Winter snowfall and accumulation is an important component of the surface water supply in the western United States. In these areas, increasing winter temperatures T associated with global warming can influence the amount of winter precipitation P that falls as snow S. In this study we examine long-term trends in the fraction of winter P that falls as S (Sfrac) for 175 hydrologic units (HUs) in snow-covered areas of the western United States for the period 1951–2014. Because S is a substantial contributor to runoff R across most of the western United States, we also examine long-term trends in water-year runoff efficiency [computed as water-year R/water-year P (Reff)] for the same 175 HUs. In that most S records are short in length, we use model-simulated S and R from a monthly water balance model. Results for Sfrac indicate long-term negative trends for most of the 175 HUs, with negative trends for 139 (~79%) of the HUs being statistically significant at a 95% confidence level (p = 0.05). Additionally, results indicate that the long-term negative trends in Sfrac have been largely driven by increases in T. In contrast, time series of Reff for the 175 HUs indicate a mix of positive and negative long-term trends, with few trends being statistically significant (at p = 0.05). Although there has been a notable shift in the timing of R to earlier in the year for most HUs, there have not been substantial decreases in water-year R for the 175 HUs.