vital-scans open quality ledger

www.medicare.gov: technology ↔ issues

Accessibility findings that appear disproportionately on pages running a given technology, across the 207 page(s) in 2026-W38 where both technology detection and an accessibility engine ran. Lift is how many times more likely a finding is on pages with the technology than on pages overall — a value of 2× means twice the baseline rate.

This is an association, not proof of cause. Technologies that are detected on the same set of pages (e.g. a CMS, its host, and its language) will share identical lift values; the listing groups by technology but cannot tell which one in a co-located stack is responsible. Treat high-lift pairs as leads for a human to confirm — a barrier that recurs with the same technology, especially across multiple sites, is likely a bug in that technology rather than in any one page's content.

Drupal 175 pages

Findings over-represented on pages running Drupal (lift ≥ 1, ≥5 pages support).
Finding Lift On tech pages On all pages
Wrap all page content in landmarks (header, nav, main, footer) so users can navigate by region. (axe) 1.18× 175 / 175 176
aria-hidden element does not contain focusable elements (alfa) 1.18× 44 / 175 44
Table header has scope (alfa) 1.18× 14 / 175 14
Text has minimum contrast ratio of 4.5:1 (alfa) 1.11× 44 / 175 47
Scrolling content can be accessed by keyboard (alfa) 1.08× 44 / 175 48
Target size is at least 44×44 CSS pixels (Enhanced) (alfa) 1.08× 44 / 175 48
Use heading levels in order (h1 → h2 → h3) without skipping; structure, not size. (axe) 1.04× 7 / 175 8

Font Awesome 175 pages

Findings over-represented on pages running Font Awesome (lift ≥ 1, ≥5 pages support).
Finding Lift On tech pages On all pages
Wrap all page content in landmarks (header, nav, main, footer) so users can navigate by region. (axe) 1.18× 175 / 175 176
aria-hidden element does not contain focusable elements (alfa) 1.18× 44 / 175 44
Table header has scope (alfa) 1.18× 14 / 175 14
Text has minimum contrast ratio of 4.5:1 (alfa) 1.11× 44 / 175 47
Scrolling content can be accessed by keyboard (alfa) 1.08× 44 / 175 48
Target size is at least 44×44 CSS pixels (Enhanced) (alfa) 1.08× 44 / 175 48
Use heading levels in order (h1 → h2 → h3) without skipping; structure, not size. (axe) 1.04× 7 / 175 8

Acquia Cloud Platform 175 pages

Findings over-represented on pages running Acquia Cloud Platform (lift ≥ 1, ≥5 pages support).
Finding Lift On tech pages On all pages
Wrap all page content in landmarks (header, nav, main, footer) so users can navigate by region. (axe) 1.18× 175 / 175 176
aria-hidden element does not contain focusable elements (alfa) 1.18× 44 / 175 44
Table header has scope (alfa) 1.18× 14 / 175 14
Text has minimum contrast ratio of 4.5:1 (alfa) 1.11× 44 / 175 47
Scrolling content can be accessed by keyboard (alfa) 1.08× 44 / 175 48
Target size is at least 44×44 CSS pixels (Enhanced) (alfa) 1.08× 44 / 175 48
Use heading levels in order (h1 → h2 → h3) without skipping; structure, not size. (axe) 1.04× 7 / 175 8

Amazon Web Services 175 pages

Findings over-represented on pages running Amazon Web Services (lift ≥ 1, ≥5 pages support).
Finding Lift On tech pages On all pages
Wrap all page content in landmarks (header, nav, main, footer) so users can navigate by region. (axe) 1.18× 175 / 175 176
aria-hidden element does not contain focusable elements (alfa) 1.18× 44 / 175 44
Table header has scope (alfa) 1.18× 14 / 175 14
Text has minimum contrast ratio of 4.5:1 (alfa) 1.11× 44 / 175 47
Scrolling content can be accessed by keyboard (alfa) 1.08× 44 / 175 48
Target size is at least 44×44 CSS pixels (Enhanced) (alfa) 1.08× 44 / 175 48
Use heading levels in order (h1 → h2 → h3) without skipping; structure, not size. (axe) 1.04× 7 / 175 8

PHP 175 pages

Findings over-represented on pages running PHP (lift ≥ 1, ≥5 pages support).
Finding Lift On tech pages On all pages
Wrap all page content in landmarks (header, nav, main, footer) so users can navigate by region. (axe) 1.18× 175 / 175 176
aria-hidden element does not contain focusable elements (alfa) 1.18× 44 / 175 44
Table header has scope (alfa) 1.18× 14 / 175 14
Text has minimum contrast ratio of 4.5:1 (alfa) 1.11× 44 / 175 47
Scrolling content can be accessed by keyboard (alfa) 1.08× 44 / 175 48
Target size is at least 44×44 CSS pixels (Enhanced) (alfa) 1.08× 44 / 175 48
Use heading levels in order (h1 → h2 → h3) without skipping; structure, not size. (axe) 1.04× 7 / 175 8

Facebook Pixel 10 pages

Findings over-represented on pages running Facebook Pixel (lift ≥ 1, ≥5 pages support).
Finding Lift On tech pages On all pages
Wrap all page content in landmarks (header, nav, main, footer) so users can navigate by region. (axe) 1.18× 10 / 10 176

Nextdoor Ads 179 pages

Findings over-represented on pages running Nextdoor Ads (lift ≥ 1, ≥5 pages support).
Finding Lift On tech pages On all pages
aria-hidden element does not contain focusable elements (alfa) 1.16× 44 / 179 44
Table header has scope (alfa) 1.16× 14 / 179 14
Use heading levels in order (h1 → h2 → h3) without skipping; structure, not size. (axe) 1.16× 8 / 179 8
Wrap all page content in landmarks (header, nav, main, footer) so users can navigate by region. (axe) 1.11× 169 / 179 176
Scrolling content can be accessed by keyboard (alfa) 1.11× 46 / 179 48
Target size is at least 44×44 CSS pixels (Enhanced) (alfa) 1.11× 46 / 179 48
Text has minimum contrast ratio of 4.5:1 (alfa) 1.11× 45 / 179 47
Text has enhanced contrast (alfa) 1.07× 26 / 179 28

Akamai Web Application Protector 11 pages

Findings over-represented on pages running Akamai Web Application Protector (lift ≥ 1, ≥5 pages support).
Finding Lift On tech pages On all pages
Wrap all page content in landmarks (header, nav, main, footer) so users can navigate by region. (axe) 1.07× 10 / 11 176

HSTS 193 pages

Findings over-represented on pages running HSTS (lift ≥ 1, ≥5 pages support).
Finding Lift On tech pages On all pages
Use heading levels in order (h1 → h2 → h3) without skipping; structure, not size. (axe) 1.07× 8 / 193 8

Qualtrics 202 pages

Findings over-represented on pages running Qualtrics (lift ≥ 1, ≥5 pages support).
Finding Lift On tech pages On all pages
Wrap all page content in landmarks (header, nav, main, footer) so users can navigate by region. (axe) 1.02× 176 / 202 176
Scrolling content can be accessed by keyboard (alfa) 1.02× 48 / 202 48
Target size is at least 44×44 CSS pixels (Enhanced) (alfa) 1.02× 48 / 202 48
Text has minimum contrast ratio of 4.5:1 (alfa) 1.02× 47 / 202 47