90 percent of reported CSAM (Child Sexual Abuse Material) is uploaded by people outside the United States...
Senators are convening the hearing as they look to build support for a suite of bills intended to expand protections for children online, including a measure that would allow victims of child sexual abuse to sue platforms that facilitate exploitation. But the proposals have faced push back from tech lobbyists and some digital rights groups, who argue they would undermine privacy protections and force platforms to inadvertently take down lawful posts. Other measures focus on giving prosecutors more tools to go after those who spread CSAM.
https://www.washingtonpost.com/technology/2024/01/28/csam-ncmec-senate-hearing-child-porn/