In the vote for Speaker of the House of Representatives, Johnson initially received 216 votes in favor. Three Republican House members voted for other candidates, while 215 Democratic House members voted for House Minority Leader Hakeem Jeffries. Before the vote count officially ended, Johnson successfully persuaded two Republican congressmen to change their votes, and finally received 218 votes in favor, reaching the threshold of simple majority support.

U.S. President-elect Trump later posted on social media to congratulate Johnson on his re-election, saying that "our country will be the beneficiary."

This election for Speaker of the House of Representatives shows that the "internal fighting" in the Republican Party is still continuing. Previously, many conservative Republican congressmen had different opinions on Johnson's re-election as Speaker of the House of Representatives. Although Trump publicly "endorsed" Johnson, he could not avoid the situation where three Republican congressmen did not support Johnson in the vote.

The 52-year-old Johnson from Louisiana was initially elected as Speaker of the House of Representatives, which was also the result of "infighting" within the Republican Party. On October 3rd, 2023, McCarthy, the then Republican Speaker of the House of Representatives, was dismissed due to opposition from right-wing conservatives in the party. The House of Representatives has been paralyzed since then. After three weeks of being leaderless, Johnson was elected in the fourth round of voting for Speaker of the House of Representatives.