The glow of the Middle East peace deal begins to fade once the hard reality of implementing change begins. Josh becomes involved in the Patient's Bill of Rights, which is becoming a political football as the Vice President and Congressman Santos both try to out-maneuver each other and the Republicans. C.J. continues to be unimpressed with Toby's performance as press secretary when he gets into a difficult position during a briefing. While working to recover from his heart attack, Leo receives a job offer from the corporate world.