Springfield Clinic
The same Springfield Clinic case, viewed from the operator's side.
From the clinic's perspective, this DOJ enforcement action required deep, expensive engineering work — fixing the patient portal (FollowMyHealth), the records system (CIOX), all mobile apps, and the public website to meet WCAG 2.1 AA. The $5,000 paid to the patient was the smallest line item.
For any healthcare operator, this case shows the real cost of an accessibility failure isn't the dollar settlement — it's the months of remediation work, the documentation requirements, the recurring monitoring, and the slow drag on every product launch going forward.
Court
U.S. Attorney's Office, Central District of Illinois (administrative settlement, no PACER docket)
Case
United States v. Springfield Clinic (DJ 202-24-114)
DJ 202-24-114
Outcome
settled
What went wrong on the site
Each visual below shows what visitors with disabilities actually experienced.
<div onClick="buy()">
<div>Buy now</div>
</div>
Custom controls had no ARIA roles, so screen readers could not announce what they were or what state they were in.
WCAG 4.1.2 Name, Role, Value
Multiple WCAG 2.1 AA violations across the site
Multiple violations across the full WCAG 2.1 Level AA spec — the site failed to meet the federal de-facto standard for accessibility.
WCAG WCAG 2.1 AA
Sources & documentation
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See the full healthcare risk landscape
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