When AI Becomes Care: Governance Gaps in Women's Health Technologies

Authors

  • Soribel Feliz MA/MPA Personal Algorithms, LLC, Richmond, Virginia, USA; DHS AI Corps; U.S. Senator Bill Cassidy, Shreveport, Louisiana, USA; AI Governance

DOI:

https://doi.org/10.30953/thmt.v11.683

Keywords:

AI governance, care infrastructure, health technologies, women’s health

Abstract

Women’s health apps are increasingly treated as care infrastructure. They track cycles, predict fertility, assess pregnancy risk, and shape decisions using AI-driven systems, often filling gaps left by a medical establishment that has long underinvested in women’s health. 

At the same time, many of these tools operate with minimal AI governance and fragile privacy protections. Founders frequently point to HIPAA compliance as reassurance, even when their products fall outside its scope or rely on automated inference that compliance alone does not address. 

This op-ed examines how women’s health technologies became substitutes for care, where governance breaks down in practice, and why AI governance now functions as women’s health policy in the United States. As legal and social conditions shift, the cost of weak governance is no longer abstract, and the people bearing that cost are rarely the ones building the products and systems.  

Downloads

Download data is not yet available.

References

1. Frasco v. Flo Health, Inc. Class Action Settlement [Internet]. New York (NY): Labaton Sucharow LLP. [cited 6 Jan 2026]. Available

from: https://www.labaton.com/cases/frasco-v-flo-health-inc

2. Matsakis L. Most period apps say they protect your data. They don’t. ProPublica [Internet]. 2022 May 23 [cited 6 Jan 2026]. Available from: https://www.propublica.org/article/period-app-privacy-hipaa

3. Federal Trade Commission. Developer of popular women’s fertility tracking app settles FTC allegations it misled consumers about

privacy [Internet]. Washington (DC): FTC. 2021 Jan 13 [cited

2026 Jan 6]. Available from: https://www.ftc.gov/news-events/news/

press-releases/2021/01/developer-popular-womens-fertility-tracking-

app-settles-ftc-allegations-it-misled-consumers-about

4. U.S. Department of Health and Human Services. HIPAA privacy

laws and regulations [Internet]. Washington (DC): HHS. [updated 2024; cited 6 Jan 2026]. Available from: https://www.hhs.gov/hipaa/ for-professionals/privacy/laws-regulations/index.html

5. U.S. Department of Health and Human Services. HIPAA Privacy Rule and reproductive health information: final rule fact sheet. [Internet]. Washington (DC): HHS. 2024 Apr [cited 2026 Jan 6]. Available from: https://www.hhs.gov/hipaa/for-professionals/special-

topics/reproductive-health/final-rule-fact-sheet/index.html

6. Hill K. Should you be worried about your period-tracking app after Roe?

NPR [Internet]. 2022 May 10 [cited 2026 Jan 6]. Available from: https://

www.npr.org/2022/05/10/1097482967/roe-v-wade-supreme-courtabortion-

period-apps

7. Pregnancy Justice. Pregnancy as a crime: an interim update on the first two years after Dobbs [Internet]. New York (NY): Pregnancy Justice; 2024 [cited 2026 Jan 6]. Available from: https://www.pregnancyjusticeus.

org/resources/pregnancy-as-a-crime-an-interim-updateonthe-first-two-years-after-dobbs/

8. Hao K. Why US women are deleting their period tracking apps. The

Guardian [Internet]. 2022 Jun 28 [cited 2026 Jan 6]. Available from:

https://www.theguardian.com/world/2022/jun/28/why-us-woman-aredeleting-their-period-tracking-apps

Published

2026-06-26

How to Cite

Feliz, S. (2026). When AI Becomes Care: Governance Gaps in Women’s Health Technologies. Telehealth and Medicine Today, 11(2). https://doi.org/10.30953/thmt.v11.683

Issue

Section

Opinions, Perspectives, Commentary