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How Blood Test Refusal Impacts Your DUI Case and Potential Penalties

William L. Pomeroy Law June 11, 2025

Test Tube with blood sample for Alcohol TestDriving under the influence (DUI) is a serious charge, and how a person responds during a DUI stop can shape the direction of the case. One of the most significant decisions made during such encounters involves submitting to or refusing a blood test. 

While many people are aware of the breathalyzer, the legal consequences of blood test refusal are often misunderstood. At William L. Pomeroy Law, in Brentwood, Tennessee, DUI cases involving blood test refusals require a strategic approach, especially when it comes to protecting rights and building a strong criminal defense.

A blood test refusal might seem like a way to avoid self-incrimination, but it can introduce added legal complications. From automatic license revocation to increased penalties, those accused of DUI in Tennessee should understand how refusing to take a breath test affects both their case and their long-term consequences.

Implied Consent and Tennessee DUI Law

Under Tennessee law, drivers give what is known as "implied consent" to chemical testing by operating a motor vehicle on public roads. This includes:

  • Breath

  • Blood

  • Urine

Refusing to submit to a requested test may lead to separate penalties, regardless of whether the driver is ultimately convicted of DUI.

Implied consent laws were designed to help law enforcement gather evidence of impairment, but they come with strict limitations. Blood tests, in particular, usually require a warrant unless certain exceptions apply. These include circumstances like accidents involving injury or death, or when the driver has prior DUI convictions.

When a driver refuses a blood test, the state may still proceed with a DUI prosecution, but without blood evidence. This creates challenges for the prosecution, but it also creates an uphill battle for the defense in dealing with automatic license revocation and other statutory consequences. 

A well-constructed criminal defense case must examine the facts surrounding the refusal, including whether law enforcement followed legal procedures and whether a warrant was obtained when required.

Blood Test Refusal and License Revocation

In Tennessee, refusing a blood test during a DUI investigation can result in the automatic revocation of a driver’s license. This is separate from any criminal charge and is handled through an administrative process. 

A first-time refusal usually leads to a one-year revocation, while repeat offenders or those involved in accidents causing injury or death may face two years or more.

This kind of administrative penalty happens regardless of the outcome of the DUI charge. Even if the person is acquitted of the DUI in court, the license revocation for refusing the test may still stand. This dual-track system presents challenges that require careful attention during criminal defense planning.

William L. Pomeroy Law approaches these cases by first determining whether the traffic stop and arrest were legal and whether the implied consent warnings were properly given. 

The timing of the refusal, the conditions surrounding the request, and the conduct of the arresting officer all matter when reviewing the state’s case. A successful challenge to the validity of the stop or the test request may result in reinstating driving privileges or limiting the scope of evidence used in court.

Criminal Penalties Tied to Refusal

While a blood test refusal is primarily a civil matter, it can carry consequences that directly affect the criminal DUI case. For example, prosecutors often use a refusal as evidence of consciousness of guilt. 

They may argue in court that the driver declined the test because they knew the results would confirm intoxication. This argument, while not always persuasive, can influence juries and judges.

Additionally, those who refuse a test may be ineligible for certain sentencing alternatives, such as diversion programs or reduced penalties. 

In some situations, a refusal can lead to harsher sentencing, especially if there are aggravating factors like prior convictions or injuries to others. In these cases, a criminal defense strategy must anticipate the prosecution’s likely use of the refusal as part of their argument.

A detailed defense requires examining all legal angles, from constitutional rights to procedural requirements. If the refusal occurred under questionable circumstances—for example, if the driver was confused, not read proper warnings, or coerced—those facts may be used to exclude the refusal from evidence. 

William L. Pomeroy Law focuses on these nuances when defending DUI charges in Tennessee courts.

Blood Tests and Search Warrants

Blood tests, unlike breath tests, often require more stringent legal standards. Drawing blood is considered a more invasive search, and the United States Supreme Court has held that warrants are generally required unless certain exceptions apply. 

In Tennessee, officers must either obtain a valid search warrant or be able to demonstrate lawful grounds for conducting a warrantless test.

When a driver refuses a blood test and no warrant is issued, the absence of that evidence can dramatically change the case. However, if a warrant was obtained, the blood can still be drawn despite the driver’s refusal. 

This distinction becomes central in crafting a criminal defense, especially when challenging the admissibility of blood test results or the legality of the warrant.

William L. Pomeroy Law reviews every detail of how a warrant was obtained, how the test was administered, and whether the process followed Tennessee legal standards. Any deviation from proper procedures may lead to suppression of evidence, which can alter the prosecution’s ability to prove impairment beyond a reasonable doubt.

Refusal and Field Sobriety Tests

While blood tests involve biological evidence, field sobriety tests focus on physical coordination and responses. Refusing a blood test may heighten the importance of how a person performed on these field tests. 

Prosecutors will often rely more heavily on video footage, officer observations, and field sobriety results when blood evidence is missing.

In criminal defense cases where blood test refusal is involved, it becomes critical to challenge the reliability of field sobriety tests. 

These tests aren't foolproof, and many factors—fatigue, nerves, medical conditions—can affect performance. Without blood test results, the defense can work to cast doubt on whether the remaining evidence truly demonstrates impairment.

William L. Pomeroy Law uses independent review of officer conduct, body camera footage, and expert testimony to counter the narrative built around field sobriety tests. Refusal doesn't equal guilt, and the legal system requires that the state prove every element of its case.

Impact on Future DUI Charges

Refusing a blood test during a DUI investigation can also affect future criminal charges. Tennessee law allows prior refusals to be used as aggravating circumstances in later prosecutions. 

This means that if a person is charged with DUI again, the prior refusal may lead to stiffer penalties, including longer license revocations and mandatory jail time.

The long-term consequences of a refusal can follow someone for years, affecting not just driving privileges but also sentencing options and plea negotiations in future cases. That is why it's important to address the refusal with a defense strategy that limits its impact and challenges its admissibility when appropriate.

William L. Pomeroy Law prepares for the possibility of future consequences when building a criminal defense. A short-term decision not to submit to a blood test shouldn't result in long-term penalties if it can be challenged or mitigated.

Constitutional Rights and Refusal

Tennessee drivers still retain constitutional protections, even when suspected of DUI. This includes the right to be free from unreasonable searches and seizures under the Fourth Amendment. 

A blood test, as a form of search, must meet certain legal standards. When those standards aren't met, the results, or the refusal itself, may be excluded from evidence.

A refusal can also raise questions about whether a person was fully informed of the consequences. Tennessee law requires that drivers be read an implied consent warning that clearly explains the penalties for refusing. If law enforcement failed to give this warning properly, the refusal may be challenged on constitutional grounds.

William L. Pomeroy Law places strong emphasis on these constitutional protections. Every DUI case involving a blood test refusal is examined for possible violations of rights, from the moment of the traffic stop to the filing of charges. 

Legal defenses based on constitutional issues can provide powerful arguments that support a reduction or dismissal of charges.

Building an Effective Criminal Defense After Refusal

Successfully defending a DUI charge following blood test refusal requires a legal strategy that focuses on the details of the stop, the conduct of law enforcement, and the procedures used during arrest and testing. 

A single misstep by an officer, such as failing to obtain a warrant or not giving proper warnings, can be enough to suppress key evidence.

Criminal defense in these cases demands careful attention to timelines, document review, witness statements, and cross-examination of law enforcement officers. The presence or absence of blood evidence can change the nature of the prosecution’s approach, and a skilled defense can take advantage of those shifts.

William L. Pomeroy Law understands how DUI law functions in Tennessee courts and uses that knowledge to advocate for those facing refusal-related charges. By questioning the basis for the stop, the reason for the test request, and the legal procedures used, defense efforts can often weaken the prosecution’s case.

Craft a Strong Defense Today

William L. Pomeroy Law provides defense services grounded in Tennessee law and tailored to the facts of each case. They're proud to serve Brentwood, Tennessee, and the surrounding areas of Davidson County, Williamson County, and Rutherford County. Call today.