I believe it has to do with the age of the 911 system. Older systems do not support remote location, microphone and camera access.
Apparently the US 911 system integrated some Israeli tech from a company founded by Israeli intelligence personnel called Reporty Homeland Security that later rebranded as Carbyne. Carbyne was headed by former Israeli prime minister Ehud Barak. The company, received much of its initial funding from Jeffery Epstein and Ehud Barak.
I don't know if any of the Israeli tech is running on handsets, but it is definitely running on the back-end in the US 911 emergency call systems. The on-device portion of the 911 emergency calling that grants remote access to location, video, and microphone is part of the closed, proprietary, Google Play Services, on Android.
If running a de-googled rom, you will presumably not be sending any location data or providing other access to your phone when calling 911.
Someone who is usually reliable stated that Scott Bessent had strong ties to this company, Ahud Barrak, and Jeffery Epstien (and was instrumental in getting Carbyne's tech adopted by US 911 system). But, I have not found evidence documenting Bessent's ties to Carbyne. If someone knows more about this-- either confirming or definitively refuting, please share.