Opinion
Open Forum
To prevent more e-bike deaths, we must rethink federal regulation
By John Maa
San Francisco Chronicle, Dec 1, 2025

Jeremiah Amaku, right, test rides an electric bike at the
Coliseum BART station parking lot in Oakland during a community
test and ride event on Nov. 8.
Stephen Lam/S.F. Chronicle
The popularity of electric bikes rose dramatically during the past
decade, particularly among teenagers and younger adults.
Unfortunately, this surge has brought tragedy as well. Surgeons
around the world have witnessed a serious pattern of e-bike
injuries and deaths from the higher speeds that reduce the
reaction time needed to avoid crashes.
In New York City, bicycle deaths reached a 24-year high of 30 in
2023; 23 of those who died were riding e-bikes.
Compared to pedal bicycles, e-bike accidents are more likely to
injure and kill pedestrians. Head trauma from e-bike accidents has
increased 49-fold nationally from 2017 to 2022, and e-bike
incidents in California between 2018 and 2023 increased more than
18-fold.
In Marin County, a study in 2024 revealed that nearly 1 in 8
e-bike trauma patients brought to the emergency room by ambulance
died from their injuries. Overall, the death rate for e-bike
accidents was 37 times higher than that for crashes with pedal
bicycles.
In response to this growing crisis, the American College of
Surgeons, the American Association of Neurological Surgeons and
the American Academy of Orthopedic Surgeons issued safety
statements on e-bike helmet use and injury prevention this year.
Media reports of youths killed in e-bike crashes are becoming all
too frequent, leading to heartbroken parents, physicians and
elected officials calling for action. San Mateo Supervisor Jackie
Speier is introducing legislation to strengthen rider and
pedestrian safety.
Many of the problems stem from the laws: E-bikes are regulated
differently (as bicycles, mopeds, motorcycles or motorized
vehicles) around the world, and in the U.S., laws conflict on age
limits for use, maximum speed, helmet requirements and motor
wattage. While the conflicting regulations often feel like a
labyrinth of contradictions, there are several steps we can take
to reduce injuries.
Recent bills in Congress focus on battery safety and incentive
programs to increase e-bike adoption. The focus on battery safety
is well-founded: the heavier lithium-ion battery on an e-bike can
cause the loss of control, particularly during sudden downhill
acceleration. In the U.S., motors are limited to 750 watts, while
several nations have limits from 200 to 500 watts.
Lithium-ion batteries are also a fire hazard and caused 267 fires
in New York City in 2023, injuring 150 and killing 18. In 2022,
San Francisco set a record with 58 fires related to rechargeable
batteries.
Few regulations focus on two other key safety factors: age and
speed. In the Netherlands, e-bike riders must be 15 years old, and
e-bikes are limited to 15 mph. Similar age restrictions are in
place across Europe. In the U.S., the picture is less clear.
The manufacturing and first sale of an e-bike is regulated by the
federal government, but the operation of e-bikes is controlled by
states, where there is a need for action. About 25 states set a
minimum age for faster Class 3 e-bike use at 16. Around 10 states
have stronger laws (minimum age of 16 across all classes, or
defining e-bikes as motorized vehicles, thus requiring licensure,
registration and insurance), while 12 have weaker laws (allowing
Class 3 use without age restrictions and permitting motors over
750 watts), with the remainder in flux.
In Hawaii, registered e-bike owners must be 18, with a minimum age
of 15 to operate one. In 2024, New Hampshire, New Jersey and New
York considered requiring e-bike registration, while Florida and
New York considered licensure as required in Alaska.
Municipalities have jurisdiction over the operation of e-bikes on
their roads and can strengthen enforcement and impound unlawful
vehicles. Some localities have formed special committees and task
forces can study safety concerns, and coordinate educational
programs with schools to address the lack of training requirements
for purchasers.
In 2023, Incline Village, Nev., and the Port of San Diego banned
e-bikes where pedestrians are present. The San Diego County cities
of Encinitas and Carlsbad declared e-bike states of emergency
after deadly crashes. Lawmakers in Marin and San Diego counties
passed minimum age requirements for e-bike use. New York City
recently followed the Netherlands in reducing all e-bike speed
limits to 15 mph.
Ultimately, regulating e-bikes as motorized vehicles and
standardizing U.S. laws might be the strongest next steps. The
California Highway Patrol limits mopeds to 30 mph, just 2 mph
faster than Class 3 e-bikes. Using the term “e-moped” might
provide greater clarity about the risks of these vehicles.
One thing is clear: Increasing e-bike safety and preventing
unnecessary deaths will take efforts at the national, state and
local levels. We must act now to save lives and prevent future
tragedies.
John Maa is a 2025 American College of Surgeons governor.