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Healthcare Accessibility Checker

Scan your patient-facing website against WCAG 2.1 AA, the standard Section 1557 of the ACA now requires for many healthcare organizations.

Real Chrome browser scan, powered by axe-core Free, no account needed

Accessibility Requirements for Healthcare

Section 1557 is not optional guidance; it is a federal nondiscrimination rule tied directly to funding. If your organization accepts Medicare, Medicaid or CHIP, and most providers do, your website, patient portal and any patient-facing kiosk are in scope.

The rule follows you to your vendors. Booking widgets, patient portals, telehealth platforms and billing tools built by outside vendors are still your responsibility if a patient cannot use them.

Under Section 1557 of the Affordable Care Act, healthcare organizations that accept Medicare, Medicaid or CHIP funding must meet WCAG 2.1 Level AA on their websites, mobile apps and patient-facing kiosks. HHS extended the original deadline by a year: recipients with 15 or more employees now have until May 11, 2027, and smaller recipients until May 10, 2028. (opens in a new tab, source: Section 1557 accessibility requirements)

Common Issues on Healthcare Sites

  • Appointment booking widgets

    Third-party scheduling tools embedded on provider sites are a frequent source of keyboard traps and unlabeled form fields, blocking patients from booking care.

  • Patient portal login and forms

    Login screens and intake forms often lack proper labels and error messages, which is a serious barrier when the content involves personal health information.

  • PDF forms and documents

    Intake forms, consent documents and insurance paperwork are frequently unlabeled scanned PDFs that a screen reader cannot read at all.

  • Provider directory search

    Search and filter tools for finding a doctor or location often fail to announce results or filter changes to screen reader users.

  • Low-contrast text on clinical content

    Medical information pages often use light gray text for secondary details, such as dosage notes or appointment instructions, that fails contrast requirements.

How to Fix What the Scan Finds

  1. Audit third-party tools (scheduling, patient portal, telehealth) separately, since Section 1557 makes you responsible for their accessibility even when you did not build them.
  2. Prioritize anything in the patient journey to get or manage care first: booking, portal login, and forms, since those carry both the most legal exposure and the most direct impact on patients.
  3. Run a free scan above on your homepage and a few key pages, fix issues starting with critical and serious, then rescan to confirm.
  4. For ongoing protection, AccessBell Pro monitors up to 500 URLs per domain every day and alerts you when something regresses.

Healthcare Accessibility Questions

Does Section 1557 apply to my healthcare organization?

If you accept Medicare, Medicaid or CHIP funding, generally yes. The rule covers a very wide range of healthcare providers, not just hospitals.

What is the deadline to comply?

HHS extended the original 2026 deadline by one year. Recipients with 15 or more employees now have until May 11, 2027, and smaller recipients until May 10, 2028.

Am I responsible for my patient portal vendor’s accessibility?

Under Section 1557, yes, in practice. Outsourcing a website, portal or booking tool to a vendor does not remove your obligation to ensure patients can use it.

Sources

This page explains general accessibility and legal context for healthcare websites and is not legal advice. See our disclaimer.

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