Amazon has been pushing accessibility hard lately, making Kindle books and Kindle e-readers better suited for people with visual disabilities. It has new Accessibility metadata, including Visual Adjustments, Non-Visual Reading, Conformance, and Navigation. Publishers have been prioritizing the submission of e-books to Amazon that include accessibility features. This is a 3rd non-profit that works with publishers worldwide to integrate accessibility specifications into production workflows and certifies ongoing compliance. Some major publishers submit books that are fully accessible, but this does not necessarily mean they are in an accessible format.