Same issue for me regarding HealthKit — I don't want health record access, but I cannot remove the key from my entitlements file without removing the HealthKit entitlement entirely. Uploads to TestFlight worked fine with an empty array for com.apple.developer.healthkit.access on 12 January, 2021, but started failing for me yesterday. I've filed FB8972571.

I'm also seeing this in a SwiftUI multiplatform app which I created with the first beta of Xcode 12. Projects created with the latest version of Xcode (12.4 as I write this) add this menu item just fine, but I'm not sure how to get it to show up in the old project.