Qualcomm must resolve this within RISC-V International somehow. Going its own way would designate those products as non-conformant to RV spec, not passing test suites, not allowed to carry RISC-V logo or claim "RISC-V compatible", etc. With all the software headaches that would result in. Or 3rd party vendors avoiding such Qualcomm products.
So this comes down to "convince majority of RISC-V members Qualcomm's proposal is better". Or failing that, just deal with it.
Whatever happens, chances are slim that backward compatibility with existing implementations & software would be broken @ this point. So creating some kind of alternative profile seems like the most sane option?