Universities from elite to mid‑tier campuses have admitted significantly more students with disabilities over the last decade, driven largely by increases in ADHD and anxiety diagnoses. Institutions report growing demand on disability services, which must scale accommodations, counseling and academic adjustments to meet legal obligations and student needs. The trend has budgetary and staffing implications for academic support units, disability access offices and faculty workload, as colleges reassess case management, assistive technologies and classroom accessibility. Administrators are weighing expanded hiring and cross‑campus coordination to avoid service bottlenecks while maintaining compliance with federal disability law.