The sender would of course be charged with wasting police efforts, defamation attempts+++. In the case of false positives the receiver of course wouldn't be charged, it's more about the fact that this system can be manipulated with too much ease. Even if you're not charged, an investigation takes time away from already limited law enforcement resources. I'm also not interested in buying products from a company that blatantly spies on me. Today it's CSAM, but as others have pointed out, the hashes can be changed to look for anything.
Well that depends on the situation. Regardless the sender would be charged if found, but if they were able to get legitimate CSAM on the receiver's phone the receiver could possibly be charged too, or at least investigated. Just the idea of getting investigated in these kinds of attacks, much less being exposed publicly as being under investigation is a horrible thought.