Last May, EFF reported that a sheriff’s office in Texas searched data from more than 83,000 automated license plate reader (ALPR) cameras to track down a woman suspected of self‑managing an abortion. ALPRs are promoted as tools for keeping communities safe by finding missing persons and locating stolen vehicles, but this case showed how ALPRs can be weaponized to investigate people’s private healthcare decisions.

Following the report, eye‑catching billboards appeared in Houston warning drivers that if they’re pregnant, the state of Texas could be tracking them. The billboards were created by Mayday Health, a nonprofit dedicated to sharing information about abortion pills, birth control, and gender‑affirming care. Executive Director Leo Raisner said the campaign aims to let Texans know their rights and options, noting that billboards reach over 1,000,000 drivers during a four‑week run without algorithmic gatekeeping.

Mayday Health emphasizes privacy: it does not collect cookies or identifying information, directs visitors to the Digital Defense Fund for security resources, and stresses that abortion pills are FDA approved, safe, and available by mail. Raisner links the digital rights movement to reproductive justice, arguing that surveillance threatens health privacy and that people should know they still have options regardless of where they live.