In order for people with disabilities to be able to use this text - the text must be "programmatically determinable." This means that the text must be able to be read and used by the assistive technologies (and the accessibility features in browsers) that people with disabilities use.
It must also be possible for people using assistive technologies to find these text alternatives when they encounter non-text content that they cannot use. To accomplish this, we say that the text must be "programmatically associated" with the non-text content. This means that the user must be able to use their assistive technology to find the alternative text (that they can use) when they land on the non-text content (that they can't use).