I read this yesterday wanted to raise awareness for it - https://nocoffei.com/?p=451
It describes the regression in accessibility software for Linux from x11 to Wayland. Unfortunately, judging by the pace of protocols being accepted, I think we're years out from having a solution.
The most notable thing not working is Talon, which is a voice input system that lets you insert speech to text, manipulate windows, call scripts, etc, all via voice. It's software that works on Windows, MacOS, and x11, but not Wayland.
I think unfortunately right now the best bet is to, if you need the software, stick with X11 for as long as possible. An environment like i3 will probably be maintained for decades to come. Alternatively it might make sense to build some type of bespoke solution on top of a specific wayland stack, like re implementing what you get of talon in a kde plugin or via sway IPC. This seems viable to me but an incredible amount of work.
For people that need this, having to be a developer and build your own tooling in order to use your computer... it's not a future of Linux I'm particularly excited about. I don't want to leave people who need accessibility software behind, and I don't think any security justifications are actually real roadblocks which would prevent being able to serve these people. We have a coordination problem. It's less of a technical issue and more of an issue of getting people to agree on protocols which would let software like Talon work against the entire ecosystem.
I am happy the ecosystem is moving to Wayland, I think we're going end up in a better place. Wayland does solve some real problems for me (x11 screen tearing / frame pacing issues on Nvidia). I'm happy that KDE exists, it's great software.