This report presents the findings of a study aimed to address the gap between policy and practice for speech-language pathologists (SLPs) who serve students identified with a speech-language impairment, including other co-existing disabilities. The following research questions were addressed: (1) What factors influence how SLPs make accessibility and accommodations decisions for students with disabilities, including English learners with disabilities? (2) How do SLPs participate in the IEP team classroom and assessment accessibility and accommodations decision-making process for students with disabilities, including English learners with disabilities? And (3) Do SLPs have professional development needs about accessibility and accommodations?