Welcome back lynchke1,
We appreciate you letting us know. Just to confirm, let's check to see if there may be a beta profile on your device, as that can result in features such as this to not work. This is mentioned in: Support for the ECG app, irregular rhythm notification feature, and AFib History in beta release - Apple Support
How to uninstall iOS or iPadOS beta software - Apple Support can help you to check for that, and disable or restore, if needed:
Remove the iOS or iPadOS beta
For devices running iOS 16.4 or iPadOS 16.4 or later:
Go to Settings > General > Software Update > Beta Updates and tap Off.
For devices running iOS 16.3.1 or iPadOS 16.3 or earlier:
1. Go to Settings > General > VPN & Device Management.
2. Tap the iOS & iPadOS Beta Software Profile that appears.
3. Tap Remove Profile. If asked, enter your device passcode, then tap Remove. Once the profile is deleted, your device will no longer receive public betas.
If you used a computer to install an iOS or iPadOS beta, you need to restore iOS or iPadOS to remove the beta version.
Restore to the current iOS or iPadOS version
To remove the beta immediately, without updating to a later version of iOS or iPadOS, you need to erase and restore your device.
After erasing and restoring your device, if you have an archived backup, you can set up your device from that backup.
Note that backups created while using beta software might not be compatible with older versions of iOS or iPadOS. If you don't have an older backup that was made using the current version of iOS or iPadOS, you might not be able to restore your device with your most recent backup.
1. Make sure your Mac has the latest version of macOS or the latest version of iTunes.
2. Connect your device to your computer, then put your device in recovery mode with these steps:
* On an iPad without a Home button: Press and quickly release the volume button closest to the top button. Press and quickly release the volume button farthest from the top button. Press and hold the top button until your iPad begins to restart. If you're not sure, see which buttons you need to press to restart your iPad. Continue holding the top button until your iPad goes into recovery mode.
* For iPhone 8 or later: Press and quickly release the volume up button. Press and quickly release the volume down button. Then, press and hold the side button until you see the recovery mode screen.
* For iPhone 7, iPhone 7 Plus, or iPod touch (7th generation): Press and hold the Sleep/Wake and volume down buttons at the same time. Don't release the buttons when you see the Apple logo. Continue to hold both buttons until you see the recovery mode screen.
* For iPhone 6s and earlier, iPad with a Home button, or iPod touch (6th generation or earlier): Press and hold the Sleep/Wake and Home buttons at the same time. Don't release the buttons when you see the Apple logo. Continue to hold both buttons until you see the recovery mode screen.
7. Click the Restore option when it appears. This erases your device and installs the current non-beta version of iOS or iPadOS. If the download takes more than 15 minutes and your device exits the recovery mode screen, let the download finish, then repeat step 2.
8. Wait for the restore to finish. If asked, enter your Apple ID and password, which disables Activation Lock. If the restore process won't finish, learn what to do.
After the restore finishes, you can set up your device from your archived backup, which must be from an earlier version of iOS or iPadOS.
If you receive the same message after removing beta, or if you're not currently using beta software, reach out to Apple directly for additional assistance using: Get Support
Cheers!