Immigration policies shape access to services and are linked to immigrant family health. Due to the growth of immigrant families, a shift to local solutions advancing equitable access to services is needed to improve immigrant health. Informed by qualitative data collected from 23 key stakeholders of organizational and government organizations, this study examines community responses to the needs of immigrant families along the US–Mexico border during COVID-19. Participants described two overarching themes: (1) multiple challenges worsened by COVID-19 and (2) innovative strategies responding to increased services needed among immigrant families. Results advance COVID-19 response strategies: (1) community organizing and empowerment, (2) immigrant inclusion in community agency practices, (3) development of community partnerships centered on immigrants, and (4) benefits of local sanctuary policies. Findings suggest local-level solutions, inclusive of immigrant community voices, can mitigate structural barriers and ensure equitable access to services addressing the health and social needs of immigrant families.