21st Century Integrated Digital Experience Act - 2019 Report to OMB and the Public on Modernizing Agency Websites

As required by the 21st Century Integrated Digital Experience Act (21st Century IDEA), this report details the progress of the Department of Health and Human Services (HHS) during 2019 to modernize websites.


21st Century IDEA requires federal executive branch agencies to report to Congress, OMB, and the public, on their progress to modernize their websites and digital services. The report to the Office of Management and Budget (OMB) is required once per year, for five years, beginning in December 2019. Agencies must report to the Director of OMB, and the public, on the agency's progress over the previous year to implement the requirements of the Act and modernize their digital footprint.

High-level data on how people interact with HHS public websites and digital services is available at https://analytics.usa.gov/health-human-services/.

Section 3 - Website Modernization

Improving customer interactions with HHS websites and digital services is a high priority for the department. A customer's digital experience is impacted by many things, including usability, mobile functionality including page load speeds, search, the way the content is presented both in the written word and visually, the way content is organized, and a person's ability to complete their tasks. HHS aims to provide our varied audiences with easy, intuitive, and clear online experiences, and have taken multiple steps to further this goal.

During this first year under 21st Century IDEA, HHS conducted the following modernization activities:


  • Worked with GSA and other Federal government website leaders on a tiger team to create guidance recommendations for IDEA compliance
  • Began coordination among the Chief Information Officer staff and the Digital Communications staffs
  • Created a Digital Communications Strategy to align HHS on vision, mission, goals, and objectives towards achieving the modernization requirements of IDEA.


  • Compiled a comprehensive inventory of HHS websites
  • Conducted a data call to determine status of IDEA compliance on existing websites
  • Attached analytics data to the inventory to determine high-impact websites
  • Conducted extensive research across HHS to determine communications gaps and desires and align on a strategy for achieving modernization

Analysis and Prioritization

  • Analyzed the results of our website data call.
  • Identified the following high-impact websites and digital services:
Priority Website Brief Description FY19 Page Views
ncbi.nlm.nih.gov National Center for Biotechnology Information, National Library of Medicine (NLM), NIH 3,106,656,351
MedlinePlus.gov MedlinePlus is a service of the National Library of Medicine (NLM), NIH 749,193,194
CDC.gov Centers for Disease Control 660,307,258
Medicare.gov Medicare, CMS 367,543,681
Healthcare.gov Affordable Care Act Health care signup, CMS 287,426,282
FDA.gov Food and Drug Administration 186,863,469
CMS.gov Centers for Medicare and Medicaid Services 159,979,260
nhlbi.nih.gov National Heart, Lung and Blood Institute, NIH 107,060,850
Cancer.gov National Cancer Institute, NIH 80,538,002
DrugAbuse.gov National Institute on Drug Abuse, NIH 66,539,217
Niddk.nih.gov/ National Institute of Diabetes and Digestive and Kidney Diseases, NIH 54,036,334
HHS.gov U.S. Department of Health and Human Services 41,470,153
nimh.nih.gov National Institute of Mental Health 26,899,892
IHS.gov Indian Health Service 23,260,750
oig.hhs.gov HHS Office of the Inspector General 20,688,047
SAMHSA.gov Substance Abuse and Mental Health Administration 17,513,253
womenshealth.gov Office on Women's Health 17,457,143
NIH.gov National Institutes of Health 16,847,390
HealthyPeople.gov HealthyPeople.gov, Office of Disease Prevention and Health Promotion 15,847,245
Medicaid.gov Medicaid, CMS 13,911,664
ACF.HHS.gov Administration for Children and Families 13,704,754
AHRQ.gov Agency for Healthcare Research and Quality 12,852,100

Estimated Modernization Cost and Schedule

Overall, the top priority sites listed above are close to compliance with current understanding of the IDEA requirements. HHS is actively estimating cost and schedule for compliance for the larger landscape of websites across HHS and expects to have a clearer cost and schedule breakdown during FY2020. HHS actively tracks and manages about 1,000 websites.

Content created by Assistant Secretary for Public Affairs (ASPA)
Content last reviewed