I don’t know, I know it says some users but I didn’t get any kind of pop-up or notification yet and that AI setting is off for me. In fact the only consent settings that are on are health records and location data.

I mostly just track some workouts (and I had turned on that records setting while I was connecting a provider just to try it). I’ve also tracked calories in there at times. I haven’t noticed any issues syncing my data between devices, and really I don’t care if they have some backup somewhere of it, so I don’t feel like I’m being strong armed into anything (yet).