The bill establishes a commission, appointed by Congress, to determine the President’s capacity to fulfill their duties due to physical or mental impairment. The commission consists of 17 members, including high-ranking executive branch officers from both parties and physicians. The commission will conduct a medical examination if directed by Congress, and if the President refuses, it will be taken into consideration. A report will be submitted to Congress, including the findings and the declaration of the President's ability to fulfill their duties. The bill additionally outlines the procedures, special rules, and timing for the examination and report submission.