The Constitution of the Presbyterian Church (USA) governs all its member churches. The first volume is the Book of Confessions and the second is the Book of Order, which sets out the form of government, directory for worship, and rules of discipline. Spiritual leadership of local PC(USA) churches is provided by professional ministers who have successfully completed seminary study and  Presbyterian ordination exams.

Session. Each individual Presbyterian church is governed by presbyters, or elders, who are elected by the congregation. At the Meeting House there are 24 elders—collectively are known as the Session—who serve three-year terms in church volunteer leadership roles. All pastors also serve on session.  Each elder has one Session vote as does the Session Moderator, who at the Meeting House is the Senior Pastor.

Trustees have principal responsibility for managing endowed financial assets of the church. They are elected by the congregation; there are three at the Meeting House and they serve three-year volunteer terms.

Deacons. Another category of church official is deacons, who minister to those in need, the sick, the friendless, and those in distress both within and beyond the community of faith. The 18-member Meeting House Board of Deacons is elected by the congregation; each Deacon serves a three-year volunteer term.

Relationship of the local Presbyterian church to the national church

Each local church is associated with a Presbytery, a body of ministers and representative elders from district congregations. (The Meeting House belongs to the National Capital Presbytery; there are 173 nationally.) The Synod is a governing body ranking between the Presbytery and the General Assembly. (The Meeting House is associated with the Synod of Mid-Atlantic; there are 16 nationally.) The highest governing body in the PC(USA) is the General Assembly.