How do I govern database operations from AI agents in a healthcare environment?

Route database operations through Kastra. The Kastra proxy or SDK intercepts each SQL statement before it executes, evaluates ABAC policy against the request attributes, environment, principal identity, and risk signals, and returns an allow, deny, redact, or human-approval decision. Healthcare customers map controls directly to HIPAA, HITRUST, GDPR, 21 CFR Part 11.