diff --git a/lib/experimental/script-modules.php b/lib/experimental/script-modules.php
index a113df02b9d758..f65bc1704dd890 100644
--- a/lib/experimental/script-modules.php
+++ b/lib/experimental/script-modules.php
@@ -201,6 +201,45 @@ function gutenberg_dequeue_module( $module_identifier ) {
 	wp_script_modules()->dequeue( $module_identifier );
 }
 
+/**
+ * Prints HTML for the a11y Script Module.
+ *
+ * a11y relies on some DOM elements to use as ARIA live regions.
+ * Ideally, these elements are part of the initial HTML of the page
+ * so that accessibility tools can find them and observe updates.
+ */
+function gutenberg_a11y_script_module_html() {
+	$a11y_module_available = false;
+
+	$get_marked_for_enqueue = new ReflectionMethod( 'WP_Script_Modules', 'get_marked_for_enqueue' );
+	$get_marked_for_enqueue->setAccessible( true );
+	$get_import_map = new ReflectionMethod( 'WP_Script_Modules', 'get_import_map' );
+	$get_import_map->setAccessible( true );
+
+	foreach ( array_keys( $get_marked_for_enqueue->invoke( wp_script_modules() ) ) as $id ) {
+		if ( '@wordpress/a11y' === $id ) {
+			$a11y_module_available = true;
+			break;
+		}
+	}
+	if ( ! $a11y_module_available ) {
+		foreach ( array_keys( $get_import_map->invoke( wp_script_modules() )['imports'] ) as $id ) {
+			if ( '@wordpress/a11y' === $id ) {
+				$a11y_module_available = true;
+				break;
+			}
+		}
+	}
+	if ( ! $a11y_module_available ) {
+		return;
+	}
+	echo '<div style="position:absolute;margin:-1px;padding:0;height:1px;width:1px;overflow:hidden;clip-path:inset(50%);border:0;word-wrap:normal !important;">'
+		. '<p id="a11y-speak-intro-text" class="a11y-speak-intro-text" hidden>' . esc_html__( 'Notifications', 'default' ) . '</p>'
+		. '<div id="a11y-speak-assertive" class="a11y-speak-region" aria-live="assertive" aria-relevant="additions text" aria-atomic="true"></div>'
+		. '<div id="a11y-speak-polite" class="a11y-speak-region" aria-live="polite" aria-relevant="additions text" aria-atomic="true"></div>'
+		. '</div>';
+}
+
 /**
  * Registers Gutenberg Script Modules.
  *
@@ -218,12 +257,8 @@ function gutenberg_register_script_modules() {
 		array(),
 		$default_version
 	);
-	add_filter(
-		'script_module_data_@wordpress/a11y',
-		function ( $data ) {
-			$data['i18n'] = array( 'Notifications' => __( 'Notifications', 'default' ) );
-			return $data;
-		}
-	);
+
+	add_action( 'wp_footer', 'gutenberg_a11y_script_module_html' );
+	add_action( 'admin_footer', 'gutenberg_a11y_script_module_html' );
 }
 add_action( 'init', 'gutenberg_register_script_modules' );
diff --git a/packages/a11y/src/index.js b/packages/a11y/src/index.js
index 59e93da780bd81..cdc3be10545155 100644
--- a/packages/a11y/src/index.js
+++ b/packages/a11y/src/index.js
@@ -2,18 +2,37 @@
  * WordPress dependencies
  */
 import domReady from '@wordpress/dom-ready';
-import { __ } from '@wordpress/i18n';
 
 /**
  * Internal dependencies
  */
-import { makeSetupFunction } from './shared/index';
+import addContainer from './script/add-container';
+import addIntroText from './script/add-intro-text';
+
 export { speak } from './shared/index';
 
 /**
  * Create the live regions.
  */
-export const setup = makeSetupFunction( __( 'Notifications' ) );
+export function setup() {
+	const introText = document.getElementById( 'a11y-speak-intro-text' );
+	const containerAssertive = document.getElementById(
+		'a11y-speak-assertive'
+	);
+	const containerPolite = document.getElementById( 'a11y-speak-polite' );
+
+	if ( introText === null ) {
+		addIntroText();
+	}
+
+	if ( containerAssertive === null ) {
+		addContainer( 'assertive' );
+	}
+
+	if ( containerPolite === null ) {
+		addContainer( 'polite' );
+	}
+}
 
 /**
  * Run setup on domReady.
diff --git a/packages/a11y/src/module/index.ts b/packages/a11y/src/module/index.ts
index a2c87f397f4875..a06882f068dd3a 100644
--- a/packages/a11y/src/module/index.ts
+++ b/packages/a11y/src/module/index.ts
@@ -1,25 +1,11 @@
 /**
  * Internal dependencies
  */
-import { makeSetupFunction } from '../shared/index';
 export { speak } from '../shared/index';
 
-// Without an i18n Script Module, "Notifications" (the only localized text used in this module)
-// will be translated on the server and provided as script-module data.
-let notificationsText = 'Notifications';
-try {
-	const textContent = document.getElementById(
-		'wp-script-module-data-@wordpress/a11y'
-	)?.textContent;
-	if ( textContent ) {
-		const parsed = JSON.parse( textContent );
-		notificationsText = parsed?.i18n?.Notifications ?? notificationsText;
-	}
-} catch {}
-
 /**
- * Create the live regions.
+ * This no-op function is exported to provide compatibility with the `wp-a11y` Script.
+ *
+ * Filters should inject the relevant HTML on page load instead of requiring setup.
  */
-export const setup = makeSetupFunction( notificationsText );
-
-setup();
+export const setup = () => {};
diff --git a/packages/a11y/src/shared/add-container.js b/packages/a11y/src/script/add-container.js
similarity index 100%
rename from packages/a11y/src/shared/add-container.js
rename to packages/a11y/src/script/add-container.js
diff --git a/packages/a11y/src/shared/add-intro-text.ts b/packages/a11y/src/script/add-intro-text.ts
similarity index 83%
rename from packages/a11y/src/shared/add-intro-text.ts
rename to packages/a11y/src/script/add-intro-text.ts
index 6bd97c887664d3..2bcf453ec44c8e 100644
--- a/packages/a11y/src/shared/add-intro-text.ts
+++ b/packages/a11y/src/script/add-intro-text.ts
@@ -1,18 +1,22 @@
+/**
+ * WordPress dependencies
+ */
+import { __ } from '@wordpress/i18n';
+
 /**
  * Build the explanatory text to be placed before the aria live regions.
  *
  * This text is initially hidden from assistive technologies by using a `hidden`
  * HTML attribute which is then removed once a message fills the aria-live regions.
  *
- * @param {string} introTextContent The translated intro text content.
  * @return {HTMLParagraphElement} The explanatory text HTML element.
  */
-export default function addIntroText( introTextContent: string ) {
+export default function addIntroText() {
 	const introText = document.createElement( 'p' );
 
 	introText.id = 'a11y-speak-intro-text';
 	introText.className = 'a11y-speak-intro-text';
-	introText.textContent = introTextContent;
+	introText.textContent = __( 'Notifications' );
 
 	introText.setAttribute(
 		'style',
diff --git a/packages/a11y/src/shared/test/add-container.test.js b/packages/a11y/src/script/test/add-container.test.js
similarity index 100%
rename from packages/a11y/src/shared/test/add-container.test.js
rename to packages/a11y/src/script/test/add-container.test.js
diff --git a/packages/a11y/src/shared/index.js b/packages/a11y/src/shared/index.js
index a05f891f428561..2b6353720d0add 100644
--- a/packages/a11y/src/shared/index.js
+++ b/packages/a11y/src/shared/index.js
@@ -1,37 +1,9 @@
 /**
  * Internal dependencies
  */
-import addContainer from './add-container';
-import addIntroText from './add-intro-text';
 import clear from './clear';
 import filterMessage from './filter-message';
 
-/**
- * Create the live regions.
- * @param {string} introTextContent The intro text content.
- */
-export function makeSetupFunction( introTextContent ) {
-	return function setup() {
-		const introText = document.getElementById( 'a11y-speak-intro-text' );
-		const containerAssertive = document.getElementById(
-			'a11y-speak-assertive'
-		);
-		const containerPolite = document.getElementById( 'a11y-speak-polite' );
-
-		if ( introText === null ) {
-			addIntroText( introTextContent );
-		}
-
-		if ( containerAssertive === null ) {
-			addContainer( 'assertive' );
-		}
-
-		if ( containerPolite === null ) {
-			addContainer( 'polite' );
-		}
-	};
-}
-
 /**
  * Allows you to easily announce dynamic interface updates to screen readers using ARIA live regions.
  * This module is inspired by the `speak` function in `wp-a11y.js`.