As pollinators, hummingbirds play a critical role for both the function of ecological communities and in providing ecosystem services for people. Throughout North America, this diverse family of birds is experiencing impacts of transformations to their habitat. To examine the conservation status of North American hummingbirds, we analyzed Breeding Bird Survey data for 8 species and 3 genera from 1970 to 2019 (long-term) and from 2009 to 2019 (short-term, approximately three generations). Among the Selasphorus genus, Allen’s, rufous, and broad-tailed hummingbirds have declined since 1970, and the rate of decline increased from 2009 to 2019. In a reversal of the trends from the past half-century, ruby-throated hummingbirds of Eastern North America have declined since approximately 2004 throughout most of the species range. In contrast, Anna’s hummingbird populations have increased dramatically since 1970 in their range in western North America. This increase is most exaggerated in Canada, related to a northern range expansion. Our results highlight contrasting population trends across species and provide an important first step to address declines, most notably among species in the Selasphorus and Archilochus genera. Our geographic modelling also emphasizes the need to prioritize regions of conservation interest in the breeding and wintering ranges of hummingbirds.