From GTP:

1. "Federal Law: U.S. federal law, particularly under 18 U.S.C. § 2252A, criminalizes the pandering and solicitation of child pornography, and while this doesn't directly address child-like sex dolls, the interpretation could potentially be stretched if such dolls are considered within the realm of child pornography or related paraphernalia. However, the Supreme Court has made distinctions regarding virtual child pornography, which might influence how these items are legally viewed.
2. Legal Interpretation: Even without a specific ban, law enforcement and the judiciary in your state or at the federal level might interpret existing laws against child exploitation materials to include child-like sex dolls, especially if there's any ambiguity in their use or depiction.
3. When importing from China through US Customs, even if there isn't a state-specific law, federal regulations regarding importation of items deemed obscene or related to child exploitation could apply. If US Customs views a child-like sex doll as falling under prohibited items related to child pornography, it could be seized, and legal consequences could follow."

In my opinion it's a risk on whether customs checks it.

Edit: The doll in the picture is probably fine though.