Recent data show a decrease in the number of participants in the state-funded Oregon Reproductive Health (RH) Program, including a decrease in participation among Latinx Oregonians. This has happened in spite of provisions made by the Oregon legislature to expand Oregon RH Program services at no additional cost to many Latinx Oregonians through the Reproductive Health Equity Act (RHEA). In partnership with Multnomah County Health Department (MCHD) and Oregon Health Authority (OHA) this needs assessment gathered qualitative data from community partners who work with Latinx Oregonian community members to explore reasons why Oregon RH Program is underutilized and what methods MCHD can do to expand usage. Results show that birth control options, STI care and cervical cytology testing are of most interest to the Latinx community and that outreach and bilingual/bicultural services were most important to improve access. Further qualitative research with Latinx community members who are eligible for RH services are suggested to validate these results and guide program planning.