Elms (Ulmus spp.) are widely spread in the forest, shelter belts, and urban landscaping. This research aimed to reveal the trends of Ulmus sp. health in Ukraine under biotic damage. The tasks included: (i) analyzing the presence of Ulmus sp. in the forests; (ii) studying the dynamics of Ulmus sp. health for 2001–2015 in the monitoring plots in the frame of the International Cooperative Programme on Assessment and Monitoring of Air Pollution Effects on Forests (ICP-Forests); (iii) assessing the prevalence of the dominant biotic factors affecting elm health and the probability of tree death or recovery. As a result of research, elms were found in 3.58% of the area in the stands with other main forest-forming species in the forests subordinated to the State Specialized Forest Enterprise «Forests of Ukraine». Four elm species are present in the forests of all regions of Ukraine. In the Forest zone, U. minor predominates, U. glabra is more common in the western part of the country, and U. pumila in the southern and eastern regions. In the ICP-Forests monitoring plots for 2001–2015, a trend of elm deterioration in 2007–2012 was found. The highest incidence of trees with disease symptoms was recorded for U. pumila. In the sample plots for 2023–2024, the health of three elm species tended to deteriorate. In 2024, mortality occurred among all elm species with symptoms of Dutch elm disease (DED) and among U. pumila trees with symptoms of wetwood. However, several trees have recovered. The results show the gaps in our knowledge that need to be filled, particularly in identifying resistant individuals and using their progeny to create resistant stands.