It comes with the license

All drivers on Pennsylvania roadways agree to SUBMIT TO A CHEMICAL TEST of their blood, breath or urine if a police officer suspects that they are under the influence of drugs or alcohol.

SAY NO and your driver’s license will be SUSPENDED FOR 1 YEAR on the first refusal.

If you are GUILTY of a DUI and you refused a test, the PENALTY INCREASES to 2½ years. And it keeps increasing for each time you refused a test.