Inside CV340B Ten Years Later: The Power of Building Community

As part of CV340B’s 10 Stories for 10 Years of CV340B series, we’re hearing directly from the people guiding the organization into its next decade.

Rhiannon Marshall Klein has been with Community Voices for 340B since the beginning, helping build it into a unified national voice for the 340B community. Grace Shults joined the team one year ago and works alongside providers and partners every day to strengthen their advocacy for the program.

Together, their perspectives reflect how CV340B has grown and where it is headed.

Rhiannon Marshall Klein, CV340B Executive Director

CV340B was created to ensure the 340B community had a coordinated, strategic voice. At the time, providers and stakeholders were responding to challenges individually. What was missing was a uniting voice defending 340B from the increasingly aggressive actions of multinational drug companies.

Over the last decade, pharmaceutical manufacturers have refined their approach to challenging the program. The tactics have shifted. The messaging has been repackaged. But the core misinformation has remained the same.

Rhiannon’s focus has been on building an organization where every stakeholder has a place to call their advocacy home. CV340B brings together hospitals, clinics, advocates, and partners into a coordinated defense rather than a fragmented response. 

That coordination now spans digital engagement, in-person advocacy, data-driven messaging, state-level contract pharmacy defense, and the 340B Litigation Defense Fund. The strategy is consistent: go where the community needs support most and strengthen its collective position.

For Rhiannon, the future of CV340B depends on unity. A connected stakeholder community is not only more resilient. It is more effective.

Grace Shults, Advocacy Associate

Grace’s work focuses on helping advocates translate strategy into clear, confident communication.

She encourages providers and partners to focus on clarity and the audience. Effective advocacy begins with explaining what the 340B program is, why it does not cost taxpayers money, and how savings are reinvested locally to strengthen access to care in your community.

For Grace, storytelling is central. 340B savings support medication access, transportation assistance, food support, and other services that directly affect patients. When advocates connect those outcomes to real people in their communities, the program becomes tangible.

She has also seen how much stronger advocacy becomes when it is coordinated. What feels daunting alone becomes manageable within a network. CV340B equips advocates with tailored messaging, practical tools, and strategic guidance so they can show up prepared and aligned with others across the country.

In her first year, Grace has witnessed how shared infrastructure builds confidence and lowers barriers to engagement. Clear messaging and collective action make the defense of 340B both accessible and sustainable.

Looking Ahead & How You Can Help

Ten years in, CV340B continues to focus on what has always mattered most: coordination, clarity, and collective strength.

Leadership sets the direction. Advocacy brings it to life. Together, they ensure the 340B community is prepared for the work ahead.

If this story resonates with you, we invite you to stand with us to defend the 340B program and help ensure communities across the country have access to essential healthcare. 

Here are ways you can take action and make a difference: