The memo you're linking to was recently updated and did have force. The DOD, one of the largest federal agencies, issued its own memo with similar deadlines, and this & others have had the result of jumpstarting IPv6 / dual stack support for all of the major clouds & Kubernetes.
If FedRAMP qualification is tied to IPv6 support, you'll see every major contractor and cloud provider support it promptly.
If you look at the recent updates for cloud providers - AWS and GCP support for IPv6, Kubernetes going dual stack by default - you can see that this memo had a substantial impact.
Sometimes these things take time, but in this case, the recent memo you link to lit a fire under everyone.
What doesn't work with IPv6 on Azure? I understood they were first to support it of the major clouds, though maybe it was just in preview support for a long time.
Nobody cares. It just gets postponed forever.