# Accessibility bug reports — www.medicare.gov, week 2026-W38

18 issue type(s) from 2058 pages scanned. Generated 2026-09-30 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-f7b9e84c`  
**Pattern ID:** `VS-f7dba940`  
**URL:** https://medicare.gov/basics/get-started-with-medicare/using-medicare  
**XPath / selector:** `<a href="/basics/get-started-with-medicare/using-medicare/your-medicare-card" class="card__cta ds-c-button ds-c-button--solid" aria-labelledby="card-title-block-261" aria-describedby="card-summary-blo`  
**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:** 109 instances; 39 of 2058 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W38 (15 weeks)

### Description
Accessible name of link or button matches visible label. Detected by Siteimprove Alfa rule sia-r14 on 39 of 2058 scanned pages (109 instances).

### Steps to reproduce
1. Open https://medicare.gov/basics/get-started-with-medicare/using-medicare.
2. Locate the element: <a href="/basics/get-started-with-medicare/using-medicare/your-medicare-card" class="card__cta ds-c-button ds-c-button--solid" aria-labelledby="card-title-block-261" aria-describedby="card-summary-blo
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/using-medicare
- https://medicare.gov/health-drug-plans/part-d
- https://medicare.gov/basics/costs/help
- https://www.medicare.gov/basics/get-started-with-medicare/get-more-coverage/joining-a-plan
- http://medicare.gov/basics/get-started-with-medicare/medicare-basics/how-does-medicare-work
- https://www.medicare.gov/basics/get-started-with-medicare/using-medicare
- https://www.medicare.gov/coverage
- http://medicare.gov/health-drug-plans/medigap/basics
- https://www.medicare.gov/index.php/coverage
- http://medicare.gov/basics/get-started-with-medicare/get-more-coverage
- https://medicare.gov/basics/get-started-with-medicare/sign-up
- https://medicare.gov/health-drug-plans/part-d/basics
- http://medicare.gov/basics/costs/medicare-costs/avoid-penalties
- https://medicare.gov/health-drug-plans/medigap
- http://medicare.gov/basics
- https://www.medicare.gov/
- http://medicare.gov/?reset=true
- https://www.medicare.gov/basics/get-started-with-medicare/using-medicare/your-medicare-card
- https://medicare.gov/basics/get-started-with-medicare/get-more-coverage/buying-a-medigap-policy
- https://www.medicare.gov/basics/get-started-with-medicare/using-medicare/how-to-get-medicare-services
- http://medicare.gov/health-drug-plans/medigap/ready-to-buy
- http://medicare.gov/providers-services/original-medicare/nursing-homes
- http://medicare.gov/prescription-payment-plan
- http://medicare.gov/basics/get-started-with-medicare/medicare-basics/what-does-medicare-cost
- http://medicare.gov/basics/get-started-with-medicare

…and more — 39 pages total ([download CSV](csv/alfa__sia-r14.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-r14

### Example pages
- https://medicare.gov/basics/get-started-with-medicare/using-medicare
- https://medicare.gov/health-drug-plans/part-d
- https://medicare.gov/basics/costs/help

---

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

**Bug ID:** `VS-7114e73c`  
**Pattern ID:** `VS-3f76c7ea`  
**URL:** http://medicare.gov/publication-ordering/12219-S  
**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:** 15 instances; 15 of 2058 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W38 (15 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 15 of 2058 scanned pages (15 instances).

### Steps to reproduce
1. Open http://medicare.gov/publication-ordering/12219-S.
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/12219-S
- https://www.medicare.gov/glp1bridge
- https://www.medicare.gov/publication-ordering/10116-S
- https://medicare.gov/coverage/sexually-transmitted-infection-screenings-counseling
- https://medicare.gov/coverage/flexible-sigmoidoscopies
- https://www.medicare.gov/publication-ordering/10988
- https://medicare.gov/publication-ordering/11417-S
- https://medicare.gov/publication-ordering/10050-SB
- https://www.medicare.gov/coverage/osteoporosis-drugs
- https://medicare.gov/basics/get-started-with-medicare/sign-up/ready-to-sign-up-for-part-a-part-b
- https://medicare.gov/coverage/hyperbaric-oxygen-therapy
- http://medicare.gov/coverage/preventive-screening-services
- https://www.medicare.gov/providers-services/coordinating-care/support-chronic-health-conditions-access/find-ACCESS-orgs
- https://www.medicare.gov/coverage/weight-loss-drugs
- https://medicare.gov/basics/report-a-death

### 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/12219-S
- https://www.medicare.gov/glp1bridge
- https://www.medicare.gov/publication-ordering/10116-S

---

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

**Bug ID:** `VS-5d0cfc79`  
**Pattern ID:** `VS-f6cf30ff`  
**URL:** http://medicare.gov/publication-ordering/11377  
**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:** 449 instances; 436 of 2058 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W38 (15 weeks)

### Description
aria-hidden element does not contain focusable elements. Detected by Siteimprove Alfa rule sia-r17 on 436 of 2058 scanned pages (449 instances).

### Steps to reproduce
1. Open http://medicare.gov/publication-ordering/11377.
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/11377
- https://medicare.gov/basics/forms-publications-mailings/mailings/signing-up/welcome-to-medicare-package
- http://medicare.gov/health-drug-plans/medigap/ready-to-buy/when
- http://medicare.gov/glp1bridge
- https://medicare.gov/publications/search/all-non-english-pubs?page=4
- https://www.medicare.gov/basics/forms-publications-mailings/mailings/other-mailings/plan-marketing-materials
- http://medicare.gov/health-apps/welldoc
- https://www.medicare.gov/basics/report-a-death
- https://www.medicare.gov/coverage/occupational-therapy-services
- http://medicare.gov/coverage/sleep-studies
- http://medicare.gov/publication-ordering/12217-S
- http://medicare.gov/coverage/pain-management
- https://www.medicare.gov/providers-services/original-medicare/nursing-homes/return-to-community
- https://medicare.gov/publications/search/all-non-english-pubs
- https://www.medicare.gov/coverage/hepatitis-b-virus-hbv-infection-screenings
- http://medicare.gov/publications/search/all-non-english-pubs?page=7
- http://medicare.gov/basics/forms-publications-mailings/mailings/signing-up
- https://www.medicare.gov/health-drug-plans/part-d/basics/choose-coverage
- https://medicare.gov/publications/search?page=3
- http://medicare.gov/basics/forms-publications-mailings/mailings/help-with-costs/drug-plan-changing-medicare-advantage-plan-termination
- http://medicare.gov/go-digital
- http://medicare.gov/basics/forms-publications-mailings/mailings/costs-and-coverage/medicare-premium-bill
- https://medicare.gov/coverage/osteoporosis-drugs
- https://www.medicare.gov/publication-ordering/11220
- http://medicare.gov/publication-ordering/11389

…and more — 436 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/11377
- https://medicare.gov/basics/forms-publications-mailings/mailings/signing-up/welcome-to-medicare-package
- http://medicare.gov/health-drug-plans/medigap/ready-to-buy/when

---

## Button has accessible name (WCAG 4.1.2)

**Bug ID:** `VS-c8ab425b`  
**Pattern ID:** `VS-29f9f921`  
**URL:** https://www.medicare.gov/care-compare?guidedSearch=DialysisFacility  
**XPath / selector:** `<button id="_r_8_" data-testid="location-field-mobile-trigger" type="button" class="location-field__mobile-trigger">`  
**WCAG SC:** 4.1.2 — Name, Role, Value (Level A)  
**Rule:** Siteimprove Alfa — `sia-r12` ([reference](https://alfa.siteimprove.com/rules/sia-r12))  
**Severity:** Moderate  
**Frequency:** 8 instances; 4 of 2058 pages affected
  
**History:** first seen 2026-W38, last seen 2026-W38 (1 week)

### Description
Button has accessible name. Detected by Siteimprove Alfa rule sia-r12 on 4 of 2058 scanned pages (8 instances).

### Steps to reproduce
1. Open https://www.medicare.gov/care-compare?guidedSearch=DialysisFacility.
2. Locate the element: <button id="_r_8_" data-testid="location-field-mobile-trigger" type="button" class="location-field__mobile-trigger">
3. Confirm the Siteimprove Alfa finding for rule sia-r12 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
- https://www.medicare.gov/care-compare?guidedSearch=DialysisFacility
- https://www.medicare.gov/care-compare?providerType=NursingHome
- https://www.medicare.gov/care-compare?guidedSearch=LongTermCare
- https://www.medicare.gov/care-compare?guidedSearch=CommunityHealthCenter

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

### Suggested fix
**How to fix:** Give the button an accessible name via text, aria-label, or aria-labelledby.

See remediation guidance: https://alfa.siteimprove.com/rules/sia-r12

### Example pages
- https://www.medicare.gov/care-compare?guidedSearch=DialysisFacility
- https://www.medicare.gov/care-compare?providerType=NursingHome
- https://www.medicare.gov/care-compare?guidedSearch=LongTermCare

---

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

**Bug ID:** `VS-8024475d`  
**Pattern ID:** `VS-f7e99f4b`  
**URL:** http://medicare.gov/coverage/mental-health-substance-use-disorder  
**XPath / selector:** `text: "For finding the care you need"`  
**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:** 89 instances; 12 of 2058 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W38 (15 weeks)

### Description
Text has sufficient color contrast (Enhanced). Detected by Siteimprove Alfa rule sia-r69 on 12 of 2058 scanned pages (89 instances).

### Steps to reproduce
1. Open http://medicare.gov/coverage/mental-health-substance-use-disorder.
2. Locate the element: text: "For finding the care you need"
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/coverage/mental-health-substance-use-disorder
- http://medicare.gov/providers-services/claims-appeals-complaints/appeals/drug-plans
- http://medicare.gov/health-drug-plans/health-plans/your-coverage-options/MSA/Examples
- https://medicare.gov/coverage/mental-health-substance-use-disorder
- https://www.medicare.gov/prescription-payment-plan/examples
- https://www.medicare.gov/providers-services/claims-appeals-complaints/appeals/original-medicare/denial-part-a-hospital-status
- http://medicare.gov/providers-services/disaster-emergency
- http://medicare.gov/basics/get-started-with-medicare/get-more-coverage/joining-a-plan/special-enrollment-periods
- https://medicare.gov/what-medicare-covers/what-part-a-covers/health-care-prescriptions-in-a-nursing-home
- http://medicare.gov/providers-services/original-medicare/nursing-homes/choosing
- http://medicare.gov/providers-services/claims-appeals-complaints/appeals/original-medicare/denial-part-a-hospital-status
- https://www.medicare.gov/basics/get-started-with-medicare/medicare-basics/working-past-65

### 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/coverage/mental-health-substance-use-disorder
- http://medicare.gov/providers-services/claims-appeals-complaints/appeals/drug-plans
- http://medicare.gov/health-drug-plans/health-plans/your-coverage-options/MSA/Examples

---

## Text has enhanced contrast (WCAG 1.4.6)

**Bug ID:** `VS-c4f8c4b4`  
**Pattern ID:** `VS-646b1e0b`  
**URL:** 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  
**XPath / selector:** `text: "Feedback"`  
**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:** 584 instances; 267 of 2058 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W38 (15 weeks)

### Description
Text has enhanced contrast. Detected by Siteimprove Alfa rule sia-r66 on 267 of 2058 scanned pages (584 instances).

### Steps to reproduce
1. Open 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.
2. Locate the element: text: "Feedback"
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
- 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
- https://medicare.gov/basics/forms-publications-mailings/mailings/signing-up/welcome-to-medicare-package
- http://medicare.gov/glp1bridge
- https://www.medicare.gov/basics/forms-publications-mailings/mailings/other-mailings/plan-marketing-materials
- https://www.medicare.gov/basics/report-a-death
- https://www.medicare.gov/coverage/occupational-therapy-services
- http://medicare.gov/coverage/sleep-studies
- http://medicare.gov/coverage/pain-management
- https://www.medicare.gov/coverage/hepatitis-b-virus-hbv-infection-screenings
- http://medicare.gov/basics/forms-publications-mailings/mailings/signing-up
- http://medicare.gov/basics/forms-publications-mailings/mailings/help-with-costs/drug-plan-changing-medicare-advantage-plan-termination
- http://medicare.gov/basics/forms-publications-mailings/mailings/costs-and-coverage/medicare-premium-bill
- https://medicare.gov/coverage/osteoporosis-drugs
- 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://www.medicare.gov/coverage/blood-sugar-control-solutions
- https://medicare.gov/basics/forms-publications-mailings/mailings/help-with-costs/plan-premium-changing
- http://medicare.gov/coverage/mental-health-substance-use-disorder
- https://medicare.gov/basics/get-started-with-medicare/using-medicare
- https://www.medicare.gov/coverage/popular-topics
- https://www.medicare.gov/index.php/about-us/using-this-site
- https://medicare.gov/basics/get-started-with-medicare/after-65
- http://medicare.gov/coverage/braces-arm-leg-back-neck

…and more — 267 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
- 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
- https://medicare.gov/basics/forms-publications-mailings/mailings/signing-up/welcome-to-medicare-package
- http://medicare.gov/glp1bridge

---

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

**Bug ID:** `VS-bcdee59b`  
**Pattern ID:** `VS-2208081b`  
**URL:** 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  
**XPath / selector:** `<p class="csp-login-card-description">`  
**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:** 5494 instances; 498 of 2058 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W38 (15 weeks)

### Description
Text has minimum contrast ratio of 4.5:1. Detected by Siteimprove Alfa rule sia-r73 on 498 of 2058 scanned pages (5494 instances).

### Steps to reproduce
1. Open 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.
2. Locate the element: <p class="csp-login-card-description">
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
- 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/publication-ordering/11377
- https://medicare.gov/basics/forms-publications-mailings/mailings/signing-up/welcome-to-medicare-package
- http://medicare.gov/health-drug-plans/medigap/ready-to-buy/when
- https://www.medicare.gov/medical-equipment-suppliers/note-for-suppliers
- http://medicare.gov/glp1bridge
- https://medicare.gov/publications/search/all-non-english-pubs?page=4
- https://www.medicare.gov/basics/forms-publications-mailings/mailings/other-mailings/plan-marketing-materials
- http://medicare.gov/health-apps/welldoc
- https://www.medicare.gov/basics/report-a-death
- https://www.medicare.gov/coverage/occupational-therapy-services
- http://medicare.gov/coverage/sleep-studies
- http://medicare.gov/publication-ordering/12217-S
- http://medicare.gov/coverage/pain-management
- https://www.medicare.gov/providers-services/original-medicare/nursing-homes/return-to-community
- https://medicare.gov/publications/search/all-non-english-pubs
- https://www.medicare.gov/coverage/hepatitis-b-virus-hbv-infection-screenings
- http://medicare.gov/publications/search/all-non-english-pubs?page=7
- http://medicare.gov/basics/forms-publications-mailings/mailings/signing-up
- https://www.medicare.gov/health-drug-plans/part-d/basics/choose-coverage
- https://medicare.gov/publications/search?page=3
- http://medicare.gov/basics/forms-publications-mailings/mailings/help-with-costs/drug-plan-changing-medicare-advantage-plan-termination
- http://medicare.gov/go-digital
- http://medicare.gov/basics/forms-publications-mailings/mailings/costs-and-coverage/medicare-premium-bill
- https://medicare.gov/coverage/osteoporosis-drugs

…and more — 498 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
- 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/publication-ordering/11377
- https://medicare.gov/basics/forms-publications-mailings/mailings/signing-up/welcome-to-medicare-package

---

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

**Bug ID:** `VS-c199cd3d`  
**Pattern ID:** `VS-cb53cc4d`  
**URL:** 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  
**XPath / selector:** `<a href="https://www.medicare.gov/about-us" 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:** 16790 instances; 500 of 2058 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W38 (15 weeks)

### Description
Target size is at least 44×44 CSS pixels (Enhanced). Detected by Siteimprove Alfa rule sia-r111 on 500 of 2058 scanned pages (16790 instances).

### Steps to reproduce
1. Open 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.
2. Locate the element: <a href="https://www.medicare.gov/about-us" 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
- 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/publication-ordering/11377
- https://medicare.gov/basics/forms-publications-mailings/mailings/signing-up/welcome-to-medicare-package
- http://medicare.gov/health-drug-plans/medigap/ready-to-buy/when
- https://www.medicare.gov/medical-equipment-suppliers/note-for-suppliers
- http://medicare.gov/glp1bridge
- https://medicare.gov/publications/search/all-non-english-pubs?page=4
- https://www.medicare.gov/basics/forms-publications-mailings/mailings/other-mailings/plan-marketing-materials
- http://medicare.gov/health-apps/welldoc
- https://www.medicare.gov/basics/report-a-death
- https://www.medicare.gov/coverage/occupational-therapy-services
- http://medicare.gov/coverage/sleep-studies
- http://medicare.gov/publication-ordering/12217-S
- http://medicare.gov/coverage/pain-management
- https://www.medicare.gov/providers-services/original-medicare/nursing-homes/return-to-community
- https://medicare.gov/publications/search/all-non-english-pubs
- https://www.medicare.gov/coverage/hepatitis-b-virus-hbv-infection-screenings
- http://medicare.gov/publications/search/all-non-english-pubs?page=7
- http://medicare.gov/basics/forms-publications-mailings/mailings/signing-up
- https://www.medicare.gov/health-drug-plans/part-d/basics/choose-coverage
- https://medicare.gov/publications/search?page=3
- http://medicare.gov/basics/forms-publications-mailings/mailings/help-with-costs/drug-plan-changing-medicare-advantage-plan-termination
- http://medicare.gov/go-digital
- http://medicare.gov/basics/forms-publications-mailings/mailings/costs-and-coverage/medicare-premium-bill
- https://medicare.gov/coverage/osteoporosis-drugs

…and more — 500 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
- 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/publication-ordering/11377
- https://medicare.gov/basics/forms-publications-mailings/mailings/signing-up/welcome-to-medicare-package

---

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

**Bug ID:** `VS-e5af4051`  
**Pattern ID:** `VS-f18df681`  
**URL:** http://medicare.gov/publication-ordering/11377  
**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:** 3447 instances; 1722 of 2058 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W38 (15 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 1722 of 2058 scanned pages (3447 instances).

### Steps to reproduce
1. Open http://medicare.gov/publication-ordering/11377.
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
- http://medicare.gov/publication-ordering/11377
- 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
- http://medicare.gov/publication-ordering/12177-S
- 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

…and more — 1722 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
- http://medicare.gov/publication-ordering/11377
- https://www.medicare.gov/coverage/emergency-department-services
- https://www.medicare.gov/publication-ordering/02179

---

## 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:** 43 instances; 43 of 2058 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W38 (15 weeks)

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

### Description
Heading levels should only increase by one. Detected by axe-core rule heading-order on 43 of 2058 scanned pages (43 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
- http://medicare.gov/care-compare/resources/about-this-tool
- 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://www.medicare.gov/providers-services/coordinating-care/support-chronic-health-conditions-access/find-ACCESS-orgs/ACCESS-search-results
- 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

…and more — 43 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

---

## 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 2058 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W38 (15 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 2058 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

---

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

**Bug ID:** `VS-926f7c8f`  
**Pattern ID:** `VS-d5d82446`  
**URL:** https://medicare.gov/my/medicare-complaint  
**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:** 3 instances; 3 of 2058 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W38 (15 weeks)

### HTML snippet
```html
<html lang="en" data-react-helmet="lang">
```

### Description
Document should have one main landmark. Detected by axe-core rule landmark-one-main on 3 of 2058 scanned pages (3 instances).

### Steps to reproduce
1. Open https://medicare.gov/my/medicare-complaint.
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://medicare.gov/my/medicare-complaint
- http://medicare.gov/my/medicare-complaint
- https://www.medicare.gov/my/medicare-complaint

### 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://medicare.gov/my/medicare-complaint
- http://medicare.gov/my/medicare-complaint
- https://www.medicare.gov/my/medicare-complaint

---

## 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 2058 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W38 (15 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 2058 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-1b05f456`  
**Pattern ID:** `VS-c18be945`  
**URL:** 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  
**XPath / selector:** `text: "Feedback"`  
**WCAG SC:** _undetermined_  
**Rule:** Siteimprove Alfa — `sia-r57` ([reference](https://alfa.siteimprove.com/rules/sia-r57))  
**Severity:** Moderate  
**Frequency:** 2910 instances; 472 of 2058 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W38 (15 weeks)

### Description
Scrolling content can be accessed by keyboard. Detected by Siteimprove Alfa rule sia-r57 on 472 of 2058 scanned pages (2910 instances).

### Steps to reproduce
1. Open 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.
2. Locate the element: text: "Feedback"
3. Confirm the Siteimprove Alfa finding for rule sia-r57.

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

### Affected 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/publication-ordering/11377
- https://medicare.gov/basics/forms-publications-mailings/mailings/signing-up/welcome-to-medicare-package
- http://medicare.gov/health-drug-plans/medigap/ready-to-buy/when
- http://medicare.gov/glp1bridge
- https://medicare.gov/publications/search/all-non-english-pubs?page=4
- https://www.medicare.gov/basics/forms-publications-mailings/mailings/other-mailings/plan-marketing-materials
- http://medicare.gov/health-apps/welldoc
- https://www.medicare.gov/basics/report-a-death
- https://www.medicare.gov/coverage/occupational-therapy-services
- http://medicare.gov/coverage/sleep-studies
- http://medicare.gov/publication-ordering/12217-S
- http://medicare.gov/coverage/pain-management
- https://www.medicare.gov/providers-services/original-medicare/nursing-homes/return-to-community
- https://medicare.gov/publications/search/all-non-english-pubs
- https://www.medicare.gov/coverage/hepatitis-b-virus-hbv-infection-screenings
- http://medicare.gov/publications/search/all-non-english-pubs?page=7
- http://medicare.gov/basics/forms-publications-mailings/mailings/signing-up
- https://www.medicare.gov/health-drug-plans/part-d/basics/choose-coverage
- https://medicare.gov/publications/search?page=3
- http://medicare.gov/basics/forms-publications-mailings/mailings/help-with-costs/drug-plan-changing-medicare-advantage-plan-termination
- http://medicare.gov/go-digital
- http://medicare.gov/basics/forms-publications-mailings/mailings/costs-and-coverage/medicare-premium-bill
- https://medicare.gov/coverage/osteoporosis-drugs
- https://www.medicare.gov/publication-ordering/11220

…and more — 472 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
- 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/publication-ordering/11377
- https://medicare.gov/basics/forms-publications-mailings/mailings/signing-up/welcome-to-medicare-package

---

## Table header has scope (WCAG criterion undetermined)

**Bug ID:** `VS-6ae81848`  
**Pattern ID:** `VS-2cd767ca`  
**URL:** http://medicare.gov/glp1bridge  
**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:** 189 instances; 141 of 2058 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W38 (15 weeks)

### Description
Table header has scope. Detected by Siteimprove Alfa rule sia-r78 on 141 of 2058 scanned pages (189 instances).

### Steps to reproduce
1. Open http://medicare.gov/glp1bridge.
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/glp1bridge
- https://medicare.gov/publications/search/all-non-english-pubs?page=4
- https://www.medicare.gov/coverage/occupational-therapy-services
- http://medicare.gov/coverage/sleep-studies
- http://medicare.gov/coverage/pain-management
- https://medicare.gov/publications/search/all-non-english-pubs
- https://www.medicare.gov/coverage/hepatitis-b-virus-hbv-infection-screenings
- http://medicare.gov/publications/search/all-non-english-pubs?page=7
- https://medicare.gov/coverage/osteoporosis-drugs
- 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://www.medicare.gov/coverage/blood-sugar-control-solutions
- http://medicare.gov/coverage/mental-health-substance-use-disorder
- https://medicare.gov/publications/search/all-non-english-pubs?page=5
- https://medicare.gov/coverage/emergency-department-services
- https://www.medicare.gov/coverage/eye-exams-routine
- https://medicare.gov/coverage/counseling-to-prevent-tobacco-use-tobacco-caused-disease
- https://www.medicare.gov/publications/search/all-non-english-pubs?page=1
- https://medicare.gov/coverage/e-visits
- https://www.medicare.gov/coverage/diagnostic-laboratory-tests
- http://medicare.gov/coverage/other-transplants
- http://medicare.gov/coverage/pneumococcal-vaccines
- https://www.medicare.gov/coverage/ostomy-supplies

…and more — 141 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/glp1bridge
- https://medicare.gov/publications/search/all-non-english-pubs?page=4
- https://www.medicare.gov/coverage/occupational-therapy-services

---

## Headings are structured hierarchically (WCAG criterion undetermined)

**Bug ID:** `VS-89ff333e`  
**Pattern ID:** `VS-f054f4a4`  
**URL:** https://medicare.gov/publications/search/all-non-english-pubs?page=4  
**XPath / selector:** `<h3>`  
**WCAG SC:** _undetermined_  
**Rule:** Siteimprove Alfa — `sia-r53` ([reference](https://alfa.siteimprove.com/rules/sia-r53))  
**Severity:** Moderate  
**Frequency:** 15 instances; 15 of 2058 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W38 (15 weeks)

### Description
Headings are structured hierarchically. Detected by Siteimprove Alfa rule sia-r53 on 15 of 2058 scanned pages (15 instances).

### Steps to reproduce
1. Open https://medicare.gov/publications/search/all-non-english-pubs?page=4.
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
- 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
- https://medicare.gov/publications/search/all-non-english-pubs?page=5
- https://www.medicare.gov/publications/search/all-non-english-pubs?page=1
- http://medicare.gov/care-compare/resources/about-this-tool
- http://medicare.gov/publications/search/all-non-english-pubs?page=6
- https://www.medicare.gov/providers-services/coordinating-care/support-chronic-health-conditions-access/find-ACCESS-orgs/ACCESS-search-results
- 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/publications/search/all-non-english-pubs?page=2
- https://www.medicare.gov/publications/search/all-non-english-pubs?page=6
- http://medicare.gov/publications/search/all-non-english-pubs?page=2
- https://www.medicare.gov/publications/search/all-non-english-pubs

### 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
- 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

---

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

**Bug ID:** `VS-7736d1b5`  
**Pattern ID:** `VS-aa242c2d`  
**URL:** http://medicare.gov/care-compare/resources/about-this-tool  
**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:** 13 instances; 13 of 2058 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W38 (15 weeks)

### Description
First focusable element is link to main content. Detected by Siteimprove Alfa rule sia-r87 on 13 of 2058 scanned pages (13 instances).

### Steps to reproduce
1. Open http://medicare.gov/care-compare/resources/about-this-tool.
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
- http://medicare.gov/care-compare/resources/about-this-tool
- https://www.medicare.gov/care-compare?guidedSearch=DialysisFacility
- http://medicare.gov/care-compare/resources/information-for-providers
- https://www.medicare.gov/care-compare?providerType=NursingHome
- https://www.medicare.gov/care-compare/resources/care-compare/resources/information-about-provider-types
- https://medicare.gov/care-compare?reset=true
- https://medicare.gov/care-compare/resources/care-compare/resources/information-about-provider-types
- https://www.medicare.gov/care-compare?guidedSearch=LongTermCare
- https://www.medicare.gov/care-compare/resources/care-compare/resources/resources-and-information
- https://www.medicare.gov/care-compare/resources/nursing-home/quality-of-resident-care
- https://www.medicare.gov/care-compare?providertype=nursinghome
- https://www.medicare.gov/care-compare/resources/resources-and-information
- https://www.medicare.gov/care-compare?guidedSearch=CommunityHealthCenter

### 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
- http://medicare.gov/care-compare/resources/about-this-tool
- https://www.medicare.gov/care-compare?guidedSearch=DialysisFacility
- http://medicare.gov/care-compare/resources/information-for-providers

---

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

**Bug ID:** `VS-4f80f272`  
**Pattern ID:** `VS-7118fead`  
**URL:** http://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:** 1 instances; 1 of 2058 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W38 (14 weeks)

### Description
Form field label is visible. Detected by Siteimprove Alfa rule sia-r61 on 1 of 2058 scanned pages (1 instances).

### Steps to reproduce
1. Open http://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
- http://medicare.gov/publications/search/item/112376

### 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