If you refuse to give blood or breath sample you automatically lose license. Also there are presumptions of intoxication after your first impaired driving conviction in NYS ( it’s not that simple, but too complicated to outline in short form ). So, this wouldn’t really be unprecedented. Not saying I agree or disagree.

The stakes are very high with impaired driving. In many states your first impaired driving charge can be felonious even if there is no injury or accident. In about half of all states your second impaired driving is automatically a felony despite no injury or accident. Society has a right to protect its roadways. However, we also need to be very careful about wanton criminalization. The penal system in the USA is backwards and barbaric