Specialized open access digital collections contain a wealth of valuable resources. However, major academic and research libraries do not always provide access to them, and thus do not benefit from these unique resources. This case study of one such digital collection, Bioline International, surveys 76 academic libraries in Canada and the United States to determine how often libraries are linking to the collection. A follow-up questionnaire was sent to librarians at the surveyed institutions to determine their opinions about the use of open access journals. The findings suggest issues of poor adoption rates of open access journals, as well as some reasons why such journals may not be actively adopted.