While Elizabeth is in Libya to help negotiate an end to their civil war, a tragic accident with her chauffeured car embroils her in an urgent situation to secure medical care for a gravely wounded local girl.

Secretary of State McCord and her staff work with the Mexican government to extradite a Mexican cartel leader to a U.S. prison in an effort to diminish the opioid crisis. But after he escapes during transport and a journalist who secured a gloating interview with him while on the lam is murdered, Elizabeth’s urgency to find the leader escalates.

When Vice President Hurst feels threatened that Secretary of State McCord is vying to be the next president, she attempts to set Elizabeth up for failure by promising that Americans will continue to be able to adopt Russian orphans, despite the potential ban by Russia’s president. Also, Elizabeth and Henry find out Stevie is dating Dmitri after he is followed by a Russian assassin.