"Medical Exemptions" are also a standard right in the State of Texas for motorcycles & even bicyclists. Through Texas's motorcycle helmet law (bicycle helmet laws from city ordinances), it is only required for those 21 years old or younger to wear a helmet. However, a medical exemption,  written by a certified licensed medical physician or licensed chiropractor, which exempts one from wearing a helmet, can be used for bicyclists if helmets are required.
Before you start shopping around for a new e-bike, the first thing you should ask yourself is, “how do I plan on using an electric bicycle?” How far do you plan on traveling? What type of terrain will you be traveling on? How much assistance do you need? Do you plan on pedaling – or do you want the bike to do all the work? Is this bike for daily commuting or casual riding? How fast do you need to go?
Play it Safe, Make it Easy – E-bike manufacturers will offer you a large variety of styles, types, colors and utility, but the base specifications will be a bike producing less than 750 watts of power (1 horsepower = 746W) , and have its speed limited to 20mph on motor power alone. The majority of US ebikes meet that specification. Manufacturers do this for their own liability. Going this route assures you that your bike was built and sold legally. As a result, you will have about every privilege that a normal bicycle can expect. However, state and local laws may dictate reduced speeds and limited access to bike paths.
Cargo bikes and city bikes are common in the e-bike space, but until recently we haven’t seen that many performance road bikes. The Giant Road E+1 is a pedal-assist performance road bike that’s made for more than just commuting; the powerful motor can crank you up to 28 mph very quickly on the highest setting so you can rip the flats, join your local group ride, or blast through the mountains with far less effort than a traditional road bike. It won’t feel like a 16-pound race bike when you lean it into high-speed turns, but the endurance-oriented geometry allows for an aggressive position on the bike and keeps it nimble and agile at high speed.
Another big upgrade here is the 36V battery. Instead of the 8Ah that the Ancheer had, Rattan has a 10.4Ah battery. The battery actually looks a lot like this one that goes for $190 on ebay or a little more on Amazon. Rattan tells me it is full of genuine LG cells which seem to perform quite well. On cold days, my 15 km (10 mile) very hilly commute would use up about half of the battery (Ancheer would be dying on the way back home). I imagine someone significantly under my 200+lbs could approach the 25 miles Rattan says you can get on throttle alone or up to 50 miles of pedal assist. I’ll just say it was significantly more than the Ancheer.
If you are a person who enjoys riding a bike casually at a typical bike path speed (10-15mph), and you like the idea of an ebike push up a hill, against the wind or to relieving a sore knee, then your market for a fully legally defined ebike is very broad and your practical use only has a few limitations. Most ebikes will meet your needs and expectation. I would estimate that 85% of the electric bikes on the market are 100% compliant meeting the federal definition. I encourage you to take the plunge and get a good quality ebike and ride more with assist. Do so with the confidence that electric bikes are here to stay. Coexisting with pedestrians and other cyclist will become a normal part of cycling life.
The federal Consumer Product Safety Act defines a "low speed electric bicycle" as a two or three wheeled vehicle with fully operable pedals, a top speed when powered solely by the motor under 20 mph (32 km/h) and an electric motor that produces less than 750 W (1.01 hp). The Act authorizes the Consumer Product Safety Commission to protect people who ride low-speed electric vehicles by issuing necessary safety regulations. The rules for e-bikes on public roads, sidewalks, and pathways are under state jurisdiction, and vary.