This panel explores the development of tactile graphics in support of accessible adaptive assessments for students who are blind or low vision. Experts will discuss the design process, integration with digital platforms, and the use of embossers and digital tactile displays to enhance learning while provide valuable insight for instructors in real time. The session highlights cross-organizational collaboration, challenges in aligning tactile content with standards, integrating tactile technology, and strategies for building scalable, sustainable libraries of test items. Attendees will gain practical insights into accessibility innovation and the future of tactile tools in education.