The deadline moved. The duty didn't.
One of the four rules has a date attached. Practices that move early get the payoff now — a website every patient can use and book — and treat the deadline as the backstop it is. Here is the date, who it reaches, and why headcount is not the question.

Is there a legal deadline for website accessibility in healthcare?
Yes — for practices that take federal health care money, which for most means Medicare or Medicaid. A federal rule published in May 2024 gives websites and apps a deadline: May 11, 2027 if you have 15 or more employees, and May 10, 2028 if you have fewer. Whether your particular practice is covered is a legal question for your own lawyer.
Book A 30-Minute Call- May 11, 2027 — if you have 15 or more employees
- May 10, 2028 — if you have fewer than 15
- The rule names one version of the accessibility standard; we build to the newer one, which covers it
- Whether it covers you depends on taking federal health care money
- Today · September 2026The rule is already finalIt was published in 2024. What is ahead is the compliance date, not the decision.
- May 11, 2027Practices with 15 or more staffWebsites and mobile apps must meet the published accessibility standard.
- May 10, 2028Practices with fewer than 15 staffSame standard, one year later.
Two deadlines, and your staff count decides which one.
There is only one thing to work out. Fifteen or more people puts your practice on the 2027 date; fewer than fifteen puts you on 2028. Both point at the same standard, so the work itself does not change — only how long you have to do it.
It already took effect.
Health and Human Services published the rule in May 2024 and it took effect that July. For the first time, it set an actual technical standard for the websites and apps of anyone taking federal health care money.
Headcount sets your date — not whether you're covered.
The 15-employee line decides when you have to comply, not whether. A practice with eight staff that takes Medicaid is covered. It just has until 2028. The government has said Medicare Part B payments alone are enough to bring you in — and its own analysis of the rule estimates 92% of doctors take federal health care money.
The extension bought time — and it is being contested.
In May 2026 the government pushed both dates back a year, after providers said they could not make them. The duty itself never paused, the government still enforces it, and the law also lets a patient sue you directly. On top of that, the extension was challenged in federal court on May 21, 2026, with the plaintiffs asking for the original dates back. No ruling yet — but the original date for larger practices, May 11, 2026, has already passed. Where the rules stand →
Two things we won’t blur about the rule
More on this page’s topic
Which accessibility standard does the federal rule name?
Does the Section 504 deadline apply to my practice?
What if my practice is not covered by Section 504?
Is there an actual deadline, or just lawsuit risk?
We don't take Medicare or Medicaid. Does the deadline apply to us?
The Section 504 dates apply to practices that receive federal health-care money. If you take none at all, that rule's date may not reach you — but the ADA still does, and it has no date because it already applies. The patient case for an accessible site is the same either way.
Two weeks to build. Two years is not as long as it sounds.
Independent practices only · $0 until you’re live · no contract · auto-updated monthly
Free 290+ point audit of your current site.
The same check we run on every site we build. Accessibility, security, AI-search, Google, patient privacy — each item scored on its own. No sales call attached.
Get My Free Audit →Know your gap before May 11, 2027
You do intake and approval. We do everything in between.
We only need approximately two hours of your time. Complete the intake, review the finished website, and provide final approval — we handle everything in between.
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