The FCC issued a report on this very subject[1]. TLDR, there have been four exceptions to the SHAKEN/STIR requirements:
- Providers that can't afford it implement it - Non-IP networks - Small voice service providers that originate calls via satellite using U.S. NANP - Providers that lack control over the network infrastructure necessary to implement
Nothing is going to change as long as those holes exist.
The can't afford it exception is disappearing soon, as it isn't true for any business. Total setup costs for STIR/SHAKEN are under $2000 these days. Providers that lack control over the network infrastructure (i.e. they don't have the ability to control the stir/shaken headers so by definition they can't spoof numbers) will likely continue to be a thing as changing it would force pretty much every small business in the VOIP industry out of business and allow only large companies to be VOIP service providers.