Earlier quoted context omitted.
It doesn’t seem like it’s being enforced in the US, currently..
They actually do try to enforce it, but right now it's a losing battle. You can spin up a new voip company and start blasting scam calls from an overseas call center in a weekend, then spin that company down before anyone has any idea who you are. Customers complain to carriers, who then either get the offending voip provider to block the scamming customer, or just threaten FCC action. But the whole cycle is so slow…
1. Spin up new voip company
2. Issue death threat to US President (or similarly powerful man)
3. Spin down voip company
4. Wait to see if/when someone finds out who you are