# Accessibility bug reports — www.medicare.gov, week 2026-W33

21 issue type(s) from 1977 pages scanned. Generated 2026-08-12 by [vital-scans](https://github.com/mgifford/vital-core), following [accessibility bug-reporting best practices](https://mgifford.github.io/ACCESSIBILITY.md/examples/ACCESSIBILITY_BUG_REPORTING_BEST_PRACTICES.html).

> Automated checks find roughly a third of accessibility barriers. Fields marked "requires manual testing" cannot be observed by an automated scan and need a human with assistive technology.

---
## Accessible name of link or button matches visible label (WCAG 2.5.3)

**Bug ID:** `VS-451dbf9b`  
**Pattern ID:** `VS-f7dba940`  
**URL:** https://medicare.gov/basics/get-started-with-medicare/get-more-coverage/your-coverage-options  
**XPath / selector:** `<button class="video-embed-field-lazy-play" aria-label="Play video">`  
**WCAG SC:** 2.5.3 — Label in Name (Level A)  
**Rule:** Siteimprove Alfa — `sia-r14` ([reference](https://alfa.siteimprove.com/rules/sia-r14))  
**Severity:** Moderate  
**Frequency:** 2 instances; 2 of 1977 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W33 (10 weeks)

### Description
Accessible name of link or button matches visible label. Detected by Siteimprove Alfa rule sia-r14 on 2 of 1977 scanned pages (2 instances).

### Steps to reproduce
1. Open https://medicare.gov/basics/get-started-with-medicare/get-more-coverage/your-coverage-options.
2. Locate the element: <button class="video-embed-field-lazy-play" aria-label="Play video">
3. Confirm the Siteimprove Alfa finding for rule sia-r14 against WCAG 2.5.3 Label in Name.

### Impact
Affects Without vision (1.0%), Without speech (0.5%).
- **Without vision** (1.0% of population)
- **Without speech** (0.5% of population)

### Affected pages
- https://medicare.gov/basics/get-started-with-medicare/get-more-coverage/your-coverage-options
- https://medicare.gov/basics/get-started-with-medicare/sign-up/when-does-medicare-coverage-start

### Testing environment
Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.

### Suggested fix
See remediation guidance: https://alfa.siteimprove.com/rules/sia-r14

### Example pages
- https://medicare.gov/basics/get-started-with-medicare/get-more-coverage/your-coverage-options
- https://medicare.gov/basics/get-started-with-medicare/sign-up/when-does-medicare-coverage-start

---

## Documents must have <title> element to aid in navigation (WCAG 2.4.2)

**Bug ID:** `VS-6b7a29c6`  
**Pattern ID:** `VS-c80d5faa`  
**URL:** https://www.medicare.gov/care-compare/resources/nursing-home/care-compare/resources/nursing-home/quality-of-resident-care  
**XPath / selector:** `html`  
**WCAG SC:** 2.4.2 — Page Titled (Level A)  
**Rule:** axe-core — `document-title` ([reference](https://dequeuniversity.com/rules/axe/4.12/document-title?application=axeAPI))  
**Severity:** Serious  
**Frequency:** 18 instances; 18 of 1977 pages affected
  
**History:** first seen 2026-W32, last seen 2026-W33 (2 weeks)

### HTML snippet
```html
<html lang="en">
```

### Description
Documents must have <title> element to aid in navigation. Detected by axe-core rule document-title on 18 of 1977 scanned pages (18 instances).

### Steps to reproduce
1. Open https://www.medicare.gov/care-compare/resources/nursing-home/care-compare/resources/nursing-home/quality-of-resident-care.
2. Locate the element: html
3. Confirm the axe-core finding for rule document-title against WCAG 2.4.2 Page Titled.

### Impact
Affects Without vision (1.0%), Limited vision (2.4%), Limited cognitive, language, or learning ability (11.0%).
- **Without vision** (1.0% of population)
- **Limited vision** (2.4% of population)
- **Limited cognitive, language, or learning ability** (11.0% of population)

### 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

### Testing environment
Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.

### Suggested fix
**How to fix:** Give the page a unique, descriptive <title>.

See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/document-title?application=axeAPI

### 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

---

## Document has a title element (WCAG 2.4.2)

**Bug ID:** `VS-fcd7353b`  
**Pattern ID:** `VS-0728f339`  
**URL:** https://www.medicare.gov/care-compare/resources/nursing-home/care-compare/resources/nursing-home/staffing  
**XPath / selector:** `{"type":"document","children":[{"type":"type","name":"html","publicId":null,"sys`  
**WCAG SC:** 2.4.2 — Page Titled (Level A)  
**Rule:** Siteimprove Alfa — `sia-r1` ([reference](https://alfa.siteimprove.com/rules/sia-r1))  
**Severity:** Moderate  
**Frequency:** 4 instances; 4 of 1977 pages affected
  
**History:** first seen 2026-W32, last seen 2026-W33 (2 weeks)

### Description
Document has a title element. Detected by Siteimprove Alfa rule sia-r1 on 4 of 1977 scanned pages (4 instances).

### Steps to reproduce
1. Open https://www.medicare.gov/care-compare/resources/nursing-home/care-compare/resources/nursing-home/staffing.
2. Locate the element: {"type":"document","children":[{"type":"type","name":"html","publicId":null,"sys
3. Confirm the Siteimprove Alfa finding for rule sia-r1 against WCAG 2.4.2 Page Titled.

### Impact
Affects Without vision (1.0%), Limited vision (2.4%), Limited cognitive, language, or learning ability (11.0%).
- **Without vision** (1.0% of population)
- **Limited vision** (2.4% of population)
- **Limited cognitive, language, or learning ability** (11.0% of population)

### Affected pages
- https://www.medicare.gov/care-compare/resources/nursing-home/care-compare/resources/nursing-home/staffing
- https://www.medicare.gov/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/resources-and-information

### Testing environment
Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.

### Suggested fix
See remediation guidance: https://alfa.siteimprove.com/rules/sia-r1

### Example pages
- https://www.medicare.gov/care-compare/resources/nursing-home/care-compare/resources/nursing-home/staffing
- https://www.medicare.gov/care-compare/resources/information-about-provider-types
- https://www.medicare.gov/care-compare/resources/nursing-home/quality-of-resident-care

---

## Frames must have an accessible name (WCAG 4.1.2)

**Bug ID:** `VS-0aff6867`  
**Pattern ID:** `VS-3f76c7ea`  
**URL:** http://medicare.gov/publication-ordering/12133  
**XPath / selector:** `iframe[height="100%"]`  
**WCAG SC:** 4.1.2 — Name, Role, Value (Level A)  
**Rule:** axe-core — `frame-title` ([reference](https://dequeuniversity.com/rules/axe/4.12/frame-title?application=axeAPI))  
**Severity:** Serious  
**Frequency:** 14 instances; 14 of 1977 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W33 (10 weeks)

### HTML snippet
```html
<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
```

### Description
Frames must have an accessible name. Detected by axe-core rule frame-title on 14 of 1977 scanned pages (14 instances).

### Steps to reproduce
1. Open http://medicare.gov/publication-ordering/12133.
2. Locate the element: iframe[height="100%"]
3. Confirm the axe-core finding for rule frame-title against WCAG 4.1.2 Name, Role, Value.

### Impact
Affects Without vision (1.0%), Limited vision (2.4%), Limited manipulation/strength (13.0%).
- **Without vision** (1.0% of population)
- **Limited vision** (2.4% of population)
- **Limited manipulation/strength** (13.0% of population)

### Affected pages
- http://medicare.gov/publication-ordering/12133
- https://www.medicare.gov/basics/costs/help
- https://www.medicare.gov/coverage/doctor-other-health-care-provider-services
- https://medicare.gov/health-apps/AskMD
- https://www.medicare.gov/health-apps/AskMD
- http://medicare.gov/publication-ordering/11021
- http://medicare.gov/basics/get-started-with-medicare/medicare-basics/what-does-medicare-cost
- https://www.medicare.gov/publication-ordering/11441-S
- https://www.medicare.gov/publication-ordering/11472-S
- http://medicare.gov/health-apps/AskMD
- https://www.medicare.gov/publication-ordering/02110-LE
- https://medicare.gov/publication-ordering/10116-S
- https://www.medicare.gov/publication-ordering/11341-S
- https://www.medicare.gov/coverage/bone-mass-measurements

### Testing environment
Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.

### Suggested fix
**How to fix:** Give every <iframe> a descriptive title attribute.

See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/frame-title?application=axeAPI

### Example pages
- http://medicare.gov/publication-ordering/12133
- https://www.medicare.gov/basics/costs/help
- https://www.medicare.gov/coverage/doctor-other-health-care-provider-services

---

## aria-hidden element does not contain focusable elements (WCAG 4.1.2)

**Bug ID:** `VS-bcb715f4`  
**Pattern ID:** `VS-f6cf30ff`  
**URL:** http://medicare.gov/publication-ordering/11376-S  
**XPath / selector:** `<div class="search-block__content" aria-hidden="true" id="search_form_block-content">`  
**WCAG SC:** 4.1.2 — Name, Role, Value (Level A)  
**Rule:** Siteimprove Alfa — `sia-r17` ([reference](https://alfa.siteimprove.com/rules/sia-r17))  
**Severity:** Moderate  
**Frequency:** 420 instances; 409 of 1977 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W33 (10 weeks)

### Description
aria-hidden element does not contain focusable elements. Detected by Siteimprove Alfa rule sia-r17 on 409 of 1977 scanned pages (420 instances).

### Steps to reproduce
1. Open http://medicare.gov/publication-ordering/11376-S.
2. Locate the element: <div class="search-block__content" aria-hidden="true" id="search_form_block-content">
3. Confirm the Siteimprove Alfa finding for rule sia-r17 against WCAG 4.1.2 Name, Role, Value.

### Impact
Affects Without vision (1.0%), Limited vision (2.4%), Limited manipulation/strength (13.0%).
- **Without vision** (1.0% of population)
- **Limited vision** (2.4% of population)
- **Limited manipulation/strength** (13.0% of population)

### Affected pages
- http://medicare.gov/publication-ordering/11376-S
- https://medicare.gov/basics/forms-publications-mailings/mailings/signing-up/welcome-to-medicare-package
- http://medicare.gov/coverage/alcohol-misuse-screenings-counseling
- https://medicare.gov/basics/get-started-with-medicare/get-more-coverage
- http://medicare.gov/health-apps/noom
- http://medicare.gov/coverage/pain-management
- https://medicare.gov/prescription-payment-plan/will-this-help-me
- https://www.medicare.gov/providers-services/original-medicare/nursing-homes/return-to-community
- http://medicare.gov/publications/search/all-non-english-pubs?page=7
- http://medicare.gov/basics/forms-publications-mailings/mailings/signing-up
- https://medicare.gov/publications/search?page=3
- http://medicare.gov/go-digital
- https://medicare.gov/health-drug-plans/part-d/what-plans-cover/plan-rules/safety-management-programs
- http://medicare.gov/basics/forms-publications-mailings/mailings/costs-and-coverage/medicare-premium-bill
- http://medicare.gov/basics/end-stage-renal-disease
- https://www.medicare.gov/coverage/monoclonal-antibodies-for-the-treatment-of-early-alzheimers-disease
- https://www.medicare.gov/publication-ordering/11220
- https://medicare.gov/coverage/eye-exams-for-diabetes
- http://medicare.gov/coverage/foot-care-other
- http://medicare.gov/publication-ordering/11361-S
- https://www.medicare.gov/publication-ordering/10050-SB
- https://medicare.gov/coverage/mental-health-care-inpatient
- https://www.medicare.gov/coverage/blood
- https://www.medicare.gov/health-drug-plans/part-d/what-drug-plans-cover/how-drug-plans-work
- https://www.medicare.gov/coverage/search/pii

…and more — 409 pages total ([download CSV](csv/alfa__sia-r17.csv)).

### Testing environment
Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.

### Suggested fix
See remediation guidance: https://alfa.siteimprove.com/rules/sia-r17

### Example pages
- http://medicare.gov/publication-ordering/11376-S
- https://medicare.gov/basics/forms-publications-mailings/mailings/signing-up/welcome-to-medicare-package
- http://medicare.gov/coverage/alcohol-misuse-screenings-counseling

---

## Text has sufficient color contrast (Enhanced) (WCAG 1.4.3)

**Bug ID:** `VS-5e789fed`  
**Pattern ID:** `VS-f7e99f4b`  
**URL:** http://medicare.gov/basics/end-stage-renal-disease  
**XPath / selector:** `text: "Am I eligible for Medicare?"`  
**WCAG SC:** 1.4.3 — Contrast (Minimum) (Level AA)  
**Rule:** Siteimprove Alfa — `sia-r69` ([reference](https://alfa.siteimprove.com/rules/sia-r69))  
**Severity:** Moderate  
**Frequency:** 108 instances; 12 of 1977 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W33 (10 weeks)

### Description
Text has sufficient color contrast (Enhanced). Detected by Siteimprove Alfa rule sia-r69 on 12 of 1977 scanned pages (108 instances).

### Steps to reproduce
1. Open http://medicare.gov/basics/end-stage-renal-disease.
2. Locate the element: text: "Am I eligible for Medicare?"
3. Confirm the Siteimprove Alfa finding for rule sia-r69 against WCAG 1.4.3 Contrast (Minimum).

### Impact
Affects Limited vision (2.4%), Without color perception (4.5%).
- **Limited vision** (2.4% of population)
- **Without color perception** (4.5% of population)

### Affected pages
- http://medicare.gov/basics/end-stage-renal-disease
- http://medicare.gov/basics/get-started-with-medicare/medicare-basics/working-past-65
- https://medicare.gov/providers-services/original-medicare/nursing-homes/choosing
- https://www.medicare.gov/basics/your-medicare-rights/your-rights
- http://medicare.gov/basics/your-medicare-rights/your-rights
- http://medicare.gov/prescription-payment-plan/examples
- https://www.medicare.gov/basics/get-started-with-medicare/get-more-coverage/joining-a-plan/special-enrollment-periods
- http://medicare.gov/providers-services/disaster-emergency
- https://medicare.gov/providers-services/claims-appeals-complaints/appeals/original-medicare
- http://medicare.gov/providers-services/original-medicare/nursing-homes/choosing
- https://www.medicare.gov/basics/get-started-with-medicare/medicare-basics/working-past-65
- https://medicare.gov/providers-services/claims-appeals-complaints/appeals/medicare-health-plans

### Testing environment
Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.

### Suggested fix
**How to fix:** Increase text contrast to meet WCAG AA (4.5:1, or 3:1 for large text).

See remediation guidance: https://alfa.siteimprove.com/rules/sia-r69

### Example pages
- http://medicare.gov/basics/end-stage-renal-disease
- http://medicare.gov/basics/get-started-with-medicare/medicare-basics/working-past-65
- https://medicare.gov/providers-services/original-medicare/nursing-homes/choosing

---

## Text has enhanced contrast (WCAG 1.4.6)

**Bug ID:** `VS-9da59db8`  
**Pattern ID:** `VS-646b1e0b`  
**URL:** http://medicare.gov/basics/end-stage-renal-disease  
**XPath / selector:** `text: "Am I eligible for Medicare?"`  
**WCAG SC:** 1.4.6 — Contrast (Enhanced) (Level AAA)  
**Rule:** Siteimprove Alfa — `sia-r66` ([reference](https://alfa.siteimprove.com/rules/sia-r66))  
**Severity:** Moderate  
**Frequency:** 287 instances; 34 of 1977 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W33 (10 weeks)

### Description
Text has enhanced contrast. Detected by Siteimprove Alfa rule sia-r66 on 34 of 1977 scanned pages (287 instances).

### Steps to reproduce
1. Open http://medicare.gov/basics/end-stage-renal-disease.
2. Locate the element: text: "Am I eligible for Medicare?"
3. Confirm the Siteimprove Alfa finding for rule sia-r66 against WCAG 1.4.6 Contrast (Enhanced).

### Impact
Not captured by automated scan — requires manual testing.

### Affected pages
- http://medicare.gov/basics/end-stage-renal-disease
- https://www.medicare.gov/coverage/search/pii
- https://www.medicare.gov/account/create-account
- https://www.medicare.gov/care-compare?providerType=DialysisFacility
- http://medicare.gov/care-compare?guidedSearch=Hospice
- https://www.medicare.gov/care-compare?guidedSearch=Hospital
- http://medicare.gov/care-compare
- http://medicare.gov/basics/get-started-with-medicare/medicare-basics/working-past-65
- http://medicare.gov/care-compare?reset=true
- https://medicare.gov/care-compare
- https://www.medicare.gov/care-compare?providerType=NursingHome
- https://medicare.gov/providers-services/original-medicare/nursing-homes/choosing
- https://www.medicare.gov/coverage/find-alphabetically
- https://www.medicare.gov/basics/your-medicare-rights/your-rights
- https://www.medicare.gov/care-compare/resources/nursing-home/care-compare/resources/nursing-home/staffing
- https://medicare.gov/care-compare?guidedSearch=Physician
- https://www.medicare.gov/care-compare/resources/information-about-provider-types
- http://medicare.gov/basics/your-medicare-rights/your-rights
- https://medicare.gov/care-compare?reset=true
- https://medicare.gov/care-compare?guidedSearch=InpatientRehabilitation
- http://medicare.gov/care-compare?guidedSearch=DialysisFacility
- http://medicare.gov/prescription-payment-plan/examples
- http://medicare.gov/care-compare?guidedSearch=NursingHome
- https://www.medicare.gov/basics/get-started-with-medicare/get-more-coverage/joining-a-plan/special-enrollment-periods
- http://medicare.gov/providers-services/disaster-emergency

…and more — 34 pages total ([download CSV](csv/alfa__sia-r66.csv)).

### Testing environment
Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.

### Suggested fix
**How to fix:** Increase text contrast to meet WCAG AAA (7:1).

See remediation guidance: https://alfa.siteimprove.com/rules/sia-r66

### Example pages
- http://medicare.gov/basics/end-stage-renal-disease
- https://www.medicare.gov/coverage/search/pii
- https://www.medicare.gov/account/create-account

---

## Text has minimum contrast ratio of 4.5:1 (WCAG 1.4.8)

**Bug ID:** `VS-56c8986a`  
**Pattern ID:** `VS-2208081b`  
**URL:** http://medicare.gov/publication-ordering/11376-S  
**XPath / selector:** `<p>`  
**WCAG SC:** 1.4.8 — Visual Presentation (Level AAA)  
**Rule:** Siteimprove Alfa — `sia-r73` ([reference](https://alfa.siteimprove.com/rules/sia-r73))  
**Severity:** Moderate  
**Frequency:** 4708 instances; 478 of 1977 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W33 (10 weeks)

### Description
Text has minimum contrast ratio of 4.5:1. Detected by Siteimprove Alfa rule sia-r73 on 478 of 1977 scanned pages (4708 instances).

### Steps to reproduce
1. Open http://medicare.gov/publication-ordering/11376-S.
2. Locate the element: <p>
3. Confirm the Siteimprove Alfa finding for rule sia-r73 against WCAG 1.4.8 Visual Presentation.

### Impact
Not captured by automated scan — requires manual testing.

### Affected pages
- http://medicare.gov/publication-ordering/11376-S
- https://medicare.gov/basics/forms-publications-mailings/mailings/signing-up/welcome-to-medicare-package
- http://medicare.gov/coverage/alcohol-misuse-screenings-counseling
- https://medicare.gov/basics/get-started-with-medicare/get-more-coverage
- http://medicare.gov/health-apps/noom
- http://medicare.gov/coverage/pain-management
- https://medicare.gov/prescription-payment-plan/will-this-help-me
- 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/publications/search/all-non-english-pubs?page=7
- http://medicare.gov/basics/forms-publications-mailings/mailings/signing-up
- https://medicare.gov/publications/search?page=3
- http://medicare.gov/go-digital
- https://medicare.gov/health-drug-plans/part-d/what-plans-cover/plan-rules/safety-management-programs
- http://medicare.gov/basics/forms-publications-mailings/mailings/costs-and-coverage/medicare-premium-bill
- http://medicare.gov/basics/end-stage-renal-disease
- https://www.medicare.gov/coverage/monoclonal-antibodies-for-the-treatment-of-early-alzheimers-disease
- https://www.medicare.gov/publication-ordering/11220
- https://medicare.gov/coverage/eye-exams-for-diabetes
- http://medicare.gov/coverage/foot-care-other
- http://medicare.gov/publication-ordering/11361-S
- https://www.medicare.gov/publication-ordering/10050-SB
- https://medicare.gov/coverage/mental-health-care-inpatient
- https://www.medicare.gov/coverage/blood
- https://www.medicare.gov/health-drug-plans/part-d/what-drug-plans-cover/how-drug-plans-work

…and more — 478 pages total ([download CSV](csv/alfa__sia-r73.csv)).

### Testing environment
Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.

### Suggested fix
See remediation guidance: https://alfa.siteimprove.com/rules/sia-r73

### Example pages
- http://medicare.gov/publication-ordering/11376-S
- https://medicare.gov/basics/forms-publications-mailings/mailings/signing-up/welcome-to-medicare-package
- http://medicare.gov/coverage/alcohol-misuse-screenings-counseling

---

## Scrollable element is keyboard accessible (WCAG 1.4.8)

**Bug ID:** `VS-3884d199`  
**Pattern ID:** `VS-388b5438`  
**URL:** https://www.medicare.gov/account/create-account  
**XPath / selector:** `<p class="ds-text-heading--sm">`  
**WCAG SC:** 1.4.8 — Visual Presentation (Level AAA)  
**Rule:** Siteimprove Alfa — `sia-r80` ([reference](https://alfa.siteimprove.com/rules/sia-r80))  
**Severity:** Moderate  
**Frequency:** 2 instances; 1 of 1977 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W33 (8 weeks)

### Description
Scrollable element is keyboard accessible. Detected by Siteimprove Alfa rule sia-r80 on 1 of 1977 scanned pages (2 instances).

### Steps to reproduce
1. Open https://www.medicare.gov/account/create-account.
2. Locate the element: <p class="ds-text-heading--sm">
3. Confirm the Siteimprove Alfa finding for rule sia-r80 against WCAG 1.4.8 Visual Presentation.

### Impact
Not captured by automated scan — requires manual testing.

### Affected pages
- https://www.medicare.gov/account/create-account

### Testing environment
Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.

### Suggested fix
See remediation guidance: https://alfa.siteimprove.com/rules/sia-r80

---

## Target size is at least 44×44 CSS pixels (Enhanced) (WCAG 2.5.5)

**Bug ID:** `VS-3a8cfcc4`  
**Pattern ID:** `VS-cb53cc4d`  
**URL:** http://medicare.gov/publication-ordering/11376-S  
**XPath / selector:** `<a href="/" data-listener-attached="true">`  
**WCAG SC:** 2.5.5 — Target Size (Enhanced) (Level AAA)  
**Rule:** Siteimprove Alfa — `sia-r111` ([reference](https://alfa.siteimprove.com/rules/sia-r111))  
**Severity:** Moderate  
**Frequency:** 15670 instances; 479 of 1977 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W33 (10 weeks)

### Description
Target size is at least 44×44 CSS pixels (Enhanced). Detected by Siteimprove Alfa rule sia-r111 on 479 of 1977 scanned pages (15670 instances).

### Steps to reproduce
1. Open http://medicare.gov/publication-ordering/11376-S.
2. Locate the element: <a href="/" data-listener-attached="true">
3. Confirm the Siteimprove Alfa finding for rule sia-r111 against WCAG 2.5.5 Target Size (Enhanced).

### Impact
Not captured by automated scan — requires manual testing.

### Affected pages
- http://medicare.gov/publication-ordering/11376-S
- https://medicare.gov/basics/forms-publications-mailings/mailings/signing-up/welcome-to-medicare-package
- http://medicare.gov/coverage/alcohol-misuse-screenings-counseling
- https://medicare.gov/basics/get-started-with-medicare/get-more-coverage
- http://medicare.gov/health-apps/noom
- http://medicare.gov/coverage/pain-management
- https://medicare.gov/prescription-payment-plan/will-this-help-me
- 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/publications/search/all-non-english-pubs?page=7
- http://medicare.gov/basics/forms-publications-mailings/mailings/signing-up
- https://medicare.gov/publications/search?page=3
- http://medicare.gov/go-digital
- https://medicare.gov/health-drug-plans/part-d/what-plans-cover/plan-rules/safety-management-programs
- http://medicare.gov/basics/forms-publications-mailings/mailings/costs-and-coverage/medicare-premium-bill
- http://medicare.gov/basics/end-stage-renal-disease
- https://www.medicare.gov/coverage/monoclonal-antibodies-for-the-treatment-of-early-alzheimers-disease
- https://www.medicare.gov/publication-ordering/11220
- https://medicare.gov/coverage/eye-exams-for-diabetes
- http://medicare.gov/coverage/foot-care-other
- http://medicare.gov/publication-ordering/11361-S
- https://www.medicare.gov/publication-ordering/10050-SB
- https://medicare.gov/coverage/mental-health-care-inpatient
- https://www.medicare.gov/coverage/blood
- https://www.medicare.gov/health-drug-plans/part-d/what-drug-plans-cover/how-drug-plans-work

…and more — 479 pages total ([download CSV](csv/alfa__sia-r111.csv)).

### Testing environment
Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.

### Suggested fix
See remediation guidance: https://alfa.siteimprove.com/rules/sia-r111

### Example pages
- http://medicare.gov/publication-ordering/11376-S
- https://medicare.gov/basics/forms-publications-mailings/mailings/signing-up/welcome-to-medicare-package
- http://medicare.gov/coverage/alcohol-misuse-screenings-counseling

---

## All page content should be contained by landmarks (WCAG criterion undetermined)

**Bug ID:** `VS-3c115d4d`  
**Pattern ID:** `VS-f18df681`  
**URL:** https://www.medicare.gov/coverage/emergency-department-services  
**XPath / selector:** `.ds-u-clearfix`  
**WCAG SC:** _undetermined_  
**Rule:** axe-core — `region` ([reference](https://dequeuniversity.com/rules/axe/4.12/region?application=axeAPI))  
**Severity:** Serious  
**Frequency:** 3287 instances; 1642 of 1977 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W33 (10 weeks)

### HTML snippet
```html
<div class="ds-u-clearfix form-block__intro">
```

### Description
All page content should be contained by landmarks. Detected by axe-core rule region on 1642 of 1977 scanned pages (3287 instances).

### Steps to reproduce
1. Open https://www.medicare.gov/coverage/emergency-department-services.
2. Locate the element: .ds-u-clearfix
3. Confirm the axe-core finding for rule region.

### Impact
Not captured by automated scan — requires manual testing.

### 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

…and more — 1642 pages total ([download CSV](csv/axe-core__region.csv)).

### Testing environment
Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.

### Suggested fix
**How to fix:** Wrap all page content in landmarks (header, nav, main, footer) so users can navigate by region.

See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/region?application=axeAPI

### 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

---

## Heading levels should only increase by one (WCAG criterion undetermined)

**Bug ID:** `VS-99e6ff9b`  
**Pattern ID:** `VS-d25f622d`  
**URL:** https://medicare.gov/publications/search/all-non-english-pubs?page=4  
**XPath / selector:** `.layout__column.ds-l-col--12 > h3:nth-child(1)`  
**WCAG SC:** _undetermined_  
**Rule:** axe-core — `heading-order` ([reference](https://dequeuniversity.com/rules/axe/4.12/heading-order?application=axeAPI))  
**Severity:** Moderate  
**Frequency:** 40 instances; 40 of 1977 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W33 (10 weeks)

### HTML snippet
```html
<h3>Polish</h3>
```

### Description
Heading levels should only increase by one. Detected by axe-core rule heading-order on 40 of 1977 scanned pages (40 instances).

### Steps to reproduce
1. Open https://medicare.gov/publications/search/all-non-english-pubs?page=4.
2. Locate the element: .layout__column.ds-l-col--12 > h3:nth-child(1)
3. Confirm the axe-core finding for rule heading-order.

### Impact
Not captured by automated scan — requires manual testing.

### 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

…and more — 40 pages total ([download CSV](csv/axe-core__heading-order.csv)).

### Testing environment
Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.

### Suggested fix
**How to fix:** Use heading levels in order (h1 → h2 → h3) without skipping; structure, not size.

See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/heading-order?application=axeAPI

### 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

---

## Document should have one main landmark (WCAG criterion undetermined)

**Bug ID:** `VS-ecfe3a79`  
**Pattern ID:** `VS-d5d82446`  
**URL:** https://www.medicare.gov/care-compare/resources/nursing-home/care-compare/resources/nursing-home/quality-of-resident-care  
**XPath / selector:** `html`  
**WCAG SC:** _undetermined_  
**Rule:** axe-core — `landmark-one-main` ([reference](https://dequeuniversity.com/rules/axe/4.12/landmark-one-main?application=axeAPI))  
**Severity:** Moderate  
**Frequency:** 21 instances; 21 of 1977 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W33 (10 weeks)

### HTML snippet
```html
<html lang="en">
```

### Description
Document should have one main landmark. Detected by axe-core rule landmark-one-main on 21 of 1977 scanned pages (21 instances).

### Steps to reproduce
1. Open https://www.medicare.gov/care-compare/resources/nursing-home/care-compare/resources/nursing-home/quality-of-resident-care.
2. Locate the element: html
3. Confirm the axe-core finding for rule landmark-one-main.

### Impact
Not captured by automated scan — requires manual testing.

### 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

### Testing environment
Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.

### Suggested fix
**How to fix:** Each page should have exactly one <main> landmark.

See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/landmark-one-main?application=axeAPI

### 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

---

## Page should contain a level-one heading (WCAG criterion undetermined)

**Bug ID:** `VS-76f781fc`  
**Pattern ID:** `VS-fa44f293`  
**URL:** http://medicare.gov/publications/search/item/112371  
**XPath / selector:** `html`  
**WCAG SC:** _undetermined_  
**Rule:** axe-core — `page-has-heading-one` ([reference](https://dequeuniversity.com/rules/axe/4.12/page-has-heading-one?application=axeAPI))  
**Severity:** Moderate  
**Frequency:** 9 instances; 9 of 1977 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W33 (10 weeks)

### HTML snippet
```html
<html lang="en" dir="ltr" prefix="og: https://ogp.me/ns#" class=" js">
```

### Description
Page should contain a level-one heading. Detected by axe-core rule page-has-heading-one on 9 of 1977 scanned pages (9 instances).

### Steps to reproduce
1. Open http://medicare.gov/publications/search/item/112371.
2. Locate the element: html
3. Confirm the axe-core finding for rule page-has-heading-one.

### Impact
Not captured by automated scan — requires manual testing.

### 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

### Testing environment
Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.

### Suggested fix
See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/page-has-heading-one?application=axeAPI

### 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

---

## Table header text should not be empty (WCAG criterion undetermined)

**Bug ID:** `VS-3a2f2791`  
**Pattern ID:** `VS-d69fc059`  
**URL:** https://medicare.gov/account/login/help  
**XPath / selector:** `thead > tr > th:nth-child(1)`  
**WCAG SC:** _undetermined_  
**Rule:** axe-core — `empty-table-header` ([reference](https://dequeuniversity.com/rules/axe/4.12/empty-table-header?application=axeAPI))  
**Severity:** Minor  
**Frequency:** 3 instances; 3 of 1977 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W33 (10 weeks)

### HTML snippet
```html
<th class="">&nbsp;</th>
```

### Description
Table header text should not be empty. Detected by axe-core rule empty-table-header on 3 of 1977 scanned pages (3 instances).

### Steps to reproduce
1. Open https://medicare.gov/account/login/help.
2. Locate the element: thead > tr > th:nth-child(1)
3. Confirm the axe-core finding for rule empty-table-header.

### Impact
Not captured by automated scan — requires manual testing.

### Affected pages
- https://medicare.gov/account/login/help
- https://www.medicare.gov/account/login/help
- http://medicare.gov/account/login/help

### Testing environment
Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.

### Suggested fix
See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/empty-table-header?application=axeAPI

### Example pages
- https://medicare.gov/account/login/help
- https://www.medicare.gov/account/login/help
- http://medicare.gov/account/login/help

---

## Scrolling content can be accessed by keyboard (WCAG criterion undetermined)

**Bug ID:** `VS-5bc3a293`  
**Pattern ID:** `VS-c18be945`  
**URL:** http://medicare.gov/publication-ordering/11376-S  
**XPath / selector:** `text: "
            Important updates, straight to your inbox
          "`  
**WCAG SC:** _undetermined_  
**Rule:** Siteimprove Alfa — `sia-r57` ([reference](https://alfa.siteimprove.com/rules/sia-r57))  
**Severity:** Moderate  
**Frequency:** 2492 instances; 403 of 1977 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W33 (10 weeks)

### Description
Scrolling content can be accessed by keyboard. Detected by Siteimprove Alfa rule sia-r57 on 403 of 1977 scanned pages (2492 instances).

### Steps to reproduce
1. Open http://medicare.gov/publication-ordering/11376-S.
2. Locate the element: text: "
            Important updates, straight to your inbox
          "
3. Confirm the Siteimprove Alfa finding for rule sia-r57.

### Impact
Not captured by automated scan — requires manual testing.

### Affected pages
- http://medicare.gov/publication-ordering/11376-S
- https://medicare.gov/basics/forms-publications-mailings/mailings/signing-up/welcome-to-medicare-package
- http://medicare.gov/coverage/alcohol-misuse-screenings-counseling
- https://medicare.gov/basics/get-started-with-medicare/get-more-coverage
- http://medicare.gov/health-apps/noom
- http://medicare.gov/coverage/pain-management
- https://medicare.gov/prescription-payment-plan/will-this-help-me
- https://www.medicare.gov/providers-services/original-medicare/nursing-homes/return-to-community
- http://medicare.gov/publications/search/all-non-english-pubs?page=7
- http://medicare.gov/basics/forms-publications-mailings/mailings/signing-up
- https://medicare.gov/publications/search?page=3
- http://medicare.gov/go-digital
- https://medicare.gov/health-drug-plans/part-d/what-plans-cover/plan-rules/safety-management-programs
- http://medicare.gov/basics/forms-publications-mailings/mailings/costs-and-coverage/medicare-premium-bill
- http://medicare.gov/basics/end-stage-renal-disease
- https://www.medicare.gov/coverage/monoclonal-antibodies-for-the-treatment-of-early-alzheimers-disease
- https://www.medicare.gov/publication-ordering/11220
- https://medicare.gov/coverage/eye-exams-for-diabetes
- http://medicare.gov/coverage/foot-care-other
- http://medicare.gov/publication-ordering/11361-S
- https://www.medicare.gov/publication-ordering/10050-SB
- https://medicare.gov/coverage/mental-health-care-inpatient
- https://www.medicare.gov/coverage/blood
- https://www.medicare.gov/health-drug-plans/part-d/what-drug-plans-cover/how-drug-plans-work
- https://www.medicare.gov/coverage/search/pii

…and more — 403 pages total ([download CSV](csv/alfa__sia-r57.csv)).

### Testing environment
Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.

### Suggested fix
See remediation guidance: https://alfa.siteimprove.com/rules/sia-r57

### Example pages
- http://medicare.gov/publication-ordering/11376-S
- https://medicare.gov/basics/forms-publications-mailings/mailings/signing-up/welcome-to-medicare-package
- http://medicare.gov/coverage/alcohol-misuse-screenings-counseling

---

## Table header has scope (WCAG criterion undetermined)

**Bug ID:** `VS-2e25904c`  
**Pattern ID:** `VS-2cd767ca`  
**URL:** http://medicare.gov/coverage/alcohol-misuse-screenings-counseling  
**XPath / selector:** `<h2 class="text-align-center ds-u-padding-x--4 ds-u-md-padding-x--0 ds-u-margin-bottom--0">`  
**WCAG SC:** _undetermined_  
**Rule:** Siteimprove Alfa — `sia-r78` ([reference](https://alfa.siteimprove.com/rules/sia-r78))  
**Severity:** Moderate  
**Frequency:** 199 instances; 125 of 1977 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W33 (10 weeks)

### Description
Table header has scope. Detected by Siteimprove Alfa rule sia-r78 on 125 of 1977 scanned pages (199 instances).

### Steps to reproduce
1. Open http://medicare.gov/coverage/alcohol-misuse-screenings-counseling.
2. Locate the element: <h2 class="text-align-center ds-u-padding-x--4 ds-u-md-padding-x--0 ds-u-margin-bottom--0">
3. Confirm the Siteimprove Alfa finding for rule sia-r78.

### Impact
Not captured by automated scan — requires manual testing.

### Affected pages
- http://medicare.gov/coverage/alcohol-misuse-screenings-counseling
- http://medicare.gov/health-apps/noom
- http://medicare.gov/coverage/pain-management
- http://medicare.gov/publications/search/all-non-english-pubs?page=7
- https://www.medicare.gov/coverage/monoclonal-antibodies-for-the-treatment-of-early-alzheimers-disease
- https://medicare.gov/coverage/eye-exams-for-diabetes
- http://medicare.gov/coverage/foot-care-other
- https://medicare.gov/coverage/mental-health-care-inpatient
- https://www.medicare.gov/coverage/blood
- https://medicare.gov/publications/search/all-non-english-pubs?page=5
- https://medicare.gov/coverage/emergency-department-services
- https://medicare.gov/coverage/physical-activity-nutrition-risk-assessment
- https://www.medicare.gov/publications/search/all-non-english-pubs?page=1
- https://medicare.gov/coverage/pancreas-transplants
- https://medicare.gov/coverage/wheelchairs-scooters
- https://www.medicare.gov/coverage/suction-pumps
- https://medicare.gov/publications/search/all-non-english-pubs?page=1
- https://medicare.gov/coverage/prosthetic-devices
- https://medicare.gov/coverage/surgery
- https://medicare.gov/coverage/depression-screening
- https://www.medicare.gov/coverage/swing-bed-services
- https://www.medicare.gov/coverage/hearing-aids
- https://www.medicare.gov/basics/get-started-with-medicare/whats-next
- https://www.medicare.gov/coverage/sexually-transmitted-infection-screenings-counseling
- http://medicare.gov/coverage/dental-services

…and more — 125 pages total ([download CSV](csv/alfa__sia-r78.csv)).

### Testing environment
Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.

### Suggested fix
See remediation guidance: https://alfa.siteimprove.com/rules/sia-r78

### Example pages
- http://medicare.gov/coverage/alcohol-misuse-screenings-counseling
- http://medicare.gov/health-apps/noom
- http://medicare.gov/coverage/pain-management

---

## First focusable element is link to main content (WCAG criterion undetermined)

**Bug ID:** `VS-ea353f72`  
**Pattern ID:** `VS-aa242c2d`  
**URL:** https://www.medicare.gov/care-compare?providerType=DialysisFacility  
**XPath / selector:** `{"type":"document","children":[{"type":"type","name":"html","publicId":null,"sys`  
**WCAG SC:** _undetermined_  
**Rule:** Siteimprove Alfa — `sia-r87` ([reference](https://alfa.siteimprove.com/rules/sia-r87))  
**Severity:** Moderate  
**Frequency:** 19 instances; 19 of 1977 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W33 (10 weeks)

### Description
First focusable element is link to main content. Detected by Siteimprove Alfa rule sia-r87 on 19 of 1977 scanned pages (19 instances).

### Steps to reproduce
1. Open https://www.medicare.gov/care-compare?providerType=DialysisFacility.
2. Locate the element: {"type":"document","children":[{"type":"type","name":"html","publicId":null,"sys
3. Confirm the Siteimprove Alfa finding for rule sia-r87.

### Impact
Not captured by automated scan — requires manual testing.

### Affected pages
- https://www.medicare.gov/care-compare?providerType=DialysisFacility
- http://medicare.gov/care-compare?guidedSearch=Hospice
- https://www.medicare.gov/care-compare?guidedSearch=Hospital
- http://medicare.gov/care-compare
- http://medicare.gov/care-compare?reset=true
- https://medicare.gov/care-compare
- https://www.medicare.gov/care-compare?providerType=NursingHome
- https://www.medicare.gov/care-compare/resources/nursing-home/care-compare/resources/nursing-home/staffing
- https://medicare.gov/care-compare?guidedSearch=Physician
- https://www.medicare.gov/care-compare/resources/information-about-provider-types
- https://medicare.gov/care-compare?reset=true
- https://medicare.gov/care-compare?guidedSearch=InpatientRehabilitation
- http://medicare.gov/care-compare?guidedSearch=DialysisFacility
- http://medicare.gov/care-compare?guidedSearch=NursingHome
- https://www.medicare.gov/care-compare/resources/nursing-home/quality-of-resident-care
- http://medicare.gov/care-compare?guidedSearch=CommunityHealthCenter
- https://www.medicare.gov/care-compare/resources/resources-and-information
- https://www.medicare.gov/care-compare?reset=true
- https://medicare.gov/care-compare?guidedSearch=LongTermCare

### Testing environment
Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.

### Suggested fix
See remediation guidance: https://alfa.siteimprove.com/rules/sia-r87

### Example pages
- https://www.medicare.gov/care-compare?providerType=DialysisFacility
- http://medicare.gov/care-compare?guidedSearch=Hospice
- https://www.medicare.gov/care-compare?guidedSearch=Hospital

---

## Headings are structured hierarchically (WCAG criterion undetermined)

**Bug ID:** `VS-4dda7418`  
**Pattern ID:** `VS-f054f4a4`  
**URL:** http://medicare.gov/publications/search/all-non-english-pubs?page=7  
**XPath / selector:** `<h3>`  
**WCAG SC:** _undetermined_  
**Rule:** Siteimprove Alfa — `sia-r53` ([reference](https://alfa.siteimprove.com/rules/sia-r53))  
**Severity:** Moderate  
**Frequency:** 13 instances; 13 of 1977 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W33 (10 weeks)

### Description
Headings are structured hierarchically. Detected by Siteimprove Alfa rule sia-r53 on 13 of 1977 scanned pages (13 instances).

### Steps to reproduce
1. Open http://medicare.gov/publications/search/all-non-english-pubs?page=7.
2. Locate the element: <h3>
3. Confirm the Siteimprove Alfa finding for rule sia-r53.

### Impact
Not captured by automated scan — requires manual testing.

### Affected pages
- 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=6
- http://medicare.gov/publications/search/all-non-english-pubs
- https://www.medicare.gov/publications/search/all-non-english-pubs?page=10
- https://www.medicare.gov/publications/search/all-non-english-pubs?page=9
- https://medicare.gov/publications/search/all-non-english-pubs?page=8
- https://www.medicare.gov/publications/search/all-non-english-pubs?page=4
- https://www.medicare.gov/publications/search/all-non-english-pubs
- https://www.medicare.gov/publications/search/all-non-english-pubs?page=7

### Testing environment
Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.

### Suggested fix
**How to fix:** Use headings in a logical, non-skipping order.

See remediation guidance: https://alfa.siteimprove.com/rules/sia-r53

### Example pages
- 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

---

## Form field label is visible (WCAG criterion undetermined)

**Bug ID:** `VS-19637f66`  
**Pattern ID:** `VS-7118fead`  
**URL:** https://medicare.gov/publications/search/item/112376  
**XPath / selector:** `{"type":"document","children":[{"type":"type","name":"html","publicId":null,"sys`  
**WCAG SC:** _undetermined_  
**Rule:** Siteimprove Alfa — `sia-r61` ([reference](https://alfa.siteimprove.com/rules/sia-r61))  
**Severity:** Moderate  
**Frequency:** 4 instances; 4 of 1977 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W33 (10 weeks)

### Description
Form field label is visible. Detected by Siteimprove Alfa rule sia-r61 on 4 of 1977 scanned pages (4 instances).

### Steps to reproduce
1. Open https://medicare.gov/publications/search/item/112376.
2. Locate the element: {"type":"document","children":[{"type":"type","name":"html","publicId":null,"sys
3. Confirm the Siteimprove Alfa finding for rule sia-r61.

### Impact
Not captured by automated scan — requires manual testing.

### Affected pages
- https://medicare.gov/publications/search/item/112376
- https://medicare.gov/publications/search/item/112371
- https://www.medicare.gov/publications/search/item/112376
- https://www.medicare.gov/publications/search/item/112371

### Testing environment
Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.

### Suggested fix
See remediation guidance: https://alfa.siteimprove.com/rules/sia-r61

### Example pages
- https://medicare.gov/publications/search/item/112376
- https://medicare.gov/publications/search/item/112371
- https://www.medicare.gov/publications/search/item/112376

---

## aria attribute is permitted for element role (WCAG criterion undetermined)

**Bug ID:** `VS-4fde4ac0`  
**Pattern ID:** `VS-e05344b9`  
**URL:** https://www.medicare.gov/account/create-account  
**XPath / selector:** `@aria-invalid="false"`  
**WCAG SC:** _undetermined_  
**Rule:** Siteimprove Alfa — `sia-r18` ([reference](https://alfa.siteimprove.com/rules/sia-r18))  
**Severity:** Moderate  
**Frequency:** 2 instances; 2 of 1977 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W33 (9 weeks)

### Description
aria attribute is permitted for element role. Detected by Siteimprove Alfa rule sia-r18 on 2 of 1977 scanned pages (2 instances).

### Steps to reproduce
1. Open https://www.medicare.gov/account/create-account.
2. Locate the element: @aria-invalid="false"
3. Confirm the Siteimprove Alfa finding for rule sia-r18.

### Impact
Not captured by automated scan — requires manual testing.

### Affected pages
- https://www.medicare.gov/account/create-account
- http://medicare.gov/providers-services/claims-appeals-complaints/claims/share-your-medicare-claims/connected-apps

### Testing environment
Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.

### Suggested fix
**How to fix:** Only use ARIA states/properties that are allowed on this element/role.

See remediation guidance: https://alfa.siteimprove.com/rules/sia-r18

### Example pages
- https://www.medicare.gov/account/create-account
- http://medicare.gov/providers-services/claims-appeals-complaints/claims/share-your-medicare-claims/connected-apps