Interest in and use of technology-enhanced items has increased over the past decade. Given the additional time required to administer many technology-enhanced items and the increased expense required to develop them, it is important for testing programs to consider the utility of technology-enhanced items. The Technology-Enhanced Item Utility Framework presented in this paper identifies three characteristics of a technology-enhanced item that may affect its measurement utility. These include: a) the fidelity with which the response interaction space employed by a technology-enhanced item reflects the targeted construct; b) the usability of the interaction space; and c) the accessibility of the interaction space for students who are blind, have low vision, and/or have fine or gross motor skill needs. The framework was developed to assist testing programs and test developers in thinking critically about when the use of a technology-enhanced item is warranted from a measurement utility perspective.