Digital accessibility has risen to number 6 on the 2026 State CIO Top 10 Priorities, reflecting how state technology leaders are embedding accessibility into enterprise IT governance. This publication highlights how partnerships between state CIOs and IT accessibility officers can strengthen accessibility policy across varying state IT operating structures. From decentralized to fully unified models, the report examines how governance, authority and organizational design influence the development and implementation of effective accessibility strategies. By aligning accessibility with related priorities such as privacy, cybersecurity, procurement and artificial intelligence, the paper underscores accessibility as a foundational element of modern state digital services—not a standalone requirement.