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 ↗
source
“HPC’s website was not fully accessible to all website users.”
Read the plain-English breakdown
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.”
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.”
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.”
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 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.”
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.”
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
- Did not comply Did HPC’s masshpc.gov website comply with the Executive Office of Technology Services and Security’s Enterprise Information Technology Accessibility Policy and the Web Content Accessibility Guidelines (WCAG) 2.1 for user accessibility, keyboard accessibility, navigation accessibility, language accessibility, error identification, and color accessibility?
What the Auditor found
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."