Rising rates in publishing combined with flat funding can make it challenging to maintain the library's collection within an academic library. Add in university-wide funding reductions, and libraries must further reduce expenditures to balance the budget. This article will present a case study on the steps and initiatives deployed at the William E. Laupus Health Sciences Library to address impacts to the library's collection budget for fiscal year 2020. Issues covered will focus on the decision-making process, working with vendors, and communicating with library stakeholders.