What can the President do with a bill that is sent to him?

The President's options when a bill is sent for his approval primarily include signing it into law or vetoing it. If the President chooses to sign the bill, it becomes law and is implemented as such. A veto, on the other hand, prevents the bill from becoming law unless Congress overrides the veto with a two-thirds majority vote in both houses.

The option to ignore a bill indefinitely is not a formal action that leads to the bill's enactment or rejection; rather, it could lead to circumstances known as a pocket veto if the Congress session ends within ten days and the President does not act on the bill. Returning it with amendments is not an option available to the President, as he does not have line-item veto powers or the ability to modify legislation directly. Implementing a bill without signing it is not permissible since a formal signature or veto is necessary to establish the President's stance on the legislation.