License suspension for a Rhode Island breathalyzer refusal is 6 months for a first refusal, 1 year for a second refusal within 5 years, and 2 years for a third refusal within 5 years. The suspension is imposed by the DMV administratively, independent of any criminal DUI case. It takes effect before the criminal case is resolved. Drivers can request a hearing to challenge the suspension within a limited window after the refusal, typically before the suspension becomes final.