The scanning matches against CSAM hashes provided by NCMEC - the fear is that NCMEC will be pressured into including hashes of non-CSAM material that USGOV want to track as well (say MAGA images for the current administration.)
(One counterpoint to this is that PhotoDNA has been used for scanning cloud images using NCMEC-provided hashes for a decade now and this slippery slope doesn't seem to have happened yet.)