Can I refuse to take a blood test in a Rhode Island DUI case?

Yes, and the license and fine consequences are the same as refusing a breath test on a first offense. The difference is on repeat refusals: a second or third refusal of a blood test stays a civil offense under § 31-27-2.1(c)(4) and (c)(5), while a second or third refusal of a breath or urine test is a misdemeanor. Blood draws also generally require a warrant in Rhode Island following the U.S. Supreme Court's Birchfield v. North Dakota (2016) decision. Drivers who cannot give blood for medical or religious reasons can file an affidavit with the DMV under § 31-27-2.1(b) and will only be asked for breath, saliva, or urine.