KEY POINTS

  • President Trump has been given two experimental treatments and a powerful steroid to treat COVID-19
  • Pelosi questioned Trump's recent behavior, saying he appears to be in an "altered state"
  • Trump responded, calling Pelosi crazy

Democratic lawmakers say they are concerned about President Donald Trump’s mental state following treatment for COVID-19 and introduced legislation Friday to create a commission to determine if the president is fit for office under the 25th Amendment to the U.S. Constitution.

The discussion comes just 24 days before the Nov.3 election.

Rep. Jamie Raskin, D-Md., said there never has been a good time to set up the commission but the current situation has focused everyone’s attention.

House Speaker Nancy Pelosi denied this is just another attempt by Democrats to go around the voting process.

"This is not about President Trump. He will face the judgment of voters. But he shows the need to create a process for future presidents," Pelosi said.

The 25th Amendment was ratified in 1967 to clarify the process, and though it calls for such a commission, one never was set up.

Historically, the practice has been for the vice president to succeed to the nation’s highest office, if the president was out of the picture.

George H.W. Bush became acting president in July 1985 while Ronald Reagan underwent a colonoscopy, but not when Reagan was shot in 1981. Richard Cheney became acting president in June 2002 and July 2007 while George W. Bush underwent colonoscopies. In all three cases, the president sent letters to the speaker of the House and president pro tem of the Senate, making the appointments. Subsequent letters then were submitted rescinding the appointments.

The last time a vice president succeeded to the presidency due to the death of a president was 1963 when Lyndon Johnson became president after John F. Kennedy was assassinated.

If the vice president and majority of the president’s cabinet determine the president is unable to perform the duties of office, they can issue a declaration and transfer power to the vice president.

Pelosi Thursday said the president appears to be “in an altered state right now,” citing the powerful steroid dexamethasone he was prescribed to treat COVID-19. The steroid is known for causing aggression, irritability and interference with thought processes. She also mentioned Trump bragging about the medications he was given, all of which still are undergoing evaluation.

Trump responded by calling Pelosi crazy.

Pelosi cited Trump’s tweet Tuesday ordering an end to stimulus negotiations while Senate Majority Leader Mitch McConnell admitted he had stopped going to the White House in August because he was dissatisfied with the precautions being taken against spread of the coronavirus.

This is not the first time invoking the 25th Amendment has come up during Trump’s presidency. The New York Times reported former Deputy Attorney General Rod Rosenstein suggested it two years ago during the investigation into Russian interference in the 2016 election.

The order of succession is laid out by the Presidential Succession Act of 1947: vice president, speaker of the House, president pro tem of the Senate and then the Cabinet officers, with the Secretary of State leading the list.