
    "https://www.medicare.gov/providers-services/original-medicare/nursing-homes/return-to-community",
    "http://medicare.gov/publication-ordering/12219-S",
    "https://medicare.gov/coverage/opioid-use-disorder-treatment-services",
    "https://medicare.gov/publications/search?page=3",
    "http://medicare.gov/basics/forms-publications-mailings/mailings/costs-and-coverage/medicare-premium-bill",
    "https://medicare.gov/coverage/osteoporosis-drugs",
    "https://www.medicare.gov/health-drug-plans/health-plans/your-health-plan-options/PFFS",
    "http://medicare.gov/coverage/foot-care-other",
    "https://www.medicare.gov/publications",
    "http://medicare.gov/publication-ordering/11361-S",
    "https://medicare.gov/coverage/mental-health-care-inpatient",
    "https://medicare.gov/health-drug-plans/health-plans/your-coverage-options/other-medicare-health-plans/PACE",
    "http://medicare.gov/basics/forms-publications-mailings/mailings/help-with-costs/copayment-changing",
    "http://medicare.gov/coverage/hepatitis-b-virus-hbv-infection-screenings",
    "https://medicare.gov/coverage/hospice-care",
    "https://medicare.gov/publication-ordering/11435"
   ],
   "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: text: \"\n            Important updates, straight to your inbox\n          \"",
    "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-W32",
   "weeks_seen": 9,
   "affected_pages_csv": "csv/alfa__sia-r57.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": 131,
    "pages_affected": 116,
    "total_pages_scanned": 1974
   },
   "likely_source": "template",
   "summary": "Table header has scope (WCAG criterion undetermined)",
   "description": "Table header has scope. Detected by Siteimprove Alfa rule sia-r78 on 116 of 1974 scanned pages (131 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": "http://medicare.gov/coverage/covid-19-vaccine",
     "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/coverage/abdominal-aortic-aneurysm-screenings",
     "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": "http://medicare.gov/health-drug-plans/part-d/basics",
     "xpath": "<h2>",
     "html_snippet": null
    },
    {
     "url": "https://medicare.gov/coverage/opioid-use-disorder-treatment-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
    }
   ],
   "example_pages": [
    "https://www.medicare.gov/coverage/emergency-department-services",
    "http://medicare.gov/coverage/covid-19-vaccine",
    "https://medicare.gov/coverage/abdominal-aortic-aneurysm-screenings"
   ],
   "affected_pages": [
    "https://www.medicare.gov/coverage/emergency-department-services",
    "http://medicare.gov/coverage/covid-19-vaccine",
    "https://medicare.gov/coverage/abdominal-aortic-aneurysm-screenings",
    "http://medicare.gov/health-drug-plans/part-d/basics",
    "https://medicare.gov/coverage/opioid-use-disorder-treatment-services",
    "https://medicare.gov/coverage/osteoporosis-drugs",
    "http://medicare.gov/coverage/foot-care-other",
    "https://www.medicare.gov/publications",
    "https://medicare.gov/coverage/mental-health-care-inpatient",
    "http://medicare.gov/coverage/hepatitis-b-virus-hbv-infection-screenings",
    "https://medicare.gov/coverage/hospice-care",
    "https://www.medicare.gov/coverage/diagnostic-laboratory-tests",
    "https://www.medicare.gov/coverage/swing-bed-services",
    "https://medicare.gov/coverage/prostate-cancer-screenings",
    "https://www.medicare.gov/coverage/hearing-aids",
    "https://medicare.gov/publications/search/all-non-english-pubs?page=10",
    "http://medicare.gov/coverage/dialysis-services-supplies",
    "http://medicare.gov/coverage/macular-degeneration-tests-treatment",
    "http://medicare.gov/coverage/diagnostic-non-laboratory-tests",
    "http://medicare.gov/coverage/sexually-transmitted-infection-screenings-counseling",
    "https://www.medicare.gov/coverage/cardiac-rehabilitation-programs",
    "http://medicare.gov/publications/search/all-non-english-pubs?page=6",
    "http://medicare.gov/coverage/home-infusion-therapy-services-equipment-supplies",
    "http://medicare.gov/coverage/obesity-behavioral-therapy",
    "https://medicare.gov/coverage/outpatient-hospital-services"
   ],
   "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-W32",
   "weeks_seen": 9,
   "affected_pages_csv": "csv/alfa__sia-r78.csv"
  },
  {
   "instance_id": "VS-83708f3b",
   "pattern_id": "VS-aa242c2d",
   "a11y_pattern_fingerprint": "2b17f2237f163480716e759027c06eb66c9a4d40cc34612cb8bcccdf4b1dc503",
   "a11y_pattern_display_id": "A11Y-PAT-2B17F2237F16",
   "a11y_occurrence_fingerprint": "7e31045c5c9f36984a50e858343401b2873c6579285f47b21172861341757248",
   "a11y_occurrence_display_id": "A11Y-OCC-7E31045C5C9F",
   "url": "http://medicare.gov/care-compare?guidedSearch=LongTermCare",
   "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": 17,
    "pages_affected": 17,
    "total_pages_scanned": 1974
   },
   "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 17 of 1974 scanned pages (17 instances).",
   "examples": [
    {
     "url": "http://medicare.gov/care-compare?guidedSearch=LongTermCare",
     "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
    },
    {
     "url": "https://www.medicare.gov/care-compare/resources/nursing-home/care-compare/resources/nursing-home/quality-of-resident-care",
     "xpath": "{\"type\":\"document\",\"children\":[{\"type\":\"type\",\"name\":\"html\",\"publicId\":null,\"sys",
     "html_snippet": null
    },
    {
     "url": "https://medicare.gov/care-compare?guidedSearch=Hospice",
     "xpath": "{\"type\":\"document\",\"children\":[{\"type\":\"type\",\"name\":\"html\",\"publicId\":null,\"sys",
     "html_snippet": null
    },
    {
     "url": "https://www.medicare.gov/care-compare/resources/nursing-home/staffing",
     "xpath": "{\"type\":\"document\",\"children\":[{\"type\":\"type\",\"name\":\"html\",\"publicId\":null,\"sys",
     "html_snippet": null
    }
   ],
   "example_pages": [
    "http://medicare.gov/care-compare?guidedSearch=LongTermCare",
    "http://medicare.gov/care-compare?guidedSearch=HomeHealth",
    "https://www.medicare.gov/care-compare/resources/nursing-home/care-compare/resources/nursing-home/quality-of-resident-care"
   ],
   "affected_pages": [
    "http://medicare.gov/care-compare?guidedSearch=LongTermCare",
    "http://medicare.gov/care-compare?guidedSearch=HomeHealth",
    "https://www.medicare.gov/care-compare/resources/nursing-home/care-compare/resources/nursing-home/quality-of-resident-care",
    "https://medicare.gov/care-compare?guidedSearch=Hospice",
    "https://www.medicare.gov/care-compare/resources/nursing-home/staffing",
    "https://www.medicare.gov/care-compare/resources/care-compare/resources/information-for-providers",
    "http://medicare.gov/care-compare/resources/information-about-provider-types",
    "https://www.medicare.gov/care-compare/resources/about-this-tool",
    "https://medicare.gov/care-compare?guidedSearch=Physician",
    "https://medicare.gov/care-compare?guidedSearch=CommunityHealthCenter",
    "https://medicare.gov/care-compare?guidedSearch=DialysisFacility",
    "https://medicare.gov/care-compare?guidedSearch=InpatientRehabilitation",
    "https://www.medicare.gov/care-compare/resources/nursing-home/care-compare/resources/nursing-home/health-inspections",
    "http://medicare.gov/care-compare?guidedSearch=NursingHome",
    "https://www.medicare.gov/care-compare?guidedSearch=InpatientRehabilitation",
    "https://medicare.gov/care-compare?guidedSearch=LongTermCare",
    "https://www.medicare.gov/care-compare?guidedSearch=Hospice"
   ],
   "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/care-compare?guidedSearch=LongTermCare.",
    "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-W32",
   "weeks_seen": 9,
   "affected_pages_csv": "csv/alfa__sia-r87.csv"
  },
  {
   "instance_id": "VS-586427bd",
   "pattern_id": "VS-f054f4a4",
   "a11y_pattern_fingerprint": "ee01a3eb7dde9497f35e79ed8e1ee68c6fbe97215bcc9710b07cce69a60ca23c",
   "a11y_pattern_display_id": "A11Y-PAT-EE01A3EB7DDE",
   "a11y_occurrence_fingerprint": "f4e6925066e4fd12a189ca81b6b22589f037696dd778c68e308f55e9a734cc9c",
   "a11y_occurrence_display_id": "A11Y-OCC-F4E6925066E4",
   "url": "https://medicare.gov/publications/search/all-non-english-pubs?page=10",
   "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": 7,
    "pages_affected": 7,
    "total_pages_scanned": 1974
   },
   "likely_source": "unknown",
   "summary": "Headings are structured hierarchically (WCAG criterion undetermined)",
   "description": "Headings are structured hierarchically. Detected by Siteimprove Alfa rule sia-r53 on 7 of 1974 scanned pages (7 instances).",
   "examples": [
    {
     "url": "https://medicare.gov/publications/search/all-non-english-pubs?page=10",
     "xpath": "<h3>",
     "html_snippet": null
    },
    {
     "url": "http://medicare.gov/publications/search/all-non-english-pubs?page=6",
     "xpath": "<h3>",
     "html_snippet": null
    },
    {
     "url": "http://medicare.gov/publications/search/all-non-english-pubs",
     "xpath": "<h3>",
     "html_snippet": null
    },
    {
     "url": "https://www.medicare.gov/care-compare/resources/about-this-tool",
     "xpath": "<h4>",
     "html_snippet": null
    },
    {
     "url": "https://medicare.gov/publications/search/all-non-english-pubs?page=2",
     "xpath": "<h3>",
     "html_snippet": null
    }
   ],
   "example_pages": [
    "https://medicare.gov/publications/search/all-non-english-pubs?page=10",
    "http://medicare.gov/publications/search/all-non-english-pubs?page=6",
    "http://medicare.gov/publications/search/all-non-english-pubs"
   ],
   "affected_pages": [
    "https://medicare.gov/publications/search/all-non-english-pubs?page=10",
    "http://medicare.gov/publications/search/all-non-english-pubs?page=6",
    "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://medicare.gov/basics/end-stage-renal-disease",
    "https://www.medicare.gov/publications/search/all-non-english-pubs?page=5"
   ],
   "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=10.",
    "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-W32",
   "weeks_seen": 9,
   "affected_pages_csv": "csv/alfa__sia-r53.csv"
  },
  {
   "instance_id": "VS-19637f66",
   "pattern_id": "VS-7118fead",
   "a11y_pattern_fingerprint": "b83217b91054976b1b9debe595a196bc8fa90ac2f2460c90f10f3c3523b097d5",
   "a11y_pattern_display_id": "A11Y-PAT-B83217B91054",
   "a11y_occurrence_fingerprint": "d7ca77e61b65fa1930ad773bda3451cf471fefede085e56a38d3746f2ed5d162",
   "a11y_occurrence_display_id": "A11Y-OCC-D7CA77E61B65",
   "url": "https://medicare.gov/publications/search/item/112376",
   "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": 5,
    "pages_affected": 5,
    "total_pages_scanned": 1974
   },
   "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 5 of 1974 scanned pages (5 instances).",
   "examples": [
    {
     "url": "https://medicare.gov/publications/search/item/112376",
     "xpath": "{\"type\":\"document\",\"children\":[{\"type\":\"type\",\"name\":\"html\",\"publicId\":null,\"sys",
     "html_snippet": null
    },
    {
     "url": "http://medicare.gov/publications/search/item/112376",
     "xpath": "{\"type\":\"document\",\"children\":[{\"type\":\"type\",\"name\":\"html\",\"publicId\":null,\"sys",
     "html_snippet": null
    },
    {
     "url": "https://medicare.gov/publications/search/item/112371",
     "xpath": "{\"type\":\"document\",\"children\":[{\"type\":\"type\",\"name\":\"html\",\"publicId\":null,\"sys",
     "html_snippet": null
    },
    {
     "url": "https://www.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/112376",
     "xpath": "{\"type\":\"document\",\"children\":[{\"type\":\"type\",\"name\":\"html\",\"publicId\":null,\"sys",
     "html_snippet": null
    }
   ],
   "example_pages": [
    "https://medicare.gov/publications/search/item/112376",
    "http://medicare.gov/publications/search/item/112376",
    "https://medicare.gov/publications/search/item/112371"
   ],
   "affected_pages": [
    "https://medicare.gov/publications/search/item/112376",
    "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"
   ],
   "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/item/112376.",
    "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-W32",
   "weeks_seen": 9,
   "affected_pages_csv": "csv/alfa__sia-r61.csv"
  }
 ],
 "policy": {
  "suppression": {
   "patterns": 0,
   "pages": 0,
   "occurrences": 0,
   "entries": []
  }
 }
}