Question 41. Was the directory cognitively accessible to people with brain injuries and available in alternative formats? The 2023 report raises a concern, not a finding. People served: Choice must be meaningful and accessible; a hidden or unusable directory may require regulatory and disability-access review. David Medeiros: Requests, complaints, and public-record activity may be protected, but retaliation and access each use different legal tests. ABI Resources: Directory inclusion may involve program or contract rules, not an automatic constitutional entitlement to business. Constitutional claims need state action; beneficiary choice does not guarantee ABI referrals or a contract. Classify the issue before choosing a remedy. Preserve directory versions, change logs, eligibility rules, access tests, notices, and provider lists actually shown. Apply Constitution, statute, regulation, contract, then record.