I don't see any support for tagged PDF output. That's important for accessibility, particularly for screen reader users.
If they understand the same thing with tagged PDF as what is being discussed in this thread, that page says that "Add new APIs to add attributes to document structure node when creating a tagged PDF.", which could be a milestone as old as of 2020 [0]
[0] https://skia.org/docs/user/release/release_notes/#milestone-...
https://github.com/edragoev1/pdfjet
so do the Java, Swift and Go versions.
While the docs are somewhat sparse, Example_45 shows how to create PDF/UA compliant PDF.