As part of their role in overseeing the statewide adolescent health survey (Oregon Healthy Teens [OHT] survey), PDES staff led efforts to gather more complete information about the gender identity of Oregon youth. The process began in 2016. Based on input from youth, PDES and the survey’s advisory committee began exploring the feasibility of including more expansive gender questions on the survey. They partnered with universities, community organizations, and members of the LGBTQ communities to select measures about gender identity and expression. That work led to a major change: in 2017, Oregon became one of the first states in the nation to adopt a comprehensive and inclusive measure of gender identity and expression in its youth survey to ensure that every youth has the opportunity to have their identities counted.