The obverse of the medal features a portrait of George Bush with the White House in the background. The inscription "GEORGE BUSH" centered along the top left border of the medal. The reverse of the medal features the Presidential Seal, flanked by draped, burning torches of liberty. The inscription "OUR TIME IS A TIME OF HISTORIC CHANGE, WHEN MEN AND NATIONS CAN TRANSFORM HISTORY" is centered at the top of the medal. The inscription "INAUGURATED JANUARY 20, 1989" is centered along the lower border of the medal.