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Audit of the Massachusetts Health Policy Commission (November 3, 2025)

November 3, 2025 · Massachusetts Health Policy Commission · Read the full official report on mass.gov ↗

Published November 3, 2025 Audit covers July 1, 2023 – September 30, 2024 Under Diana DiZoglio · 2023–present

In plain English
State auditors found that the Health Policy Commission’s website had a few accessibility problems, including zoom issues, broken links, and videos without captions.
source
“HPC’s website was not fully accessible to all website users.”
Read the plain-English breakdown
What is this?

This is a state performance audit of the Massachusetts Health Policy Commission covering July 1, 2023 through September 30, 2024.

“In accordance with Section 12 of Chapter 11 of the Massachusetts General Laws, the Office of the State Auditor has conducted a performance audit of certain activities of the Massachusetts Health Policy Commission (HPC) for the period July 1, 2023 through September 30, 2024.”
Why was it audited?

Auditors checked whether the agency’s website met accessibility rules so people with different needs could use it.

“The purpose of our audit was to determine whether HPC’s website adhered to the World Wide Web Consortium’s Web Content Accessibility Guidelines (WCAG) 2.1 for user accessibility, keyboard accessibility, navigation accessibility, language accessibility, error identification, and color accessibility.”
Why it matters

If a public website is hard to use, people with disabilities may miss health policy information and online services.

“Noncompliance with WCAG 2.1 reduces accessibility for individuals with disabilities and limits equitable access to HPC information and services.”
What's in it for me?

For residents, this matters because public websites are often how people get government information and services.

“Government websites are an important way for the general public to access government information and services.”
The bottom line

The audit found limited but real website accessibility problems, and HPC said it took action to fix them and improve future compliance.

“The HPC acted immediately to rectify the limited instances identified by the Auditor where page elements did not meet the applicable criteria, and has implemented processes and capabilities to ensure compliance with all elements going forward.”
What happens next

The Auditor’s office plans to check back in about six months to see how HPC handled the issue.

“As part of our post-audit review process, we will follow up on this matter in approximately six months.”
Jargon, unpacked

WCAG is a set of website accessibility guidelines meant to help everyone, including people with disabilities, use web content and features.

“Adherence to WCAG helps ensure that all users, regardless of ability, can access the content and functions of HPC’s website.”

What the Auditor checked

What the Auditor found

The Health Policy Commission’s website was not fully accessible to all website users.
data privacyinternal controlsrecordkeeping/documentation

Why it matters: Noncompliance with WCAG 2.1 reduces accessibility for individuals with disabilities and limits equitable access to HPC information and services.

Standard: World Wide Web Consortium’s Web Content Accessibility Guidelines 2.1 ( Section 12 of Chapter 11 of the Massachusetts General Laws; World Wide Web Consortium’s WCAG 2.1 Success Criterion 1.2.2 Captions (Prerecorded) (Level A); World Wide Web Consortium’s WCAG 2.1 Success Criterion 1.4.4 Resize Text (Level AA); World Wide Web Consortium’s WCAG 2.1 Success Criterion 1.4.10 Reflow (Level AA); World Wide Web Consortium’s WCAG 2.1 Success Criterion 2.4.5 Multiple Ways (Level AA) )

3 recommendations
  • HPC should ensure that content on its masshpc.gov webpages displays clearly, even when zoomed in to 200% and 400%.agency: already implemented
  • HPC should review its masshpc.gov webpages to ensure that all hyperlinks lead to related and updated information.agency: already implemented
  • HPC should adopt procedures to ensure that videos posted to its masshpc.gov website are properly captioned.agency: already implemented
Agency response & Auditor reply
Agency: "The HPC acted immediately to rectify the limited instances identified by the Auditor where page elements did not meet the applicable criteria, and has implemented processes and capabilities to ensure compliance with all elements going forward."
Auditor: "Based on its response, HPC has taken measures to address our concerns regarding this matter."