The ADA requires that title II entities (State and local governments) and title III entities (businesses and nonprofit organizations that serve the public) communicate effectively with people who have communication disabilities. The goal is to ensure that communication with people with these disabilities is equally effective as communication with people without disabilities.

This past September marked the first time a judge ruled that the ADA applies even to businesses without a physical location. Scribd, an e-book subscription service is considered to provide "a place of public accommodation." Their services are not accessible to blind persons because they cannot be read with a screen reader. The judge reasoned, "Now that the Internet plays such a critical role in the personal and professional lives of Americans, excluding disabled persons from access to covered entities that use it as their principal means of reaching the public would defeat the purpose of this important civil rights legislation."

The guidelines are broken down by four main principles: perceivable, operable, understandable, and robust. Under each principle, there are guidelines that provide specific goals a website should work toward. Under each guideline, there are testable success criteria. Those criteria are graded A, AA, or AAA. This grade shows the level of conformity to accessibility, AAA being the highest. The law only requires A and AA guidelines to be met.