This document discusses considerations for librarians assisting patrons with implementation of the Affordable Care Act. It emphasizes the importance of protecting patron privacy, having difficult yet tactful conversations, and knowing where to draw the line in terms of advice. Librarians should familiarize themselves with ACA resources, maintain patron confidentiality, and approach questions with common sense, discretion and sensitivity. The goal is to provide authoritative information to patrons while observing ethical standards of privacy and neutrality.