{
 "schema_version": "0.1",
 "site": "www.medicare.gov",
 "scan_week": "2026-W36",
 "generated_at": "2026-09-30T18:09:08.963Z",
 "source_files": [
  "docs/reports/www.medicare.gov/2026-W36/",
  "data/www.medicare.gov/findings.json",
  "data/www.medicare.gov/2026-W36/summary.json"
 ],
 "summary": {
  "pages_known": 3788,
  "pages_scanned_this_week": 1990,
  "pages_with_known_issues": 1800,
  "findings": 19,
  "clusters": 19,
  "new_findings": 0,
  "persistent_findings": 18,
  "high_priority_findings": 9
 },
 "top_risks": [
  {
   "finding_id": "VS-f18df681",
   "rule_id": "region",
   "rule_label": "All page content should be contained by landmarks",
   "severity": "Serious",
   "priority": "p1",
   "trend": "persistent",
   "pages_affected": 1690,
   "rationale": "Serious severity; affects 1690 pages; persistent across weeks",
   "top_url": "http://medicare.gov/publication-ordering/11377"
  },
  {
   "finding_id": "VS-c80d5faa",
   "rule_id": "document-title",
   "rule_label": "Documents must have <title> element to aid in navigation",
   "severity": "Serious",
   "priority": "p1",
   "trend": "persistent",
   "pages_affected": 18,
   "rationale": "Serious severity; persistent across weeks",
   "top_url": "https://www.medicare.gov/care-compare/resources/nursing-home/care-compare/resources/nursing-home/quality-of-resident-care"
  },
  {
   "finding_id": "VS-3f76c7ea",
   "rule_id": "frame-title",
   "rule_label": "Frames must have an accessible name",
   "severity": "Serious",
   "priority": "p1",
   "trend": "persistent",
   "pages_affected": 15,
   "rationale": "Serious severity; persistent across weeks",
   "top_url": "http://medicare.gov/publication-ordering/11377"
  },
  {
   "finding_id": "VS-cb53cc4d",
   "rule_id": "sia-r111",
   "rule_label": "Target size is at least 44×44 CSS pixels (Enhanced)",
   "severity": "Moderate",
   "priority": "p2",
   "trend": "persistent",
   "pages_affected": 523,
   "rationale": "affects 523 pages; persistent across weeks",
   "top_url": "http://medicare.gov/publication-ordering/11377"
  },
  {
   "finding_id": "VS-2208081b",
   "rule_id": "sia-r73",
   "rule_label": "Text has minimum contrast ratio of 4.5:1",
   "severity": "Moderate",
   "priority": "p2",
   "trend": "persistent",
   "pages_affected": 519,
   "rationale": "affects 519 pages; persistent across weeks",
   "top_url": "http://medicare.gov/publication-ordering/11377"
  },
  {
   "finding_id": "VS-c18be945",
   "rule_id": "sia-r57",
   "rule_label": "Scrolling content can be accessed by keyboard",
   "severity": "Moderate",
   "priority": "p2",
   "trend": "persistent",
   "pages_affected": 487,
   "rationale": "affects 487 pages; persistent across weeks",
   "top_url": "http://medicare.gov/publication-ordering/11377"
  },
  {
   "finding_id": "VS-f6cf30ff",
   "rule_id": "sia-r17",
   "rule_label": "aria-hidden element does not contain focusable elements",
   "severity": "Moderate",
   "priority": "p2",
   "trend": "persistent",
   "pages_affected": 456,
   "rationale": "affects 456 pages; persistent across weeks",
   "top_url": "http://medicare.gov/publication-ordering/11377"
  },
  {
   "finding_id": "VS-646b1e0b",
   "rule_id": "sia-r66",
   "rule_label": "Text has enhanced contrast",
   "severity": "Moderate",
   "priority": "p2",
   "trend": "worsening",
   "pages_affected": 274,
   "rationale": "affects 274 pages; worsening trend",
   "top_url": "http://medicare.gov/coverage/alcohol-misuse-screenings-counseling"
  },
  {
   "finding_id": "VS-2cd767ca",
   "rule_id": "sia-r78",
   "rule_label": "Table header has scope",
   "severity": "Moderate",
   "priority": "p2",
   "trend": "persistent",
   "pages_affected": 143,
   "rationale": "affects 143 pages; persistent across weeks",
   "top_url": "https://www.medicare.gov/prescription-payment-plan"
  }
 ],
 "findings": [
  {
   "finding_id": "VS-f18df681",
   "fingerprint": "09987718",
   "rule_id": "region",
   "rule_label": "All page content should be contained by landmarks",
   "engine": "axe-core",
   "tool": "axe-core",
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Best Practice",
   "rule_url": "https://dequeuniversity.com/rules/axe/4.12/region?application=axeAPI",
   "severity": "Serious",
   "priority": "p1",
   "confidence": "high",
   "rationale": "Serious severity; affects 1690 pages; persistent across weeks",
   "trend": {
    "status": "persistent",
    "first_observed": "2026-W24",
    "last_observed": "2026-W36",
    "weeks_observed": 13,
    "affected_pages_current": 1690,
    "affected_pages_previous": 1722
   },
   "frequency": {
    "instances": 3383,
    "pages_affected": 1690,
    "total_pages_scanned": 1990
   },
   "on_key_page": false,
   "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 1690 of 1990 scanned pages (3383 instances).",
   "remediation_tip": "Wrap all page content in landmarks (header, nav, main, footer) so users can navigate by region.",
   "suggested_fix": "See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/region?application=axeAPI",
   "expected_behavior": "Element passes axe-core rule region.",
   "actual_behavior": "All page content should be contained by landmarks. Detected by axe-core rule region on 1690 of 1990 scanned pages (3383 instances).",
   "testing_environment": "Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "http://medicare.gov/publication-ordering/11377",
    "https://www.medicare.gov/coverage/emergency-department-services",
    "https://www.medicare.gov/publication-ordering/02179"
   ],
   "html_fragments": [
    {
     "fingerprint": "ac2ba764",
     "html": "<div class=\"ds-u-clearfix form-block__intro\">",
     "selectors": [
      ".ds-u-clearfix"
     ]
    },
    {
     "fingerprint": "38ffdcbd",
     "html": "<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",
     "selectors": [
      "#edit-step1"
     ]
    }
   ],
   "url_patterns": [
    {
     "pattern": "/publication-ordering/{id}-S",
     "count": 5
    },
    {
     "pattern": "/publication-ordering/{id}",
     "count": 4
    },
    {
     "pattern": "/coverage/alcohol-misuse-screenings-counseling",
     "count": 2
    }
   ],
   "associated_technologies": [],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   }
  },
  {
   "finding_id": "VS-c80d5faa",
   "fingerprint": "1fd7726a",
   "rule_id": "document-title",
   "rule_label": "Documents must have <title> element to aid in navigation",
   "engine": "axe-core",
   "tool": "axe-core",
   "wcag_sc": "2.4.2",
   "wcag_name": "Page Titled",
   "wcag_level": "A",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.0 A",
   "rule_url": "https://dequeuniversity.com/rules/axe/4.12/document-title?application=axeAPI",
   "severity": "Serious",
   "priority": "p1",
   "confidence": "high",
   "rationale": "Serious severity; persistent across weeks",
   "trend": {
    "status": "persistent",
    "first_observed": "2026-W32",
    "last_observed": "2026-W36",
    "weeks_observed": 5,
    "affected_pages_current": 18,
    "affected_pages_previous": null
   },
   "frequency": {
    "instances": 18,
    "pages_affected": 18,
    "total_pages_scanned": 1990
   },
   "on_key_page": false,
   "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 1990 scanned pages (18 instances).",
   "remediation_tip": "Give the page a unique, descriptive <title>.",
   "suggested_fix": "See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/document-title?application=axeAPI",
   "expected_behavior": "Element passes axe-core rule document-title (WCAG 2.4.2).",
   "actual_behavior": "Documents must have <title> element to aid in navigation. Detected by axe-core rule document-title on 18 of 1990 scanned pages (18 instances).",
   "testing_environment": "Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "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"
   ],
   "html_fragments": [
    {
     "fingerprint": "72686b32",
     "html": "<html lang=\"en\">",
     "selectors": [
      "html"
     ]
    }
   ],
   "url_patterns": [
    {
     "pattern": "/care-compare/resources/information-about-provider-types",
     "count": 3
    },
    {
     "pattern": "/care-compare/resources/care-compare/resources/information-about-provider-types",
     "count": 3
    },
    {
     "pattern": "/care-compare/resources/nursing-home/care-compare/resources/nursing-home/quality-of-resident-care",
     "count": 1
    }
   ],
   "associated_technologies": [],
   "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%)."
   }
  },
  {
   "finding_id": "VS-3f76c7ea",
   "fingerprint": "fbb98de4",
   "rule_id": "frame-title",
   "rule_label": "Frames must have an accessible name",
   "engine": "axe-core",
   "tool": "axe-core",
   "wcag_sc": "4.1.2",
   "wcag_name": "Name, Role, Value",
   "wcag_level": "A",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.0 A",
   "rule_url": "https://dequeuniversity.com/rules/axe/4.12/frame-title?application=axeAPI",
   "severity": "Serious",
   "priority": "p1",
   "confidence": "high",
   "rationale": "Serious severity; persistent across weeks",
   "trend": {
    "status": "persistent",
    "first_observed": "2026-W24",
    "last_observed": "2026-W36",
    "weeks_observed": 13,
    "affected_pages_current": 15,
    "affected_pages_previous": 15
   },
   "frequency": {
    "instances": 15,
    "pages_affected": 15,
    "total_pages_scanned": 1990
   },
   "on_key_page": false,
   "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 15 of 1990 scanned pages (15 instances).",
   "remediation_tip": "Give every <iframe> a descriptive title attribute.",
   "suggested_fix": "See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/frame-title?application=axeAPI",
   "expected_behavior": "Element passes axe-core rule frame-title (WCAG 4.1.2).",
   "actual_behavior": "Frames must have an accessible name. Detected by axe-core rule frame-title on 15 of 1990 scanned pages (15 instances).",
   "testing_environment": "Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "http://medicare.gov/publication-ordering/11377",
    "http://medicare.gov/publication-ordering/12177-S",
    "https://www.medicare.gov/publication-ordering/11222"
   ],
   "html_fragments": [
    {
     "fingerprint": "4d3fabb7",
     "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",
     "selectors": [
      "iframe[height=\"100%\"]"
     ]
    }
   ],
   "url_patterns": [
    {
     "pattern": "/publication-ordering/{id}-S",
     "count": 5
    },
    {
     "pattern": "/publication-ordering/{id}",
     "count": 4
    },
    {
     "pattern": "/coverage/ostomy-supplies",
     "count": 1
    }
   ],
   "associated_technologies": [],
   "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%)."
   }
  },
  {
   "finding_id": "VS-cb53cc4d",
   "fingerprint": "1738fa81",
   "rule_id": "sia-r111",
   "rule_label": "Target size is at least 44×44 CSS pixels (Enhanced)",
   "engine": "alfa",
   "tool": "Siteimprove Alfa",
   "wcag_sc": "2.5.5",
   "wcag_name": "Target Size (Enhanced)",
   "wcag_level": "AAA",
   "wcag_version": "2.1",
   "wcag_category": "WCAG 2.x AAA",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r111",
   "severity": "Moderate",
   "priority": "p2",
   "confidence": "high",
   "rationale": "affects 523 pages; persistent across weeks",
   "trend": {
    "status": "persistent",
    "first_observed": "2026-W24",
    "last_observed": "2026-W36",
    "weeks_observed": 13,
    "affected_pages_current": 523,
    "affected_pages_previous": 517
   },
   "frequency": {
    "instances": 17501,
    "pages_affected": 523,
    "total_pages_scanned": 1990
   },
   "on_key_page": false,
   "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 523 of 1990 scanned pages (17501 instances).",
   "remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r111",
   "expected_behavior": "Element passes Siteimprove Alfa rule sia-r111 (WCAG 2.5.5).",
   "actual_behavior": "Target size is at least 44×44 CSS pixels (Enhanced). Detected by Siteimprove Alfa rule sia-r111 on 523 of 1990 scanned pages (17501 instances).",
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "http://medicare.gov/publication-ordering/11377",
    "https://medicare.gov/medical-equipment-suppliers/note-for-suppliers",
    "https://www.medicare.gov/prescription-payment-plan"
   ],
   "html_fragments": [],
   "url_patterns": [
    {
     "pattern": "/publication-ordering/{id}",
     "count": 5
    },
    {
     "pattern": "/publication-ordering/{id}-S",
     "count": 3
    },
    {
     "pattern": "/medical-equipment-suppliers/note-for-suppliers",
     "count": 2
    }
   ],
   "associated_technologies": [],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   }
  },
  {
   "finding_id": "VS-2208081b",
   "fingerprint": "40bbca09",
   "rule_id": "sia-r73",
   "rule_label": "Text has minimum contrast ratio of 4.5:1",
   "engine": "alfa",
   "tool": "Siteimprove Alfa",
   "wcag_sc": "1.4.8",
   "wcag_name": "Visual Presentation",
   "wcag_level": "AAA",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.x AAA",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r73",
   "severity": "Moderate",
   "priority": "p2",
   "confidence": "high",
   "rationale": "affects 519 pages; persistent across weeks",
   "trend": {
    "status": "persistent",
    "first_observed": "2026-W24",
    "last_observed": "2026-W36",
    "weeks_observed": 13,
    "affected_pages_current": 519,
    "affected_pages_previous": 517
   },
   "frequency": {
    "instances": 5158,
    "pages_affected": 519,
    "total_pages_scanned": 1990
   },
   "on_key_page": false,
   "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 519 of 1990 scanned pages (5158 instances).",
   "remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r73",
   "expected_behavior": "Element passes Siteimprove Alfa rule sia-r73 (WCAG 1.4.8).",
   "actual_behavior": "Text has minimum contrast ratio of 4.5:1. Detected by Siteimprove Alfa rule sia-r73 on 519 of 1990 scanned pages (5158 instances).",
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "http://medicare.gov/publication-ordering/11377",
    "https://medicare.gov/medical-equipment-suppliers/note-for-suppliers",
    "https://www.medicare.gov/prescription-payment-plan"
   ],
   "html_fragments": [],
   "url_patterns": [
    {
     "pattern": "/publication-ordering/{id}",
     "count": 5
    },
    {
     "pattern": "/publication-ordering/{id}-S",
     "count": 3
    },
    {
     "pattern": "/medical-equipment-suppliers/note-for-suppliers",
     "count": 2
    }
   ],
   "associated_technologies": [],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   }
  },
  {
   "finding_id": "VS-c18be945",
   "fingerprint": "8634e2fd",
   "rule_id": "sia-r57",
   "rule_label": "Scrolling content can be accessed by keyboard",
   "engine": "alfa",
   "tool": "Siteimprove Alfa",
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Undetermined",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r57",
   "severity": "Moderate",
   "priority": "p2",
   "confidence": "high",
   "rationale": "affects 487 pages; persistent across weeks",
   "trend": {
    "status": "persistent",
    "first_observed": "2026-W24",
    "last_observed": "2026-W36",
    "weeks_observed": 13,
    "affected_pages_current": 487,
    "affected_pages_previous": 475
   },
   "frequency": {
    "instances": 3116,
    "pages_affected": 487,
    "total_pages_scanned": 1990
   },
   "on_key_page": false,
   "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 487 of 1990 scanned pages (3116 instances).",
   "remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r57",
   "expected_behavior": "Element passes Siteimprove Alfa rule sia-r57.",
   "actual_behavior": "Scrolling content can be accessed by keyboard. Detected by Siteimprove Alfa rule sia-r57 on 487 of 1990 scanned pages (3116 instances).",
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "http://medicare.gov/publication-ordering/11377",
    "https://www.medicare.gov/prescription-payment-plan",
    "http://medicare.gov/publication-ordering/11417"
   ],
   "html_fragments": [],
   "url_patterns": [
    {
     "pattern": "/publication-ordering/{id}",
     "count": 5
    },
    {
     "pattern": "/publication-ordering/{id}-S",
     "count": 3
    },
    {
     "pattern": "/account/login",
     "count": 2
    }
   ],
   "associated_technologies": [],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   }
  },
  {
   "finding_id": "VS-f6cf30ff",
   "fingerprint": "f8fe8a49",
   "rule_id": "sia-r17",
   "rule_label": "aria-hidden element does not contain focusable elements",
   "engine": "alfa",
   "tool": "Siteimprove Alfa",
   "wcag_sc": "4.1.2",
   "wcag_name": "Name, Role, Value",
   "wcag_level": "A",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.0 A",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r17",
   "severity": "Moderate",
   "priority": "p2",
   "confidence": "high",
   "rationale": "affects 456 pages; persistent across weeks",
   "trend": {
    "status": "persistent",
    "first_observed": "2026-W24",
    "last_observed": "2026-W36",
    "weeks_observed": 13,
    "affected_pages_current": 456,
    "affected_pages_previous": 446
   },
   "frequency": {
    "instances": 465,
    "pages_affected": 456,
    "total_pages_scanned": 1990
   },
   "on_key_page": false,
   "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 456 of 1990 scanned pages (465 instances).",
   "remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r17",
   "expected_behavior": "Element passes Siteimprove Alfa rule sia-r17 (WCAG 4.1.2).",
   "actual_behavior": "aria-hidden element does not contain focusable elements. Detected by Siteimprove Alfa rule sia-r17 on 456 of 1990 scanned pages (465 instances).",
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "http://medicare.gov/publication-ordering/11377",
    "https://www.medicare.gov/prescription-payment-plan",
    "http://medicare.gov/publication-ordering/11417"
   ],
   "html_fragments": [],
   "url_patterns": [
    {
     "pattern": "/publication-ordering/{id}",
     "count": 5
    },
    {
     "pattern": "/publication-ordering/{id}-S",
     "count": 3
    },
    {
     "pattern": "/prescription-payment-plan",
     "count": 1
    }
   ],
   "associated_technologies": [],
   "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%)."
   }
  },
  {
   "finding_id": "VS-646b1e0b",
   "fingerprint": "afad441e",
   "rule_id": "sia-r66",
   "rule_label": "Text has enhanced contrast",
   "engine": "alfa",
   "tool": "Siteimprove Alfa",
   "wcag_sc": "1.4.6",
   "wcag_name": "Contrast (Enhanced)",
   "wcag_level": "AAA",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.x AAA",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r66",
   "severity": "Moderate",
   "priority": "p2",
   "confidence": "high",
   "rationale": "affects 274 pages; worsening trend",
   "trend": {
    "status": "worsening",
    "first_observed": "2026-W24",
    "last_observed": "2026-W36",
    "weeks_observed": 13,
    "affected_pages_current": 274,
    "affected_pages_previous": 258
   },
   "frequency": {
    "instances": 587,
    "pages_affected": 274,
    "total_pages_scanned": 1990
   },
   "on_key_page": false,
   "summary": "Text has enhanced contrast (WCAG 1.4.6)",
   "description": "Text has enhanced contrast. Detected by Siteimprove Alfa rule sia-r66 on 274 of 1990 scanned pages (587 instances).",
   "remediation_tip": "Increase text contrast to meet WCAG AAA (7:1).",
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r66",
   "expected_behavior": "Element passes Siteimprove Alfa rule sia-r66 (WCAG 1.4.6).",
   "actual_behavior": "Text has enhanced contrast. Detected by Siteimprove Alfa rule sia-r66 on 274 of 1990 scanned pages (587 instances).",
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "http://medicare.gov/coverage/alcohol-misuse-screenings-counseling",
    "http://medicare.gov/coverage/sleep-studies",
    "http://medicare.gov/coverage/chiropractic-services"
   ],
   "html_fragments": [],
   "url_patterns": [
    {
     "pattern": "/account/login",
     "count": 3
    },
    {
     "pattern": "/coverage/alcohol-misuse-screenings-counseling",
     "count": 1
    },
    {
     "pattern": "/coverage/sleep-studies",
     "count": 1
    }
   ],
   "associated_technologies": [],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   }
  },
  {
   "finding_id": "VS-2cd767ca",
   "fingerprint": "3123e4f3",
   "rule_id": "sia-r78",
   "rule_label": "Table header has scope",
   "engine": "alfa",
   "tool": "Siteimprove Alfa",
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Undetermined",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r78",
   "severity": "Moderate",
   "priority": "p2",
   "confidence": "high",
   "rationale": "affects 143 pages; persistent across weeks",
   "trend": {
    "status": "persistent",
    "first_observed": "2026-W24",
    "last_observed": "2026-W36",
    "weeks_observed": 13,
    "affected_pages_current": 143,
    "affected_pages_previous": 145
   },
   "frequency": {
    "instances": 183,
    "pages_affected": 143,
    "total_pages_scanned": 1990
   },
   "on_key_page": false,
   "summary": "Table header has scope (WCAG criterion undetermined)",
   "description": "Table header has scope. Detected by Siteimprove Alfa rule sia-r78 on 143 of 1990 scanned pages (183 instances).",
   "remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r78",
   "expected_behavior": "Element passes Siteimprove Alfa rule sia-r78.",
   "actual_behavior": "Table header has scope. Detected by Siteimprove Alfa rule sia-r78 on 143 of 1990 scanned pages (183 instances).",
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "https://www.medicare.gov/prescription-payment-plan",
    "http://medicare.gov/coverage/alcohol-misuse-screenings-counseling",
    "http://medicare.gov/health-apps/noom"
   ],
   "html_fragments": [],
   "url_patterns": [
    {
     "pattern": "/publications/search/all-non-english-pubs",
     "count": 2
    },
    {
     "pattern": "/coverage/blood-sugar-control-solutions",
     "count": 2
    },
    {
     "pattern": "/prescription-payment-plan",
     "count": 1
    }
   ],
   "associated_technologies": [],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   }
  },
  {
   "finding_id": "VS-d25f622d",
   "fingerprint": "98ff321a",
   "rule_id": "heading-order",
   "rule_label": "Heading levels should only increase by one",
   "engine": "axe-core",
   "tool": "axe-core",
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Best Practice",
   "rule_url": "https://dequeuniversity.com/rules/axe/4.12/heading-order?application=axeAPI",
   "severity": "Moderate",
   "priority": "p3",
   "confidence": "high",
   "rationale": "persistent across weeks",
   "trend": {
    "status": "persistent",
    "first_observed": "2026-W24",
    "last_observed": "2026-W36",
    "weeks_observed": 13,
    "affected_pages_current": 40,
    "affected_pages_previous": 43
   },
   "frequency": {
    "instances": 40,
    "pages_affected": 40,
    "total_pages_scanned": 1990
   },
   "on_key_page": false,
   "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 1990 scanned pages (40 instances).",
   "remediation_tip": "Use heading levels in order (h1 → h2 → h3) without skipping; structure, not size.",
   "suggested_fix": "See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/heading-order?application=axeAPI",
   "expected_behavior": "Element passes axe-core rule heading-order.",
   "actual_behavior": "Heading levels should only increase by one. Detected by axe-core rule heading-order on 40 of 1990 scanned pages (40 instances).",
   "testing_environment": "Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "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"
   ],
   "html_fragments": [
    {
     "fingerprint": "5d1b20d6",
     "html": "<h3>Polish</h3>",
     "selectors": [
      ".layout__column.ds-l-col--12 > h3:nth-child(1)"
     ]
    },
    {
     "fingerprint": "eb52dea1",
     "html": "<h3>Amharic</h3>",
     "selectors": [
      ".layout__column.ds-l-col--12 > h3:nth-child(1)"
     ]
    },
    {
     "fingerprint": "f0f9065e",
     "html": "<h3>Spanish</h3>",
     "selectors": [
      ".layout__column.ds-l-col--12 > h3:nth-child(1)"
     ]
    }
   ],
   "url_patterns": [
    {
     "pattern": "/publications/search/all-non-english-pubs",
     "count": 23
    },
    {
     "pattern": "/basics/end-stage-renal-disease",
     "count": 1
    },
    {
     "pattern": "/care-compare/resources/about-this-tool",
     "count": 1
    }
   ],
   "associated_technologies": [],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   }
  },
  {
   "finding_id": "VS-d5d82446",
   "fingerprint": "3627341e",
   "rule_id": "landmark-one-main",
   "rule_label": "Document should have one main landmark",
   "engine": "axe-core",
   "tool": "axe-core",
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Best Practice",
   "rule_url": "https://dequeuniversity.com/rules/axe/4.12/landmark-one-main?application=axeAPI",
   "severity": "Moderate",
   "priority": "p3",
   "confidence": "high",
   "rationale": "persistent across weeks",
   "trend": {
    "status": "persistent",
    "first_observed": "2026-W24",
    "last_observed": "2026-W36",
    "weeks_observed": 13,
    "affected_pages_current": 21,
    "affected_pages_previous": 3
   },
   "frequency": {
    "instances": 21,
    "pages_affected": 21,
    "total_pages_scanned": 1990
   },
   "on_key_page": false,
   "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 1990 scanned pages (21 instances).",
   "remediation_tip": "Each page should have exactly one <main> landmark.",
   "suggested_fix": "See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/landmark-one-main?application=axeAPI",
   "expected_behavior": "Element passes axe-core rule landmark-one-main.",
   "actual_behavior": "Document should have one main landmark. Detected by axe-core rule landmark-one-main on 21 of 1990 scanned pages (21 instances).",
   "testing_environment": "Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "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"
   ],
   "html_fragments": [
    {
     "fingerprint": "72686b32",
     "html": "<html lang=\"en\">",
     "selectors": [
      "html"
     ]
    },
    {
     "fingerprint": "aa5de3a8",
     "html": "<html lang=\"en\" data-react-helmet=\"lang\">",
     "selectors": [
      "html"
     ]
    }
   ],
   "url_patterns": [
    {
     "pattern": "/my/medicare-complaint",
     "count": 3
    },
    {
     "pattern": "/care-compare/resources/information-about-provider-types",
     "count": 3
    },
    {
     "pattern": "/care-compare/resources/care-compare/resources/information-about-provider-types",
     "count": 3
    }
   ],
   "associated_technologies": [],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   }
  },
  {
   "finding_id": "VS-aa242c2d",
   "fingerprint": "9bf7674d",
   "rule_id": "sia-r87",
   "rule_label": "First focusable element is link to main content",
   "engine": "alfa",
   "tool": "Siteimprove Alfa",
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Undetermined",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r87",
   "severity": "Moderate",
   "priority": "p3",
   "confidence": "high",
   "rationale": "persistent across weeks",
   "trend": {
    "status": "persistent",
    "first_observed": "2026-W24",
    "last_observed": "2026-W36",
    "weeks_observed": 13,
    "affected_pages_current": 15,
    "affected_pages_previous": 12
   },
   "frequency": {
    "instances": 15,
    "pages_affected": 15,
    "total_pages_scanned": 1990
   },
   "on_key_page": false,
   "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 15 of 1990 scanned pages (15 instances).",
   "remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r87",
   "expected_behavior": "Element passes Siteimprove Alfa rule sia-r87.",
   "actual_behavior": "First focusable element is link to main content. Detected by Siteimprove Alfa rule sia-r87 on 15 of 1990 scanned pages (15 instances).",
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "https://www.medicare.gov/care-compare?guidedSearch=DialysisFacility",
    "http://medicare.gov/care-compare?reset=true",
    "https://medicare.gov/care-compare"
   ],
   "html_fragments": [],
   "url_patterns": [
    {
     "pattern": "/care-compare",
     "count": 10
    },
    {
     "pattern": "/care-compare/resources/care-compare/resources/information-about-provider-types",
     "count": 2
    },
    {
     "pattern": "/care-compare/resources/information-about-provider-types",
     "count": 1
    }
   ],
   "associated_technologies": [],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   }
  },
  {
   "finding_id": "VS-f7e99f4b",
   "fingerprint": "863d1000",
   "rule_id": "sia-r69",
   "rule_label": "Text has sufficient color contrast (Enhanced)",
   "engine": "alfa",
   "tool": "Siteimprove Alfa",
   "wcag_sc": "1.4.3",
   "wcag_name": "Contrast (Minimum)",
   "wcag_level": "AA",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.0 AA",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r69",
   "severity": "Moderate",
   "priority": "p3",
   "confidence": "medium",
   "rationale": "persistent across weeks",
   "trend": {
    "status": "persistent",
    "first_observed": "2026-W24",
    "last_observed": "2026-W36",
    "weeks_observed": 13,
    "affected_pages_current": 9,
    "affected_pages_previous": 12
   },
   "frequency": {
    "instances": 47,
    "pages_affected": 9,
    "total_pages_scanned": 1990
   },
   "on_key_page": false,
   "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 9 of 1990 scanned pages (47 instances).",
   "remediation_tip": "Increase text contrast to meet WCAG AA (4.5:1, or 3:1 for large text).",
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r69",
   "expected_behavior": "Element passes Siteimprove Alfa rule sia-r69 (WCAG 1.4.3).",
   "actual_behavior": "Text has sufficient color contrast (Enhanced). Detected by Siteimprove Alfa rule sia-r69 on 9 of 1990 scanned pages (47 instances).",
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "http://medicare.gov/coverage/mental-health-substance-use-disorder",
    "http://medicare.gov/basics/get-started-with-medicare/medicare-basics/working-past-65",
    "http://medicare.gov/providers-services/claims-appeals-complaints/appeals/drug-plans"
   ],
   "html_fragments": [],
   "url_patterns": [
    {
     "pattern": "/coverage/mental-health-substance-use-disorder",
     "count": 2
    },
    {
     "pattern": "/prescription-payment-plan/examples",
     "count": 2
    },
    {
     "pattern": "/basics/get-started-with-medicare/medicare-basics/working-past-65",
     "count": 1
    }
   ],
   "associated_technologies": [],
   "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%)."
   }
  },
  {
   "finding_id": "VS-fa44f293",
   "fingerprint": "a01b2a6c",
   "rule_id": "page-has-heading-one",
   "rule_label": "Page should contain a level-one heading",
   "engine": "axe-core",
   "tool": "axe-core",
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Best Practice",
   "rule_url": "https://dequeuniversity.com/rules/axe/4.12/page-has-heading-one?application=axeAPI",
   "severity": "Moderate",
   "priority": "p3",
   "confidence": "medium",
   "rationale": "persistent across weeks",
   "trend": {
    "status": "persistent",
    "first_observed": "2026-W24",
    "last_observed": "2026-W36",
    "weeks_observed": 13,
    "affected_pages_current": 9,
    "affected_pages_previous": 9
   },
   "frequency": {
    "instances": 9,
    "pages_affected": 9,
    "total_pages_scanned": 1990
   },
   "on_key_page": false,
   "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 1990 scanned pages (9 instances).",
   "remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/page-has-heading-one?application=axeAPI",
   "expected_behavior": "Element passes axe-core rule page-has-heading-one.",
   "actual_behavior": "Page should contain a level-one heading. Detected by axe-core rule page-has-heading-one on 9 of 1990 scanned pages (9 instances).",
   "testing_environment": "Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "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"
   ],
   "html_fragments": [
    {
     "fingerprint": "52e5a688",
     "html": "<html lang=\"en\" dir=\"ltr\" prefix=\"og: https://ogp.me/ns#\" class=\" js\">",
     "selectors": [
      "html"
     ]
    }
   ],
   "url_patterns": [
    {
     "pattern": "/publications/search/item/{id}",
     "count": 6
    },
    {
     "pattern": "/health-drug-plans/medigap/ready-to-buy/spanish-medigap-open-enrollment",
     "count": 3
    }
   ],
   "associated_technologies": [],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   }
  },
  {
   "finding_id": "VS-f054f4a4",
   "fingerprint": "5fa3b5a6",
   "rule_id": "sia-r53",
   "rule_label": "Headings are structured hierarchically",
   "engine": "alfa",
   "tool": "Siteimprove Alfa",
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Undetermined",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r53",
   "severity": "Moderate",
   "priority": "p3",
   "confidence": "medium",
   "rationale": "persistent across weeks",
   "trend": {
    "status": "persistent",
    "first_observed": "2026-W24",
    "last_observed": "2026-W36",
    "weeks_observed": 13,
    "affected_pages_current": 9,
    "affected_pages_previous": 13
   },
   "frequency": {
    "instances": 9,
    "pages_affected": 9,
    "total_pages_scanned": 1990
   },
   "on_key_page": false,
   "summary": "Headings are structured hierarchically (WCAG criterion undetermined)",
   "description": "Headings are structured hierarchically. Detected by Siteimprove Alfa rule sia-r53 on 9 of 1990 scanned pages (9 instances).",
   "remediation_tip": "Use headings in a logical, non-skipping order.",
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r53",
   "expected_behavior": "Element passes Siteimprove Alfa rule sia-r53.",
   "actual_behavior": "Headings are structured hierarchically. Detected by Siteimprove Alfa rule sia-r53 on 9 of 1990 scanned pages (9 instances).",
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "https://medicare.gov/publications/search/all-non-english-pubs",
    "https://medicare.gov/publications/search/all-non-english-pubs?page=1",
    "http://medicare.gov/publications/search/all-non-english-pubs?page=5"
   ],
   "html_fragments": [],
   "url_patterns": [
    {
     "pattern": "/publications/search/all-non-english-pubs",
     "count": 9
    }
   ],
   "associated_technologies": [],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   }
  },
  {
   "finding_id": "VS-f7dba940",
   "fingerprint": "477d8088",
   "rule_id": "sia-r14",
   "rule_label": "Accessible name of link or button matches visible label",
   "engine": "alfa",
   "tool": "Siteimprove Alfa",
   "wcag_sc": "2.5.3",
   "wcag_name": "Label in Name",
   "wcag_level": "A",
   "wcag_version": "2.1",
   "wcag_category": "WCAG 2.1 A",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r14",
   "severity": "Moderate",
   "priority": "p3",
   "confidence": "medium",
   "rationale": "Moderate severity on 5 pages",
   "trend": {
    "status": "improving",
    "first_observed": "2026-W24",
    "last_observed": "2026-W36",
    "weeks_observed": 13,
    "affected_pages_current": 5,
    "affected_pages_previous": 41
   },
   "frequency": {
    "instances": 7,
    "pages_affected": 5,
    "total_pages_scanned": 1990
   },
   "on_key_page": false,
   "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 5 of 1990 scanned pages (7 instances).",
   "remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r14",
   "expected_behavior": "Element passes Siteimprove Alfa rule sia-r14 (WCAG 2.5.3).",
   "actual_behavior": "Accessible name of link or button matches visible label. Detected by Siteimprove Alfa rule sia-r14 on 5 of 1990 scanned pages (7 instances).",
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "https://www.medicare.gov/prescription-payment-plan",
    "https://medicare.gov/basics/get-started-with-medicare",
    "https://www.medicare.gov/?reset=true"
   ],
   "html_fragments": [],
   "url_patterns": [
    {
     "pattern": "/prescription-payment-plan",
     "count": 1
    },
    {
     "pattern": "/basics/get-started-with-medicare",
     "count": 1
    },
    {
     "pattern": "/",
     "count": 1
    }
   ],
   "associated_technologies": [],
   "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%)."
   }
  },
  {
   "finding_id": "VS-0728f339",
   "fingerprint": "9bd7209b",
   "rule_id": "sia-r1",
   "rule_label": "Document has a title element",
   "engine": "alfa",
   "tool": "Siteimprove Alfa",
   "wcag_sc": "2.4.2",
   "wcag_name": "Page Titled",
   "wcag_level": "A",
   "wcag_version": "2.0",
   "wcag_category": "WCAG 2.0 A",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r1",
   "severity": "Moderate",
   "priority": "p3",
   "confidence": "medium",
   "rationale": "persistent across weeks",
   "trend": {
    "status": "persistent",
    "first_observed": "2026-W32",
    "last_observed": "2026-W36",
    "weeks_observed": 4,
    "affected_pages_current": 5,
    "affected_pages_previous": null
   },
   "frequency": {
    "instances": 5,
    "pages_affected": 5,
    "total_pages_scanned": 1990
   },
   "on_key_page": false,
   "summary": "Document has a title element (WCAG 2.4.2)",
   "description": "Document has a title element. Detected by Siteimprove Alfa rule sia-r1 on 5 of 1990 scanned pages (5 instances).",
   "remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r1",
   "expected_behavior": "Element passes Siteimprove Alfa rule sia-r1 (WCAG 2.4.2).",
   "actual_behavior": "Document has a title element. Detected by Siteimprove Alfa rule sia-r1 on 5 of 1990 scanned pages (5 instances).",
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "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"
   ],
   "html_fragments": [],
   "url_patterns": [
    {
     "pattern": "/care-compare/resources/care-compare/resources/information-about-provider-types",
     "count": 2
    },
    {
     "pattern": "/care-compare/resources/information-about-provider-types",
     "count": 1
    },
    {
     "pattern": "/care-compare/resources/information-for-providers",
     "count": 1
    }
   ],
   "associated_technologies": [],
   "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%)."
   }
  },
  {
   "finding_id": "VS-7118fead",
   "fingerprint": "0d932ac9",
   "rule_id": "sia-r61",
   "rule_label": "Form field label is visible",
   "engine": "alfa",
   "tool": "Siteimprove Alfa",
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Undetermined",
   "rule_url": "https://alfa.siteimprove.com/rules/sia-r61",
   "severity": "Moderate",
   "priority": "p3",
   "confidence": "low",
   "rationale": "persistent across weeks",
   "trend": {
    "status": "persistent",
    "first_observed": "2026-W24",
    "last_observed": "2026-W36",
    "weeks_observed": 13,
    "affected_pages_current": 1,
    "affected_pages_previous": 1
   },
   "frequency": {
    "instances": 1,
    "pages_affected": 1,
    "total_pages_scanned": 1990
   },
   "on_key_page": false,
   "summary": "Form field label is visible (WCAG criterion undetermined)",
   "description": "Form field label is visible. Detected by Siteimprove Alfa rule sia-r61 on 1 of 1990 scanned pages (1 instances).",
   "remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://alfa.siteimprove.com/rules/sia-r61",
   "expected_behavior": "Element passes Siteimprove Alfa rule sia-r61.",
   "actual_behavior": "Form field label is visible. Detected by Siteimprove Alfa rule sia-r61 on 1 of 1990 scanned pages (1 instances).",
   "testing_environment": "Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "https://medicare.gov/publications/search/item/112376"
   ],
   "html_fragments": [],
   "url_patterns": [
    {
     "pattern": "/publications/search/item/{id}",
     "count": 1
    }
   ],
   "associated_technologies": [],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   }
  },
  {
   "finding_id": "VS-d69fc059",
   "fingerprint": "c827d812",
   "rule_id": "empty-table-header",
   "rule_label": "Table header text should not be empty",
   "engine": "axe-core",
   "tool": "axe-core",
   "wcag_sc": null,
   "wcag_name": null,
   "wcag_level": null,
   "wcag_version": null,
   "wcag_category": "Best Practice",
   "rule_url": "https://dequeuniversity.com/rules/axe/4.12/empty-table-header?application=axeAPI",
   "severity": "Minor",
   "priority": "p4",
   "confidence": "medium",
   "rationale": "persistent across weeks",
   "trend": {
    "status": "persistent",
    "first_observed": "2026-W24",
    "last_observed": "2026-W36",
    "weeks_observed": 13,
    "affected_pages_current": 3,
    "affected_pages_previous": 3
   },
   "frequency": {
    "instances": 3,
    "pages_affected": 3,
    "total_pages_scanned": 1990
   },
   "on_key_page": false,
   "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 1990 scanned pages (3 instances).",
   "remediation_tip": null,
   "suggested_fix": "See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/empty-table-header?application=axeAPI",
   "expected_behavior": "Element passes axe-core rule empty-table-header.",
   "actual_behavior": "Table header text should not be empty. Detected by axe-core rule empty-table-header on 3 of 1990 scanned pages (3 instances).",
   "testing_environment": "Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.",
   "representative_urls": [
    "https://medicare.gov/account/login/help",
    "https://www.medicare.gov/account/login/help",
    "http://medicare.gov/account/login/help"
   ],
   "html_fragments": [
    {
     "fingerprint": "afbf2a73",
     "html": "<th class=\"\">&nbsp;</th>",
     "selectors": [
      "thead > tr > th:nth-child(1)"
     ]
    }
   ],
   "url_patterns": [
    {
     "pattern": "/account/login/help",
     "count": 3
    }
   ],
   "associated_technologies": [],
   "impact": {
    "groups": [],
    "summary": "Not captured by automated scan — requires manual testing."
   }
  }
 ],
 "clusters": {
  "by_wcag_criterion": [
   {
    "cluster_id": "0649d9b9",
    "type": "wcag_criterion",
    "wcag_sc": null,
    "wcag_name": null,
    "wcag_level": null,
    "findings": [
     "VS-f18df681"
    ],
    "total_pages_affected": 1690,
    "max_severity": "Serious"
   },
   {
    "cluster_id": "b393058c",
    "type": "wcag_criterion",
    "wcag_sc": "2.5.5",
    "wcag_name": "Target Size (Enhanced)",
    "wcag_level": "AAA",
    "findings": [
     "VS-cb53cc4d"
    ],
    "total_pages_affected": 523,
    "max_severity": "Moderate"
   },
   {
    "cluster_id": "140fec0b",
    "type": "wcag_criterion",
    "wcag_sc": "1.4.8",
    "wcag_name": "Visual Presentation",
    "wcag_level": "AAA",
    "findings": [
     "VS-2208081b"
    ],
    "total_pages_affected": 519,
    "max_severity": "Moderate"
   },
   {
    "cluster_id": "36ac08de",
    "type": "wcag_criterion",
    "wcag_sc": null,
    "wcag_name": null,
    "wcag_level": null,
    "findings": [
     "VS-c18be945"
    ],
    "total_pages_affected": 487,
    "max_severity": "Moderate"
   },
   {
    "cluster_id": "a849192e",
    "type": "wcag_criterion",
    "wcag_sc": "4.1.2",
    "wcag_name": "Name, Role, Value",
    "wcag_level": "A",
    "findings": [
     "VS-3f76c7ea",
     "VS-f6cf30ff"
    ],
    "total_pages_affected": 471,
    "max_severity": "Serious"
   },
   {
    "cluster_id": "71f257a8",
    "type": "wcag_criterion",
    "wcag_sc": "1.4.6",
    "wcag_name": "Contrast (Enhanced)",
    "wcag_level": "AAA",
    "findings": [
     "VS-646b1e0b"
    ],
    "total_pages_affected": 274,
    "max_severity": "Moderate"
   },
   {
    "cluster_id": "4b43ba23",
    "type": "wcag_criterion",
    "wcag_sc": null,
    "wcag_name": null,
    "wcag_level": null,
    "findings": [
     "VS-2cd767ca"
    ],
    "total_pages_affected": 143,
    "max_severity": "Moderate"
   },
   {
    "cluster_id": "e08c8d69",
    "type": "wcag_criterion",
    "wcag_sc": null,
    "wcag_name": null,
    "wcag_level": null,
    "findings": [
     "VS-d25f622d"
    ],
    "total_pages_affected": 40,
    "max_severity": "Moderate"
   },
   {
    "cluster_id": "a59087ca",
    "type": "wcag_criterion",
    "wcag_sc": "2.4.2",
    "wcag_name": "Page Titled",
    "wcag_level": "A",
    "findings": [
     "VS-c80d5faa",
     "VS-0728f339"
    ],
    "total_pages_affected": 23,
    "max_severity": "Serious"
   },
   {
    "cluster_id": "91fd3b4c",
    "type": "wcag_criterion",
    "wcag_sc": null,
    "wcag_name": null,
    "wcag_level": null,
    "findings": [
     "VS-d5d82446"
    ],
    "total_pages_affected": 21,
    "max_severity": "Moderate"
   },
   {
    "cluster_id": "0ba1e7fd",
    "type": "wcag_criterion",
    "wcag_sc": null,
    "wcag_name": null,
    "wcag_level": null,
    "findings": [
     "VS-aa242c2d"
    ],
    "total_pages_affected": 15,
    "max_severity": "Moderate"
   },
   {
    "cluster_id": "d68f5631",
    "type": "wcag_criterion",
    "wcag_sc": "1.4.3",
    "wcag_name": "Contrast (Minimum)",
    "wcag_level": "AA",
    "findings": [
     "VS-f7e99f4b"
    ],
    "total_pages_affected": 9,
    "max_severity": "Moderate"
   },
   {
    "cluster_id": "b8f97020",
    "type": "wcag_criterion",
    "wcag_sc": null,
    "wcag_name": null,
    "wcag_level": null,
    "findings": [
     "VS-fa44f293"
    ],
    "total_pages_affected": 9,
    "max_severity": "Moderate"
   },
   {
    "cluster_id": "b05da4e9",
    "type": "wcag_criterion",
    "wcag_sc": null,
    "wcag_name": null,
    "wcag_level": null,
    "findings": [
     "VS-f054f4a4"
    ],
    "total_pages_affected": 9,
    "max_severity": "Moderate"
   },
   {
    "cluster_id": "fd9ed1c5",
    "type": "wcag_criterion",
    "wcag_sc": "2.5.3",
    "wcag_name": "Label in Name",
    "wcag_level": "A",
    "findings": [
     "VS-f7dba940"
    ],
    "total_pages_affected": 5,
    "max_severity": "Moderate"
   },
   {
    "cluster_id": "c594cdc0",
    "type": "wcag_criterion",
    "wcag_sc": null,
    "wcag_name": null,
    "wcag_level": null,
    "findings": [
     "VS-d69fc059"
    ],
    "total_pages_affected": 3,
    "max_severity": "Minor"
   },
   {
    "cluster_id": "75cf28e4",
    "type": "wcag_criterion",
    "wcag_sc": null,
    "wcag_name": null,
    "wcag_level": null,
    "findings": [
     "VS-7118fead"
    ],
    "total_pages_affected": 1,
    "max_severity": "Moderate"
   }
  ],
  "by_url_pattern": [
   {
    "cluster_id": "c2fe2a90",
    "type": "url_pattern",
    "pattern": "/publications/search/all-non-english-pubs",
    "findings": [
     "VS-d25f622d",
     "VS-f054f4a4"
    ],
    "total_pages": 32
   },
   {
    "cluster_id": "1dbfab70",
    "type": "url_pattern",
    "pattern": "/publications/search/item/{id}",
    "findings": [
     "VS-fa44f293",
     "VS-7118fead"
    ],
    "total_pages": 7
   }
  ]
 },
 "technology_findings": [],
 "third_party_findings": [
  {
   "origin": "google.com",
   "pages_served": 21,
   "pages_with_findings": 21,
   "finding_co_occurrence_rate": 1,
   "median_bytes": 252,
   "example_pages": [
    "https://medicare.gov/basics/get-started-with-medicare/get-more-coverage",
    "http://medicare.gov/basics/get-started-with-medicare/get-more-coverage/buying-a-medigap-policy",
    "https://www.medicare.gov/basics/get-started-with-medicare/before-65"
   ]
  },
  {
   "origin": "doubleclick.net",
   "pages_served": 20,
   "pages_with_findings": 20,
   "finding_co_occurrence_rate": 1,
   "median_bytes": 6930,
   "example_pages": [
    "https://medicare.gov/basics/get-started-with-medicare/get-more-coverage",
    "http://medicare.gov/basics/get-started-with-medicare/get-more-coverage/buying-a-medigap-policy",
    "https://www.medicare.gov/basics/get-started-with-medicare/before-65"
   ]
  },
  {
   "origin": "facebook.net",
   "pages_served": 19,
   "pages_with_findings": 19,
   "finding_co_occurrence_rate": 1,
   "median_bytes": 143668,
   "example_pages": [
    "https://medicare.gov/basics/get-started-with-medicare/get-more-coverage",
    "http://medicare.gov/basics/get-started-with-medicare/get-more-coverage/buying-a-medigap-policy",
    "https://www.medicare.gov/basics/get-started-with-medicare/before-65"
   ]
  },
  {
   "origin": "analytics-sm.com",
   "pages_served": 19,
   "pages_with_findings": 19,
   "finding_co_occurrence_rate": 1,
   "median_bytes": 2576,
   "example_pages": [
    "https://medicare.gov/basics/get-started-with-medicare/get-more-coverage",
    "http://medicare.gov/basics/get-started-with-medicare/get-more-coverage/buying-a-medigap-policy",
    "https://www.medicare.gov/basics/get-started-with-medicare/before-65"
   ]
  },
  {
   "origin": "nextdoor.com",
   "pages_served": 423,
   "pages_with_findings": 408,
   "finding_co_occurrence_rate": 0.96,
   "median_bytes": 59996,
   "example_pages": [
    "https://www.medicare.gov/sso/authorize?client_id=mct&Lang=es-mx&redirect_uri=https%3A%2F%2Fwww.medicare.gov%2Fplan-compare%2Fsls-callback&relay=eyJsYW5nIjoiZW4ifQ%3D%3D",
    "http://medicare.gov/basics/forms-publications-mailings/forms",
    "http://medicare.gov/publication-ordering/12177-S"
   ]
  }
 ],
 "metadata": {
  "generator": "vital-core",
  "schema_version": "0.1",
  "total_pages_scanned": 1990,
  "notes": [
   "Healthy pages (no known issues) are intentionally excluded.",
   "Representative examples are used instead of complete occurrence lists.",
   "Fingerprints are stable hashes for tracking recurring patterns over time.",
   "Fragment fingerprints normalize volatile attributes (id, style, data-*) before hashing.",
   "Technology lift values indicate association, not causation.",
   "Confidence reflects sample size: high=10+ affected pages, medium=3-9, low=1-2."
  ]
 }
}