of the obria medical clinic in ames, iowa, a fully licensed community care clinic. it provides professional medical services including consultations, well women care, pregnancy testing, ultrasound, health education referrals. obria employs board-certified ob/gyn physicians, registered nurses, nurse practitioners, medical assistance and support staff. ms. call holds a bachelors degree in nursing at -- from university of kansas here i'm also pleased to welcome mr. schumer: mr. president. the presiding officer: the majority leader. mr. schumer: now, mr. president, negotiators in both chambers continue working to ensure the government will not shut down at the end of the week. we continue to make very good progress on an agreement, and we are very close to getting it done. i met yesterday with president biden, with speaker johnson, with leader mcconnell, and leader jeffries -- speaker jeffries. we all agree, a shutdown is a loser for the american people. in a shutdown, costs go up, safety would go down, and the american people would pay the price. i'm hopeful that the four leaders can reach this agreement very soon so we can not only avoid a shutdown on friday, but get closer to finishing the appropriations process altogether. if our house republican collea