"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.
Every bike on this list has been thoroughly evaluated and vetted by our team of test editors. We research the market, survey user reviews, speak with product managers and engineers, and use our own experience riding these bikes to determine the best options. Our team of experienced testers spent many hours and miles using these bikes for their intended purpose. We’ve commuted to and from work on them, used them to stock up on groceries and beer, tested their passenger-hauling capability, ridden them on questionable terrain (just to see how they’d handle), and run their batteries down to officially see how long they last on one charge. We evaluated them on performance, price, comfort, handling, value, reliability, fun, and overall e-factor to come up with this list of bikes that will best serve the needs of anyone looking to add a little pedal assist to their ride.
There are individuals who claim to have lost considerable amounts of weight by using an electric bike. A recent prospective cohort study however found that people using e-bikes have a higher BMI. By making the biking terrain less of an issue, people who wouldn't otherwise consider biking can use the electric assistance when needed and otherwise pedal as they are able. This means people of lower fitness levels or who haven't cycled in many years can start enjoying the many health benefits E-bikes have to offer.