E-bikes has a maximum speed is 25 km/h, and from the few studies done on the subject there doesn't seem to be any increase risk from e-bikes compared to regular bikes. One significant data point is that the average speed of e-bikes has been observed to be similar as of regular bikes with two exceptions: up hill has a higher speed than regular bikes and long flat stretches has more even speed. Most accidents involving bikes and e-bikes alike occur at very slow or even still speed, with the rider falling off and landing badly.
There are two factors however that those studies have found. More disabled people use e-bikes, and when they end up in accidents they tend have worse injuries. E-bike users also tend to use their bikes more often and thus have more accidents with their bikes than people who ride their bikes less (looking at accidents per person rather than accident per mile).
Going based on accident rates, any license that e-bikes should have should also apply to bikes, e-scooters and likely also people who jog in cities. There is simply no data that support a law treating e-bikes as different from regular bikes, as long they are limited to 25 km/h. A motorcycle weighting 200kg+ and operating over 150+km/h is however a very different beast which the accident rates also demonstrate, which is why they need a proper license to operate safely among other human being.