[hirako2000]

Some non apple apps get access to accessibility APIs. What gives?

This API is sensitive. I imagine Apple is particularly stringent as to how the access is justified. Not how it uses it but how the reason for using it is explained.

It's not like someone tests the app and all api calls to deem them reasonable or not.

[taormina]

They do literally pay people to do that. Then one of those people chose to reject this anyway.