For now - and only in part of the country. Most of the newest models can output 100% of their rating down to something like -5ºF -- they're easy enough to oversize as well, so if your 99% heating load is e.g. 48,000BTU, a 60,000BTU heat pump that's only outputting 80% of rated BTUs due to the extreme cold can still cover the full design load.
Here's the spec sheet for the newer Mitsubishi hyper heat models - 87º output at -4ºF and 76% output at -13ºF -- very few places in the states ever get that cold: https://static.appliancesconnection.com/attachments/D5bf5709...