diff --git a/src/CONST/index.ts b/src/CONST/index.ts
index 08b1b94e0da68..c6455c4b54e58 100755
--- a/src/CONST/index.ts
+++ b/src/CONST/index.ts
@@ -8110,6 +8110,12 @@ const CONST = {
         LHN: {
             OPTION_ROW: 'LHN-OptionRow',
         },
+        SELECTION_LIST: {
+            BASE_LIST_ITEM: 'SelectionList-BaseListItem',
+        },
+        SELECTION_LIST_WITH_SECTIONS: {
+            BASE_LIST_ITEM: 'SelectionListWithSections-BaseListItem',
+        },
         CONTEXT_MENU: {
             REPLY_IN_THREAD: 'ContextMenu-ReplyInThread',
             MARK_AS_UNREAD: 'ContextMenu-MarkAsUnread',
diff --git a/src/components/SelectionList/ListItem/BaseListItem.tsx b/src/components/SelectionList/ListItem/BaseListItem.tsx
index a41a9b93c161b..771aa0b8442d9 100644
--- a/src/components/SelectionList/ListItem/BaseListItem.tsx
+++ b/src/components/SelectionList/ListItem/BaseListItem.tsx
@@ -47,6 +47,7 @@ function BaseListItem<TItem extends ListItem>({
     shouldDisableHoverStyle,
     shouldStopMouseLeavePropagation = true,
     shouldShowRightCaret = false,
+    accessibilityRole = getButtonRole(true),
 }: BaseListItemProps<TItem>) {
     const theme = useTheme();
     const styles = useThemeStyles();
@@ -85,6 +86,9 @@ function BaseListItem<TItem extends ListItem>({
 
     const shouldShowHiddenCheckmark = shouldShowRBRIndicator && !shouldShowCheckmark;
 
+    const accessibilityState =
+        accessibilityRole === CONST.ROLE.CHECKBOX || accessibilityRole === CONST.ROLE.RADIO ? {checked: !!item.isSelected, selected: !!isFocused} : {selected: !!isFocused};
+
     return (
         <OfflineWithFeedback
             onClose={() => onDismissError(item)}
@@ -94,6 +98,7 @@ function BaseListItem<TItem extends ListItem>({
             contentContainerStyle={containerStyle}
         >
             <PressableWithFeedback
+                sentryLabel={CONST.SENTRY_LABEL.SELECTION_LIST.BASE_LIST_ITEM}
                 // eslint-disable-next-line react/jsx-props-no-spreading
                 {...bind}
                 ref={pressableRef}
@@ -113,7 +118,8 @@ function BaseListItem<TItem extends ListItem>({
                 disabled={isDisabled && !item.isSelected}
                 interactive={item.isInteractive}
                 accessibilityLabel={item.accessibilityLabel ?? [item.text, item.text !== item.alternateText ? item.alternateText : undefined].filter(Boolean).join(', ')}
-                role={getButtonRole(true)}
+                role={accessibilityRole}
+                accessibilityState={accessibilityState}
                 isNested
                 hoverDimmingValue={1}
                 pressDimmingValue={item.isInteractive === false ? 1 : variables.pressDimValue}
diff --git a/src/components/SelectionList/ListItem/MultiSelectListItem.tsx b/src/components/SelectionList/ListItem/MultiSelectListItem.tsx
index 960edc9e37cd4..10bf72dab7d0e 100644
--- a/src/components/SelectionList/ListItem/MultiSelectListItem.tsx
+++ b/src/components/SelectionList/ListItem/MultiSelectListItem.tsx
@@ -77,6 +77,7 @@ function MultiSelectListItem<TItem extends ListItem>({
             isDisabled={isDisabled}
             rightHandSideComponent={checkboxComponent}
             onSelectRow={onSelectRow}
+            accessibilityRole={CONST.ROLE.CHECKBOX}
             onDismissError={onDismissError}
             shouldPreventEnterKeySubmit={shouldPreventEnterKeySubmit}
             isMultilineSupported={isMultilineSupported}
diff --git a/src/components/SelectionList/ListItem/RadioListItem.tsx b/src/components/SelectionList/ListItem/RadioListItem.tsx
index e1a340e3d81d8..021c45e4e5dee 100644
--- a/src/components/SelectionList/ListItem/RadioListItem.tsx
+++ b/src/components/SelectionList/ListItem/RadioListItem.tsx
@@ -26,6 +26,7 @@ function RadioListItem<TItem extends ListItem>({
     shouldHighlightSelectedItem = true,
     shouldDisableHoverStyle,
     shouldStopMouseLeavePropagation,
+    accessibilityRole,
 }: RadioListItemProps<TItem>) {
     const styles = useThemeStyles();
     const fullTitle = isMultilineSupported ? item.text?.trimStart() : item.text;
@@ -51,6 +52,7 @@ function RadioListItem<TItem extends ListItem>({
             shouldHighlightSelectedItem={shouldHighlightSelectedItem}
             shouldDisableHoverStyle={shouldDisableHoverStyle}
             shouldStopMouseLeavePropagation={shouldStopMouseLeavePropagation}
+            accessibilityRole={accessibilityRole}
         >
             <>
                 {!!item.leftElement && item.leftElement}
diff --git a/src/components/SelectionList/ListItem/types.ts b/src/components/SelectionList/ListItem/types.ts
index 8301690764467..da7a08101efd2 100644
--- a/src/components/SelectionList/ListItem/types.ts
+++ b/src/components/SelectionList/ListItem/types.ts
@@ -1,5 +1,5 @@
 import type {ReactElement, ReactNode} from 'react';
-import type {AccessibilityState, BlurEvent, NativeSyntheticEvent, StyleProp, TargetedEvent, TextStyle, ViewStyle} from 'react-native';
+import type {AccessibilityState, BlurEvent, NativeSyntheticEvent, Role, StyleProp, TargetedEvent, TextStyle, ViewStyle} from 'react-native';
 import type {AnimatedStyle} from 'react-native-reanimated';
 import type {ValueOf} from 'type-fest';
 import type {ForwardedFSClassProps} from '@libs/Fullstory/types';
@@ -195,6 +195,9 @@ type CommonListItemProps<TItem extends ListItem> = {
     /** Accessibility State tells a person using either VoiceOver on iOS or TalkBack on Android the state of the element currently focused on */
     accessibilityState?: AccessibilityState;
 
+    /** Accessibility role for the list item (e.g. 'checkbox' for multi-select options so screen readers announce checked state) */
+    accessibilityRole?: Role;
+
     /** Whether to show the right caret icon */
     shouldShowRightCaret?: boolean;
 } & TRightHandSideComponent<TItem>;
diff --git a/src/components/SelectionListWithSections/BaseListItem.tsx b/src/components/SelectionListWithSections/BaseListItem.tsx
index efd068359c06a..80d1b5a95ed22 100644
--- a/src/components/SelectionListWithSections/BaseListItem.tsx
+++ b/src/components/SelectionListWithSections/BaseListItem.tsx
@@ -48,6 +48,7 @@ function BaseListItem<TItem extends ListItem>({
     shouldHighlightSelectedItem = true,
     shouldDisableHoverStyle,
     shouldStopMouseLeavePropagation = true,
+    accessibilityRole = getButtonRole(true),
 }: BaseListItemProps<TItem>) {
     const icons = useMemoizedLazyExpensifyIcons(['ArrowRight']);
     const theme = useTheme();
@@ -83,6 +84,9 @@ function BaseListItem<TItem extends ListItem>({
     const defaultAccessibilityLabel = item.text === item.alternateText ? (item.text ?? '') : [item.text, item.alternateText].filter(Boolean).join(', ');
     const accessibilityLabel = item.accessibilityLabel ?? defaultAccessibilityLabel;
 
+    const accessibilityState =
+        accessibilityRole === CONST.ROLE.CHECKBOX || accessibilityRole === CONST.ROLE.RADIO ? {checked: !!item.isSelected, selected: !!isFocused} : {selected: !!isFocused};
+
     return (
         <OfflineWithFeedback
             onClose={() => onDismissError(item)}
@@ -92,6 +96,7 @@ function BaseListItem<TItem extends ListItem>({
             contentContainerStyle={containerStyle}
         >
             <PressableWithFeedback
+                sentryLabel={CONST.SENTRY_LABEL.SELECTION_LIST_WITH_SECTIONS.BASE_LIST_ITEM}
                 // eslint-disable-next-line react/jsx-props-no-spreading
                 {...bind}
                 ref={pressableRef}
@@ -111,7 +116,8 @@ function BaseListItem<TItem extends ListItem>({
                 disabled={isDisabled && !item.isSelected}
                 interactive={item.isInteractive}
                 accessibilityLabel={accessibilityLabel}
-                role={getButtonRole(true)}
+                accessibilityState={accessibilityState}
+                role={accessibilityRole}
                 isNested
                 hoverDimmingValue={1}
                 pressDimmingValue={item.isInteractive === false ? 1 : variables.pressDimValue}
diff --git a/src/components/SelectionListWithSections/RadioListItem.tsx b/src/components/SelectionListWithSections/RadioListItem.tsx
index e1a340e3d81d8..021c45e4e5dee 100644
--- a/src/components/SelectionListWithSections/RadioListItem.tsx
+++ b/src/components/SelectionListWithSections/RadioListItem.tsx
@@ -26,6 +26,7 @@ function RadioListItem<TItem extends ListItem>({
     shouldHighlightSelectedItem = true,
     shouldDisableHoverStyle,
     shouldStopMouseLeavePropagation,
+    accessibilityRole,
 }: RadioListItemProps<TItem>) {
     const styles = useThemeStyles();
     const fullTitle = isMultilineSupported ? item.text?.trimStart() : item.text;
@@ -51,6 +52,7 @@ function RadioListItem<TItem extends ListItem>({
             shouldHighlightSelectedItem={shouldHighlightSelectedItem}
             shouldDisableHoverStyle={shouldDisableHoverStyle}
             shouldStopMouseLeavePropagation={shouldStopMouseLeavePropagation}
+            accessibilityRole={accessibilityRole}
         >
             <>
                 {!!item.leftElement && item.leftElement}
diff --git a/src/components/SelectionListWithSections/SingleSelectListItem.tsx b/src/components/SelectionListWithSections/SingleSelectListItem.tsx
index f380fe9648d87..ec36edad11e0f 100644
--- a/src/components/SelectionListWithSections/SingleSelectListItem.tsx
+++ b/src/components/SelectionListWithSections/SingleSelectListItem.tsx
@@ -1,6 +1,7 @@
 import React, {useCallback} from 'react';
 import Checkbox from '@components/Checkbox';
 import useThemeStyles from '@hooks/useThemeStyles';
+import CONST from '@src/CONST';
 import RadioListItem from './RadioListItem';
 import type {ListItem, SingleSelectListItemProps} from './types';
 
@@ -48,6 +49,7 @@ function SingleSelectListItem<TItem extends ListItem>({
             isDisabled={isDisabled}
             rightHandSideComponent={radioCheckboxComponent}
             onSelectRow={onSelectRow}
+            accessibilityRole={CONST.ROLE.RADIO}
             onDismissError={onDismissError}
             shouldPreventEnterKeySubmit={shouldPreventEnterKeySubmit}
             isMultilineSupported={isMultilineSupported}
diff --git a/src/components/SelectionListWithSections/types.ts b/src/components/SelectionListWithSections/types.ts
index 7badcd137a8c7..67375fa310acf 100644
--- a/src/components/SelectionListWithSections/types.ts
+++ b/src/components/SelectionListWithSections/types.ts
@@ -6,6 +6,7 @@ import type {
     LayoutChangeEvent,
     NativeScrollEvent,
     NativeSyntheticEvent,
+    Role,
     ScrollViewProps,
     SectionListData,
     StyleProp,
@@ -123,6 +124,9 @@ type CommonListItemProps<TItem extends ListItem> = {
 
     /** Whether to call stopPropagation on the mouseleave event in BaseListItem */
     shouldStopMouseLeavePropagation?: boolean;
+
+    /** Accessibility role for the list item (e.g. 'checkbox' for multi-select options so screen readers announce checked state) */
+    accessibilityRole?: Role;
 } & TRightHandSideComponent<TItem>;
 
 type ListItemFocusEventHandler = (event: NativeSyntheticEvent<ExtendedTargetedEvent>) => void;
diff --git a/src/components/TabSelector/TabSelectorItem.tsx b/src/components/TabSelector/TabSelectorItem.tsx
index 55961c9e1ac8f..8373b1380d8bd 100644
--- a/src/components/TabSelector/TabSelectorItem.tsx
+++ b/src/components/TabSelector/TabSelectorItem.tsx
@@ -118,12 +118,13 @@ function TabSelectorItem({
         <AnimatedPressableWithFeedback
             accessibilityLabel={title}
             accessibilityState={accessibilityState}
+            accessibilityRole={CONST.ROLE.TAB}
             style={[styles.tabSelectorButton, styles.tabBackground(isHovered, isActive, backgroundColor), styles.userSelectNone]}
             wrapperStyle={[equalWidth ? styles.flex1 : styles.flexGrow1]}
             onPress={onPress}
             onHoverIn={() => setIsHovered(true)}
             onHoverOut={() => setIsHovered(false)}
-            role={CONST.ROLE.BUTTON}
+            role={CONST.ROLE.TAB}
             dataSet={{[CONST.SELECTION_SCRAPER_HIDDEN_ELEMENT]: true}}
             testID={testID}
             ref={childRef}