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Centene Corporation

Screen reader users will see links on a page listed without context, 
so you should ensure the same link text is not used to point to different web
addresses.

For example:

```html
<p>
    Learn the latest about our products: 
    <a href="/products/news">News</a>
</p>

<p>
    Learn the latest about our services: 
    <a href="/company/news">News</a>
</p>
``` 

To a screen reader who is listing links, they will only hear:

* News
* News

These links appear to be the same, but they both behave differently. 
One solution, which doesn't require the page design to change, is to add an 
`aria-label` for each link:

```html
<p>
    Learn the latest about our products: 
    <a href="/products/news" aria-label="Product news">News</a>
</p>

<p>
    Learn the latest about our services: 
    <a href="/company/news" aria-label="Company news">News</a>
</p>
``` 

Which will be heard as:

* Product news
* Company news

To pass this checkpoint, make sure that links which point to different pages 
have distinct text inside them, or that they specify ARIA labels (`aria-labelledby` or
`aria-label`), or they use hidden text only visible to screen readers
(e.g. `<span class="sr-only">...</span>`) to distinguish them from each 
other.

If links point to the same page (e.g., they redirect or use tracking
parameters, but are functionally equivalent to the user) you can ignore
this issue.

a-duplicate-link-text-for-different-destinations

To comply with WCAG AA, the colour of text must sufficiently contrast with
its background color, so that people with moderate visual impairments can read it.

The [contrast ratio](https://www.w3.org/TR/UNDERSTANDING-WCAG20/visual-audio-contrast-contrast.html#contrast-ratiodef) 
must be at least 4.5:1 for body text, and 3:1 for large text.

A much more demanding version of this check (1.4.6) exists for WCAG AAA. Ignoring an issue in this check 
will also ignore it in that check, and vice versa.

aa-text-contrast

To comply with the strictest accessibility standard (WCAG AAA), the colour of text must 
strongly contrast with its background color, so that people with significant visual impairments 
can read it.

The [contrast ratio](https://www.w3.org/TR/UNDERSTANDING-WCAG20/visual-audio-contrast-contrast.html#contrast-ratiodef)
must be at least 7:1 for body text, and 4.5:1 for large text.

A far less demanding version of this check (1.4.3) exists for WCAG AA. All websites should aim to 
meet the easier AA standard at a minimum. The AAA standard is desirable but far more challenging,
and may not be practical for your website.

aaa-text-contrast

Tables which contain information should have clear headers defined.  

In this example, the top row of the table is a header:

| Surname        | City          |
| -------------- | ------------- |
| Washington     | London        |
| Phoenix        | Arizona       |
| Austin         | Travis        |

Notice how without the header here, it would be almost impossible to understand 
what the individual values mean ("Washington" could be a city or a surname). 

It is not enough to just make the headers look differently, as accessible technologies will not 
recognize this (for example, a screen reader cannot 'see' different colors or fonts). 
Table headings must be defined using the `<th>` tag. 

This example shows how a table should use a `<th>` to mark cells as headings. Note the 
use of the `col` attribute, to specify these headings are for the _column_:

```html
<table>
  <tr>
    <th scope="col">First name</th>
    <th scope="col">City</th>
  </tr>
  <tr>
    <td>Washington</td>
    <td>London</td>
  </tr>
  <tr>
    <td>Phoenix</td>
    <td>Arizona</td>
  </tr>
  <tr>
    <td>Austin</td>
    <td>Travis</td>
  </tr>
</table>
```

Tables which are used purely for layout do not need to do this. However, 
[the use of tables for layout is strongly discouraged](https://www.lifewire.com/dont-use-tables-for-layout-3468941).
This check will ignore tables that it believes are purposely used for layout.

Learn more about [accessible table design (W3C)](https://www.w3.org/WAI/tutorials/tables/one-header/).

add-header-to-tables

Heading elements (`<h1>`, `<h2>`, ...) must contain some machine-readable
text content. 

Heading should never be empty, or just contain whitespace:

```html
<h1>   </h1>
```

Headings which contain images or other media must specify alternative text:

```html
<h1>
    <img src="heading.png" alt="Press releases"> 
</h1>
```

See [Technique H42](https://www.w3.org/TR/WCAG20-TECHS/H42) for more details.

empty-heading-content

All controls on the page - including links, buttons, and fields - should clearly 
indicate when they have been selected by the keyboard.

This is a stricter version of [WCAG 2.4.7](https://www.w3.org/WAI/WCAG21/Understanding/focus-visible.html),
which requires that the focus indicator is visible, but doesn't specify how clearly
it should be visible.

You can confirm this yourself by loading a webpage and using the Tab key to navigate 
through it. Anything you can select should clearly alter its appearance when selected. 
For example, a text field might change color, or have a distinctive border applied. 

## The requirements

The [official requirements](https://w3c.github.io/wcag/understanding/focus-appearance.html) are 
complicated. A simplified version is:

* Surround the control with a solid outline
* The outline must have at least 3:1 contrast with its background
* The outline must have at least 3:1 contrast with its surroundings, or be at least 2px thick

The actual requirements allow for more variation, but generally require that you 
calculate the perimeter and/or area of the focus area, which can be very difficult.

## How to fix

Links and form controls should use a focus selector which contrasts with their
unfocused state, as well as any surroundings of the focus state. 

In practice, the easiest way to accomplish this is to use a two-color focus, like so:

```css
/* ensure high-contrast mode still has an indicator */
outline: 2px transparent solid;

/* Apply a thick yellow box-shadow with 
   a thin dark blue indicator in the middle */
box-shadow: 0 0 0 2px #F9F9D1, 0 0 0 4px #396196, 0 0 4px 8px #F9F9D1;
``` 

From [Technique C40](https://www.w3.org/WAI/WCAG22/Techniques/css/C40).

Using two contrasting colors guarantees that the focus state will be visible, 
regardless of the background or surrounding colors.

## Troubleshooting

### Elements appear to change in the browser

Focus states should be defined in CSS alone, and not require JavaScript to work. 

Try disabling JavaScript on the page, and see if focus is still visible. If it not, 
then the focus state won't work with assistive technologies that don't have a physical
keyboard, e.g. mobile phones.

Some more unusual means of implementing a focus state cannot be detected or measured
automatically. These include:

* Focus implemented via pseudo-elements - such as `::after` or `::before`. 
* Focus using `:focus-within` (JavaScript current provides no way to access these).
* Focus cascaded to child elements, e.g. a `<span>` inside an `<a>` tag. We detect
  some of these cases, but there are variations that we cannot detect.

Currently, there is no practical way to assess these focus states automatically.

### Elements over images not analyzed

Silktide cannot assess the contrast of elements that are over images. This is because
the contrast of an element is calculated by comparing the color of the element with the
color of the background. 

If the element is over an image, the background color is the
color of the image, which varies from pixel-to-pixel, and may vary further as the page
is resized, due to responsive design.

### Unexpected elements are focusable

You may be surprised to see tags like `<div>` or `<span>` being shown as focusable.
If an element has a `tabindex` of 0 or higher, it becomes focusable. Any HTML tag can be made 
focusable in this way, this is so that custom controls (e.g. your own drop-down menus, or 
sliders) can support keyboard navigation. [Learn more about tabindex on MDN](https://developer.mozilla.org/en-US/docs/Web/HTML/Global_attributes/tabindex).

## Further reading

This is part of the draft WCAG 2.2 specification and is subject to change.

* [WCAG 2.4.11](https://w3c.github.io/wcag/understanding/focus-appearance.html)

ensure-focus-appearance

All controls on the page - including links, buttons, and fields - should show when 
they have been selected by the keyboard.

You can confirm this yourself by loading a webpage and using the Tab key to navigate 
through it. Anything you can select should alter its appearance when selected. 
For example, a text field might change color, or have a distinctive border applied. 

This is default behavior for all standard web controls, and so if this issue is appearing
it is because this default behavior has been disabled. Or alternatively, if you have written
your own custom controls, these will need styling to support focus states.

## How to fix

Links and form controls typically define an `outline` CSS style, which ensures
they are highlighted automatically, for example:

```css
input:focus (outline: 2px solid red);
``` 

If you choose to override or disable the default `outline`, you should specify an accessible 
alternative, such as a border or background color.

### Elements appear to change in the browser

Focus states should be defined in CSS alone, and not require JavaScript to work.

Try disabling JavaScript on the page, and see if focus is still visible. If it not,
then the focus state won't work with assistive technologies that don't have a physical
keyboard, e.g. mobile phones.

Some more unusual means of implementing a focus state cannot be detected or measured
automatically. These include:

* Focus implemented via pseudo-elements - such as `::after` or `::before`.
* Focus using `:focus-within` (JavaScript current provides no way to access these).
* Focus cascaded to child elements, e.g. a `<span>` inside an `<a>` tag. We detect
  some of these cases, but there are variations that we cannot detect.

Currently, there is no practical way to assess these focus states automatically.

### Unexpected elements are focusable

You may be surprised to see tags like `<div>` or `<span>` being shown as focusable.
If an element has a `tabindex` of 0 or higher, it becomes focusable. Any HTML tag can be made 
focusable in this way, this is so that custom controls (e.g. your own drop-down menus, or 
sliders) can support keyboard navigation. [Learn more about tabindex on MDN](https://developer.mozilla.org/en-US/docs/Web/HTML/Global_attributes/tabindex).

## Further reading

* [WCAG 2.4.7](https://www.w3.org/WAI/WCAG22/Understanding/focus-visible.html)

ensure-focus-is-visible

Most content should be written so people with a lower secondary level of education can understand it.
Where this is not possible, supplemental content or an alternative version should be provided.

This check highlights pages with a reading age of 16 years or higher. Only pages with at least 100 words
of content (excluding navigation, footers, etc) are considered.  

For more information, see [WCAG SC 3.1.5](https://www.w3.org/TR/UNDERSTANDING-WCAG20/meaning-supplements.html).

ensure-reading-ability-is-not-advanced

All interactive components on a page, such as buttons or fields, should ideally be large enough 
to be easily used by people with motor impairments. 

This ensures people with motor impairments can easily click or tap on the element.

The recommended size is 44 x 44 CSS pixels, with some exceptions:

* **Equivalent available** - the functionality provided by
  the control is available elsewhere, and large enough, on the same page.
* **Inline text** - the control appears inside a sentence or block of text. 
* **User Agent control** - the size of the target is determined by the user agent 
  and is not modified by the author. Generally this is not the case for web content.
* **Essential** - the size of the target is essential to the information being conveyed,
  e.g. a tutorial demonstrating what a small button looks like. This exception is rare.

## Applying this check

Nearly all websites will fail this check by default. The minimum size requirement
is larger than most links and controls on most websites.

This is the much stricter version of the WCAG 2.2 AA check for target size. Most websites
should focus on the AA check before considering this AAA check:

* [Target Size (Minimum)](https://w3c.github.io/wcag/understanding/target-size-minimum.html)

## Methodology

This check is run on both the mobile and desktop versions of every page. Results
for each may differ.

1. All interactive elements are identified, including buttons, links, and form controls. 
2. If an element is proceeded or followed directly by a non-empty text node, the control
   is ignored.
3. If an element is not normally visible, it is ignored. This includes elements which 
   are positioned offscreen or cropped (e.g. for 'screen-reader only' text).
4. If an element is a link, and another visible link on the page points to the same URL, with 
   that other link meeting the size requirements, the element is ignored.
5. Otherwise, the element must have a minimum size of 44 x 44 CSS pixels.

## Troubleshooting

Silktide only records the first 100 instances of a failure on a page. Because failures
of this check are common, it is possible that your page has more than 100 failures, but
only the first 100 will be shown.

## Further reading

* [Target Size (Enhanced)](https://www.w3.org/WAI/WCAG22/Understanding/target-size-enhanced)

ensure-reasonable-target-size

When viewed on small screens (like mobile phones) content should be large enough to 
read without being zoomed-into and scrolled in two dimensions.

WCAG 2.1 specifically requires this for:

+ Vertical scrolling content at a width equivalent to 320 CSS pixels
+ Horizontal scrolling content at a height equivalent to 256 CSS pixels

This issue almost always indicates that the webpage has not been designed
to work on mobile devices at all.

extreme-zoom-scrolling

All frames must define a readable title, which briefly described the contents of that frame.

Note that this is not the same as a `<title>` tag inside the iframe, which is insufficient.
You must provide a meaningful description for the frame using the `title` attribute.

Examples:

```html
<iframe title="Advertisement" src="ad.html">
```

```html
<frame title="Advertisement" src="ad.html">
```

# Why this matters

Accessible technologies such as screen readers rely on the `title` attribute to list
the frames on a given page. 

Without a title, it is impossible to know what the frame contains, and the user must
navigate inside it, and explore the contents of the frame to figure this out.

Often iframes are used for technologies like banner adverts, videos, or chat widgets. The 
absence of a `title` makes these areas of the page much harder to identify, understand, 
or use.

# How titles are tested

Frames which are not presented to screen readers are ignored. This includes invisible
frames, and frames marked with `aria-hidden`.

A `title` attribute must contain meaningful text, e.g. numbers / letters, to be considered
valid. A title containing just spaces, or non-readable text (e.g. an emoji) will
be flagged as invalid.

# More information

Learn about [Technique H64](https://www.w3.org/WAI/WCAG21/Techniques/html/H64)
as part of [SC 2.4.1 - Bypass Blocks](https://www.w3.org/WAI/WCAG21/Understanding/bypass-blocks).

has-frame-title

The purpose of a link should be clear from the text inside the link. Links like "learn more" are
not helpful to users with accessible technology.

Links should also avoid redundantly saying that they are links, e.g. "link to page" as screen
readers will read these out with the word "link" added, e.g. "link link to page".

Exceptions to these rules are allowed where the purpose of a link would be ambiguous to users 
in general.

link-purpose-a

Avoid opening links in a new tab or window. Where you must do this, include an explanation
in the text of the link.

## Why this matters

Opening links in a new tab or window breaks the back button and can be disorientating for 
novice web users, and the visually impaired. Generally you should avoid opening links in a
new tab or window, but if you have to, you should include text explaining that this will happen.

## How to fix

An explanation must be clear in the accessible text for the link. For example:

```html
<a href="products.html" target="_blank">
    Products (opens in new window)
</a>
```

Or, for an image inside a link:

```html
<a href="products.html" target="_blank">
    <img src="products.jpg" alt="Products (opens in new window)">
</a>
```

Rather than updating all of your links manually to do this, you can add a simple CSS
selector, such as:

```css
a[target="_blank"]:after {
    content: " (opens in new window)";
}
```

Note that doing this with an icon, is not sufficient to pass this check. The text must be
readable by screen readers.

Alternatively you can override the link text for accessible technologies (like screenreaders),
so that the appearance of the link does not change. For example:

```html
<a href="products.html" target="_blank" aria-label="Products (opens in new window)">
    Products
</a>
```

Note that if you do this, the `aria-label` will replace the text content of the link completely,
so it must still make sense in isolation.

## Terminology

Although it is common to say "opens in new window", almost all browsers now use tabs, and
so this terminology is potentially confusing. You may prefer: "opens in new tab".

## Methodology

1. Silktide considers all links on a page with a `target` attribute of `_blank`.
2. For each link, Silktide considers the screen-readable text of the link, which includes:
   * The text content of the link
   * Any `alt` text inside any images inside the link
   * Any `aria-label` or `aria-labelled-by` text
   * The `content` of the pseudo-elements `:before` and `:after`
3. This text is analysed for the presence of common text, including "opens new tab"
    and "opens new window". If the text is not found, the link fails the test.

## Further reading

Generally best practice is to avoid opening links in a new tab or window.  

The W3C provides detailed guidance on 
[when opening a link in a new window may be appropriate](https://www.w3.org/TR/WCAG20-TECHS/G200.html).

link-text-explains-open-in-new-window

Do not link to an anchor on the page that does not exist. For example:
linking to `#content` without a valid destination such as `<body id="content"></body>`.

A common web design pattern is to use a named anchor to show an element via JavaScript, e.g.

```html
<a href="#foo" onclick="$('.bar').toggle();">Click me</a>
<div class="bar">
    This is some content.
</div>
``` 

In these cases, the anchor (`#foo`) should point to the `id` of the hidden element:

```html
<a href="#foo" onclick="$('#foo').toggle();">Click me</a>
<div id="foo">
    This is some content.
</div>
```

This way the semantic intent of the link is preserved, even without JavaScript. 
Note that doing so may require modification to your script, to prevent automatic 
scrolling to the named anchor.

linking-to-anchor-on-page-that-does-not-exist

Lists of related items should be written [semantically](https://html.com/semantic-markup/) as a 
list.

Usually this means rewriting these to use the `<ul>` or `<ol>` tags.

This allows assistive technologies to more easily navigate from item to
item, or past entire groups of links if the user wants to. 

## Examples 

### Navigation

This navigation:

```html
<a href="/about">About us</a>
<a href="/products">Products</a>
<a href="/contact">Contact us</a>
```

Should be rewritten as a list:

```html
<ul>
  <li><a href="/about">About us</a></li>
  <li><a href="/products">Products</a></li>
  <li><a href="/contact">Contact us</a></li>
</ul>
```

### Tables for content

This single-column table is redundant. There is no
value in placing the content in a table, which makes
it harder for screen reader users to interpret and interact
with.

```html
<table>
  <tr>
    <td>
      Banana
    </td>
  </tr>
  <tr>
    <td>
      Apple
    </td>
  </tr>
  <tr>
    <td>
      Pear
    </td>
  </tr>
</table>
```

Should be rewritten as a list:

```html
<ul>
  <li>Banana</li>
  <li>Apple</li>
  <li>Pear</li>
</ul>
```

## Justification

Users of assistive technologies, like screen readers, can skip an entire
list in one step. In some cases, they can even search inside a list. 

These aids are not available where links are written outside a list. 
Failing to use lists correctly can force users to have to step through
hundreds of items one at a time.

## Methodology

1. Any single-column tables are automatically considered 
   redundant lists. 
2. For non-table elements, recursively work down the page looking inside
   each element for links separated by minimal amounts of non-link text. 
   If the non-link text is below 30 characters 
   in length, we assume we're inside content that should be a list.
   Some exceptions are made, e.g. the presence of an `<hr>` would break
   out of the list.

## More information

See [Technique
H48](https://www.w3.org/TR/2016/NOTE-WCAG20-TECHS-20161007/H48) for
details.

mark-navigation-section-as-list

Every page should have a clearly defined heading, known as a "H1" (Heading 1).

A `H1` is the main heading of the page. It helps accessibility by allowing uses to
skip to the main content of the page. It helps all users identify what the page is about. 
It helps SEO by giving special emphasis to the topic of the page.

It is not enough to simply include large text. Headings must be coded 
[semantically](https://html.com/semantic-markup/) as `<h1>` tags, like so:

```html
<h1>This is a heading</h1>
```

Note that headings must contain some machine readable text to be considered valid. 
For example, this heading is not valid:

```html
<h1>
    <img src="company-logo.png">
</h1>
``` 

But with the addition of `alt` text, this heading is valid:

```html
<h1>
    <img src="company-logo.png" alt="About Company Inc.">
</h1>
``` 

Generally we recommend you just use plain text for your headings.
See [Technique H42](https://www.w3.org/TR/WCAG20-TECHS/H42) for more details.

missing-h1

PDFs need to be tagged in a valid reading order for accessibility. See [Adobe's guide](https://helpx.adobe.com/uk/acrobat/using/creating-accessible-pdfs.html#tag_the_pdf) and [WCAG](https://www.w3.org/TR/WCAG20-TECHS/pdf.html#PDF3) for advice.

Priority	Recommendation	Progress
	Ensure controls change appearance when they are selected WCAG 2.0 AA 2.4.7	20%
	Ensure controls clearly indicate when they are selected WCAG 2.2 AA 2.4.11	45.9%
	Ensure content is not too difficult to understand WCAG 2.0 AAA 3.1.5	37.6%
	Ensure pages don't require zooming and 2D scrolling on small screens WCAG 2.1 AA 1.4.10	96%
	Ensure links explain they open in a new tab WCAG 2.0 AAA 3.2.5	0%

Centene Corporation

Accessibility

Accessibility recommendations