I started adapting the example from here: https://github.com/JetBrains/compose-jb/tree/master/tutorials/Accessibility and modified it a little bit to go more in the direction of how we try to do things in the settings details.

I think this example highlights some of the things that seem to be broken:

When I start this, and while the window is focussed, enable VoiceOver, the first row is focussed, i.e. I see a black frame around "Some label: Click Me!" and VoiceOver speaks:

• "VoiceOver on java, Accessible Buttons, window Some label:", "Click to increment value, You are currently on a text element."

I can then navigate in between the two rows using "Tab".

Focusing the first line makes VoiceOver speak this:

• "Click Me!, button"; "foo, You are currently on a button. To click this button, press Control-Option-Space"

Focusing the second line makes VoiceOver speak this:

• "Click Me!, button"; "You are currently on a button, group. To click this button, press Control-Option-Space"

Some things to note:

• While the two rows are defined in the exact same way (just a different label), VoiceOver puts together a different overall message.
• The initial focus of the first line produces a different output than subsequent occurrences of it getting focused using Tab-navigation.

I think usually you are supposed to navigate between different parts of the screen with CTRL+ALT+Arrow keys when using VoiceOver. In that case, it reads to me:

• "Another label:" (short pause) "Click to increment value, Du bist jetzt auf: Textelement"

Not really sure what to do about all this :P