She was formally re-elected to the speakership at the start of the 116th Congress on January 3, 2019. Pelosi "clinched the speakership after weeks of whittling down opposition from some fellow Democrats seeking a new generation of leadership. The deal to win over holdouts put an expiration date on her tenure: she promised not to stay more than four years in the job". Two hundred twenty House Democrats voted to elect Pelosi speaker, while 15 other House Democrats cast their ballots for someone else or voted present.
On 4 January 2019, around 300 Arakan Army insurgents launched pre-dawn attacks on four border police outposts—Kyaung Taung, Nga Myin Taw, Ka Htee La and Kone Myint—in northern Buthidaung Township.