State v. German ( 2023 )


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  •                    THE STATE OF SOUTH CAROLINA
    In The Supreme Court
    The State, Respondent,
    v.
    Mary Ann German, Appellant.
    Appellate Case No. 2018-002090
    Appeal from Beaufort County
    Brooks P. Goldsmith, Circuit Court Judge
    Opinion No. 28149
    Heard September 21, 2021 – Filed April 5, 2023
    AFFIRMED
    Appellate Defender David Alexander, of Columbia, for
    Appellant.
    Attorney General Alan McCrory Wilson and Assistant
    Attorney General Joshua Abraham Edwards, both of
    Columbia; Solicitor Isaac McDuffie Stone, III, of
    Bluffton, all for Respondent.
    CHIEF JUSTICE BEATTY: Appellant was convicted of felony driving
    under the influence ("DUI") resulting in death and sentenced to eleven years'
    incarceration. Before trial, Appellant moved to suppress evidence of her blood
    alcohol content ("BAC") obtained through a warrantless blood draw, which was
    taken pursuant to section 56-5-2946 of the South Carolina Code 1 while she was
    hospitalized after an automobile accident. Finding that section 56-5-2946 was
    constitutional as applied and unchanged by the holdings of McNeely 2 and
    Birchfield,3 the trial court denied the motion to suppress. The court concluded that
    law enforcement had probable cause to suspect Appellant of felony DUI and
    properly obtained the blood draw pursuant to section 56-5-2946.
    Appellant appealed her conviction based on the denial of her motion, and the
    court of appeals requested certification pursuant to Rule 204(b), SCACR. We agreed
    1
    Section 56-5-2946 provides in relevant part:
    (A) Notwithstanding any other provision of law, a person must submit
    to either one or a combination of chemical tests of his breath, blood, or
    urine for the purpose of determining the presence of alcohol, drugs, or
    a combination of alcohol and drugs if there is probable cause to believe
    that the person violated or is under arrest for a violation of Section 56-
    5-2945 [felony DUI].
    (B) The tests must be administered at the discretion of a law
    enforcement officer. The administration of one test does not preclude
    the administration of other tests. The resistance, obstruction, or
    opposition to testing pursuant to this section is evidence admissible at
    the trial of the offense which precipitated the requirement for testing.
    A person who is tested or gives samples for testing may have a qualified
    person of his choice conduct additional tests at his expense and must be
    notified of that right. A person's request or failure to request additional
    blood or urine tests is not admissible against the person in the criminal
    trial.
    
    S.C. Code Ann. § 56-5-2946
    (A)–(B) (2018) (emphasis added).
    2
    Missouri v. McNeely, 
    569 U.S. 141
     (2013) (holding the natural metabolization of
    BAC does not create a per se exigency as an exception to the Fourth Amendment's
    warrant requirement).
    3
    Birchfield v. North Dakota, 
    579 U.S. 438
     (2016) (holding warrantless breath tests,
    but not blood tests, are permitted as searches incident to arrest under the Fourth
    Amendment).
    to consider whether the warrantless blood draw based on section 56-5-2946 violated
    Appellant's Fourth Amendment rights or her rights under the South Carolina
    Constitution and, in effect, whether section 56-5-2946 is constitutional.
    We conclude section 56-5-2946 is facially constitutional but unconstitutional
    as applied in Appellant's case. However, we find the trial court did not err in denying
    Appellant's motion to suppress because law enforcement acted in good faith based
    on existing precedent at the time of the blood draw. We affirm Appellant's
    conviction.
    I. FACTS
    On July 9, 2016, Appellant and her husband were diverted from their vacation
    camping plans due to traffic and decided to pull off Highway 21 in Beaufort County.
    The couple decided to rest for the evening and have a few drinks at a bar, known
    locally as "Archie's." There, patrons offered the couple an all-you-can-drink bracelet
    for ten dollars as part of an event being held that night. The bar served "free pouring"
    liquor, and Appellant consumed a beer and four to six vodka drinks.
    Around 12:30 a.m., Appellant drove their truck off the property. Upon leaving
    the parking lot, Appellant entered the road, ran the stop sign before Highway 21, and
    drove into the wrong side of the divided highway. Her truck collided with a sedan
    head-on, and, tragically, the other driver did not survive the collision.
    Paramedics, firefighters, and police officers all responded to the collision.
    First responders extracted Appellant and her husband from the vehicle, and a
    responding officer noted an alcoholic odor emanating from each of them. The
    responding paramedics placed Appellant into an ambulance and noted an ethanol
    smell from Appellant. In response to paramedics' questions, Appellant heavily
    slurred her speech. One paramedic testified Appellant was intoxicated.
    In the early morning hours of July 10, 2016, Appellant arrived at Beaufort
    Memorial Hospital by EMS on a backboard, and medical professionals expressed
    concern she had a serious head injury. However, Appellant's only ultimate injury
    was a laceration on the bottom of her foot. Later, Appellant became belligerent and
    agitated. The emergency room physician testified that, based on her medical
    opinion, Appellant was intoxicated.
    After arriving on the scene of the collision, a state trooper went to the hospital
    to obtain a blood draw from Appellant, who was the driver of the truck involved in
    the accident. Based on hearing information from other law enforcement officers,
    being at the scene himself, and observing Appellant at the hospital, the trooper
    suspected Appellant of felony DUI. He placed Appellant under arrest at the hospital
    around 2:00 a.m.
    The trooper read Appellant her rights pursuant to the implied consent statute.
    However, instead of reading the felony DUI advisement of rights form, he read
    Appellant the advisement of rights form for misdemeanor DUI because he
    inadvertently "grabbed the wrong form." Regardless, Appellant resisted cooperation
    and refused to sign the paperwork detailing her rights. The emergency room
    physician declined to release Appellant for a breath test within the two-hour window
    to take Appellant to a police station for a breath test as required by law. 4 Because
    the trooper could not administer a breath test in the hospital, he ordered a blood draw
    while Appellant was in a hospital bed.5 Appellant's BAC registered 0.275%.
    The trooper was the only officer at the hospital, and neither he nor any other
    responding officer sought a warrant to collect the sample of Appellant's blood. He
    conceded on cross examination that his office had provided him with a number to
    reach a magistrate late at night and he had used the number before. He also admitted
    it was "[p]ossible" to obtain a warrant; however, he explained that he did not seek a
    warrant because he "was trained . . . when [he] came into law enforcement" that "if
    4
    See 
    S.C. Code Ann. § 56-5-2950
    (A) (2018) ("At the direction of the arresting
    officer, the person first must be offered a breath test to determine the person's alcohol
    concentration. If the person is physically unable to provide an acceptable breath
    sample because the person has an injured mouth, is unconscious or dead, or for any
    other reason considered acceptable by the licensed medical personnel, the arresting
    officer may request a blood sample to be taken . . . . A breath sample taken for
    testing must be collected within two hours of the arrest. Any additional test to collect
    other samples must be collected within three hours of the arrest." (emphasis added)).
    5
    Pursuant to section 56-5-2946, if there is probable cause to believe an individual
    violated the felony DUI statute or is under arrest for felony DUI, he or she "must
    submit to either one or a combination of chemical tests of his breath, blood, or urine
    for the purpose of determining the presence of alcohol, drugs, or a combination of
    alcohol and drugs." 
    S.C. Code Ann. § 56-5-2946
    (A) (2018) (emphasis added); see
    also State v. Long, 
    363 S.C. 360
    , 363, 
    610 S.E.2d 809
    , 811 (2005) (holding in a
    felony DUI case, an officer need not offer a breath test as the first testing option, nor
    must the officer obtain a medical opinion that such a test is not feasible before
    ordering a blood test or urine sample).
    there's a felony DUI involving death, [he] [did] not need permission." He told
    Appellant, "like it or not, we are getting a blood draw."
    Three months before trial, the court heard arguments on Appellant's motion
    to suppress evidence of the blood draw and its results. Appellant focused her
    argument on an as-applied challenge rather than a facial challenge to the
    constitutionality of the statute. Specifically, she believed there is a way to read the
    statute such that a person, who is suspected upon probable cause of committing
    felony DUI, must consent. However, Appellant maintained that, under the facts in
    this case, a search warrant was necessary and only a neutral and detached magistrate
    could determine probable cause for a search warrant. Conversely, the State argued
    that, under section 56-5-2946, the probable cause to arrest Appellant for felony DUI
    is sufficient to eliminate the need to obtain a warrant. The State waived its argument
    that the officer relied on the exceptions for a search incident to an arrest or exigent
    circumstances and, instead, relied solely on the felony DUI statute.
    The court, finding the statute constitutional as applied, ultimately adopted the
    State's arguments and denied the motion to suppress. Appellant renewed the motion
    throughout trial, and this appeal followed.
    II. STANDARD OF REVIEW
    "[A]ppellate review of a motion to suppress based on the Fourth Amendment
    involves a two-step analysis. This dual inquiry means we review the trial court's
    factual findings for any evidentiary support, but the ultimate legal conclusion . . . is
    a question of law subject to de novo review." State v. Frasier, 
    437 S.C. 625
    , 633–
    34, 
    879 S.E.2d 762
    , 766 (2022).
    "This Court has a limited scope of review in cases involving a constitutional
    challenge to a statute because all statutes are presumed constitutional and, if
    possible, will be construed to render them valid." Curtis v. State, 
    345 S.C. 557
    , 569,
    
    549 S.E.2d 591
    , 597 (2001). "Further, a legislative act will not be declared
    unconstitutional unless its repugnance to the Constitution is clear and beyond a
    reasonable doubt." Id. at 570, 
    549 S.E.2d at 597
    .
    III. DISCUSSION
    Appellant contends the trial court erred in denying her motion to suppress the
    BAC results because the warrantless blood draw violated the Fourth Amendment's
    prohibition against unreasonable searches and seizures. Appellant further argues the
    warrantless blood draw violated her right against unreasonable invasions of privacy
    in South Carolina's Constitution. Additionally, Appellant avers the State waived any
    reliance on the exceptions for exigent circumstances and a search incident to an
    arrest. Even if preserved, Appellant maintains the State failed to prove an applicable
    exception that would justify the warrantless blood draw. Finally, Appellant contends
    any error in admitting the BAC results cannot be harmless.
    In response, the State claims the trial court correctly denied Appellant's
    motion to suppress the BAC results. The State argues the warrantless search was
    reasonable because exigent circumstances existed and the search was a permissible
    search incident to a lawful arrest. The State further maintains the good-faith
    exception applies and, if the trial court erred, the error was harmless.
    Initially, we note that our appellate courts have said that an operator of a motor
    vehicle in South Carolina is not required to submit to alcohol or drug testing.
    Sanders v. S.C. Dep't of Motor Vehicles, 
    431 S.C. 374
    , 383, 
    848 S.E.2d 768
    , 773
    (2020) (citing S.C. Dep't of Motor Vehicles v. Nelson, 
    364 S.C. 514
    , 522, 
    613 S.E.2d 544
    , 548 (Ct. App. 2005)). Both Sanders and Nelson involved suspended driver's
    licenses due to refusal to submit to an alcohol breath test. However, these cases are
    distinguishable from the case now before this Court because they involved civil
    penalties, not criminal convictions; they did not address the constitutionality of the
    statutes; and the decisions appear to be founded on statutory interpretation.
    Nonetheless, it is arguable that our appellate courts have spoken on the issue of
    mandatory alcohol and blood testing, even if some may view it as dicta. In any case,
    clarity of the law is needed.
    A. Constitutionality under the Fourth Amendment to the U.S. Constitution
    This Court has recognized that a blood draw is a search and seizure under the
    Fourth Amendment in a triad of cases dealing with our implied consent statutes. See
    State v. Key, 
    431 S.C. 336
    , 344, 
    848 S.E.2d 315
    , 318 (2020) (remanding the case for
    a determination of exigent circumstances which the State has the burden to
    establish); State v. McCall, 
    429 S.C. 404
    , 410, 
    839 S.E.2d 91
    , 93 (2020) (holding
    exigent circumstances justified the warrantless blood draw); Hamrick v. State, 
    426 S.C. 638
    , 654, 
    828 S.E.2d 596
    , 604 (2019) (declining to address exigent
    circumstances where the good-faith exception justified the warrantless blood draw).
    Further, the United States Supreme Court has held a blood draw is a search under
    the Fourth Amendment. Schmerber v. California, 
    384 U.S. 757
    , 767 (1966).
    Under the Fourth Amendment, people are free from unreasonable searches
    and seizures by their government. McCall, 429 S.C. at 409, 839 S.E.2d at 93. A
    warrantless search is unreasonable per se, unless it falls within a recognized
    exception to the warrant requirement. Riley v. California, 
    573 U.S. 373
    , 382 (2014);
    see also State v. Weaver, 
    374 S.C. 313
    , 319, 
    649 S.E.2d 479
    , 482 (2007) (noting a
    warrantless search is per se unreasonable). The recognized exceptions to the warrant
    requirement are search incident to a lawful arrest, hot pursuit, stop and frisk, the
    automobile exception, the plain view doctrine, consent, and abandonment. State v.
    Counts, 
    413 S.C. 153
    , 163, 
    776 S.E.2d 59
    , 65 (2015). Three exceptions to the
    warrant requirement are considered here: search incident to a lawful arrest, consent,
    and exigent circumstances.
    During the pretrial suppression hearing, the State argued that the blood draw
    was taken solely pursuant to section 56-5-2946 and expressly waived any reliance
    on the search incident to a lawful arrest and exigent circumstances exceptions.
    Accordingly, we decline to address these exceptions to the warrant requirement. See
    State v. Dunbar, 
    356 S.C. 138
    , 142, 
    587 S.E.2d 691
    , 693 (2003) ("In order for an
    issue to be preserved for appellate review, it must have been raised to and ruled upon
    by the trial judge."). In our analysis, we depend solely on the consent exception to
    the warrant requirement; however, we briefly discuss the other exceptions as they
    have developed.
    South Carolina's implied consent statute provides in relevant part:
    [A] person must submit to either one or a combination of chemical tests
    of his breath, blood, or urine for the purpose of determining the
    presence of alcohol, drugs, or a combination of alcohol and drugs if
    there is probable cause to believe that the person violated or is under
    arrest for a violation of Section 56-5-2945 [felony DUI].
    
    S.C. Code Ann. § 56-5-2946
    (A) (2018) (emphasis added). Although our
    jurisprudence already has considered our implied consent statutes, we have not yet
    directly addressed their constitutionality. In McCall, we reserved that question for
    a future case: "While we leave this question for another day, we do note numerous
    courts have cast doubt on the constitutionality of similar implied consent statutes."
    429 S.C. at 413 n.3, 839 S.E.2d at 95 n.3. We address that question today.
    Over the years, we have seen a jurisprudential movement, in both this Court
    and the United States Supreme Court, calling into question the constitutionality of
    implied consent statutes. In Schmerber, the United States Supreme Court recognized
    that, despite the usual need for a warrant, an officer might have reasonably believed
    there was an emergency and a blood draw was an appropriate search incident to an
    arrest. 
    384 U.S. at
    770–71 (holding the case specific facts allowed a warrantless
    blood draw because the officer might have reasonably believed there was an
    emergency). However, years later, the United States Supreme Court held the
    dissipation of alcohol in the blood alone does not categorically create an exigent
    circumstance. Missouri v. McNeely, 
    569 U.S. 141
    , 156 (2013) (holding the
    warrantless blood draw of a suspected drunk driver as an exigent circumstance
    requires a "case-by-case analysis under the totality of the circumstances"). In
    McNeely, the United States Supreme Court justified the previous holding in
    Schmerber with its specific facts. 
    Id. at 152, 156
    .
    More recently, in Birchfield v. North Dakota, the United States Supreme
    Court held a warrantless blood draw cannot be taken as a search incident to an
    arrest. 6 
    579 U.S. 438
    , 476 (2016). The Court considered the more intrusive nature
    of a blood draw against the less intrusive breath test because a blood draw pierces
    the skin, takes a sample from the body, and preserves it indefinitely. 
    Id.
     at 463–64,
    474. Breath tests, the Court said, are permissible as searches incident to arrests
    because they have little physical intrusion, the test only reveals the amount of alcohol
    in the person's breath, and participation in the test is unlikely to enhance the arrestee's
    embarrassment. 
    Id.
     at 461–63.
    In 2019, the United States Supreme Court again revisited the doctrine of
    exigent circumstances when considering a challenge to an implied consent statute.
    Mitchell v. Wisconsin, 
    139 S. Ct. 2525 (2019)
    . There, the Court refined its holdings
    in Schmerber and McNeely to permit an exigent circumstances exception when, "(1)
    BAC evidence is dissipating and (2) some other factor creates pressing health, safety,
    or law enforcement needs that would take priority over a warrant application." 
    Id. at 2537
    . The Court noted, "[B]oth conditions are met when a drunk-driving suspect
    is unconscious." 
    Id.
     Yet, the Court made clear:
    We do not rule out the possibility that in an unusual case a defendant
    would be able to show that his blood would not have been drawn if
    police had not been seeking BAC information, and that police could not
    6
    At oral argument, the State asked this Court to limit Birchfield to its facts—a
    misdemeanor DUI—as part of its argument that the blood draw was a valid search
    incident to arrest. In Birchfield, the United States Supreme Court held a breath test,
    but not a blood test, may be administered as a search incident to a lawful arrest. 579
    U.S. at 476. We, however, decline to apply Birchfield to only misdemeanor DUI
    cases because the United States Supreme Court in no way limited its holding in
    Birchfield to only misdemeanor cases. In fact, the Court weighed the government's
    interest in preventing traffic fatalities with privacy interests in light of the "carnage"
    and "slaughter" caused by drunk drivers. Id. at 465. We believe the Court, in its
    analysis, considered the government's heightened interest in preventing felony DUIs.
    have reasonably judged that a warrant application would interfere with
    other pressing needs or duties.
    Id. at 2539. However, in Key, we declined to place the burden of proving the absence
    of an exigency on the defendant:
    We cannot sponsor the notion of requiring a defendant to prove that this
    right—a right she already possesses—exists in any given case. We
    must therefore part company with the Mitchell Court, as we will not
    impose upon a defendant the burden of establishing the absence of
    exigent circumstances. We have consistently held the prosecution has
    the sole burden of proving the existence of an exception to the warrant
    requirement.
    431 S.C. at 348, 848 S.E.2d at 321 (internal citations omitted).
    Similarly, this Court has seen a gradual movement in our case law governing
    South Carolina's implied consent statutes. First, in interpreting section 56-5-2946,
    we held an officer need not offer first a breath test before ordering a blood test for a
    felony DUI suspect. State v. Long, 
    363 S.C. 360
    , 363, 
    610 S.E.2d 809
    , 811 (2005).
    We then declined to address the constitutionality of our implied consent statute in
    Hamrick, where the good-faith exception to the exclusionary rule applied. 
    426 S.C. at 655
    , 
    828 S.E.2d at
    604–05. In McCall, we reserved the question of section 56-5-
    2946's constitutionality and held exigent circumstances otherwise justified the
    warrantless blood draw. 429 S.C. at 413, 839 S.E.2d at 95. Most recently, in Key,
    we ruled, even when the suspect is unconscious, the prosecution has the sole burden
    of proving exigent circumstances. 431 S.C. at 348, 848 S.E.2d at 321. Parting ways
    with the Mitchell Court, we remanded the case for that determination. Id. at 349,
    848 S.E.2d at 321.
    Notwithstanding the development in the law, we continue to recognize the
    wisdom of implied consent statutes and note their valid, remedial purposes. See
    Sanders v. S.C. Dep't of Motor Vehicles, 
    431 S.C. 374
    , 
    848 S.E.2d 768
     (2020)
    (affirming the suspension of a driver's license where the suspected driver refused to
    take a BAC test).7 Drivers in South Carolina do not hold a right to operate motor
    vehicles but, instead, have a privilege subject to reasonable regulation. 
    Id.
     at 382–
    7
    We also recognize the United States Supreme Court in Birchfield noted the general
    validity of implied consent statutes. 579 U.S. at 476–77. The Birchfield Court called
    only a warrantless blood draw as a search incident to an arrest into question.
    83, 848 S.E.2d at 773. Valid purposes behind regulating conduct with implied
    consent statutes include obtaining best evidence of a driver's BAC and promoting
    traffic safety by removing dangerous drivers from the roads. Id. at 383, 848 S.E.2d
    at 773.
    Moreover, the distinction between a categorical exception and a general
    exception to the Fourth Amendment informs our judgment. The United States
    Supreme Court has recognized a limited class of categorical exceptions to the
    warrant requirement. McNeely, 
    569 U.S. at
    150 n.3. The two types are distinguished
    by whether or not the exception requires a factually specific inquiry on a case-by-
    case basis. 
    Id.
     Categorical exceptions, including the automobile exception 8 and the
    search incident to a lawful arrest exception, 9 do not require "an assessment of
    whether the policy justifications underlying the exception . . . are implicated in a
    particular case." 
    Id.
     On the other hand, general exceptions require case-by-case
    inquiries and analyses. 
    Id.
    Consent operates as a general exception because it demands a fact-specific
    determination of whether the suspect invoked her consent. See Schneckloth v.
    Bustamonte, 
    412 U.S. 218
    , 227 (1973) ("Similar considerations lead us to agree []
    that the question whether a consent to a search was in fact 'voluntary' or was the
    product of duress or coercion, express or implied, is a question of fact to be
    determined from the totality of all the circumstances.").
    In analyzing the constitutionality of section 56-5-2946, we must also consider
    the difference between as-applied and facial constitutional challenges. "The line
    between facial and as-applied relief is [a] fluid one, and many constitutional
    challenges may occupy an intermediate position on the spectrum between purely as-
    applied relief and complete facial invalidation." Doe v. State, 
    421 S.C. 490
    , 502,
    
    808 S.E.2d 807
    , 813 (2017) (quoting 16 C.J.S. Constitutional Law § 153, at 147
    8
    See, e.g., California v. Acevedo, 
    500 U.S. 565
    , 580 (1991) ("We therefore interpret
    Carroll [Carroll v. United States, 
    267 U.S. 132
     (1925)] as providing one rule to
    govern all automobile searches. The police may search an automobile and the
    containers within it where they have probable cause to believe contraband or
    evidence is contained.").
    9
    See, e.g., United States v. Robinson, 
    414 U.S. 218
    , 235 (1973) ("A custodial arrest
    of a suspect based on probable cause is a reasonable intrusion under the Fourth
    Amendment; that intrusion being lawful, a search incident to the arrest requires no
    additional justification.").
    (2015)) (holding petitioner could only make an as-applied challenge because
    petitioner did not attack the acts as a whole and this Court has a preference to remedy
    constitutional infirmities in the least restrictive way possible). "The distinction is
    both instructive and necessary, for it goes to the breadth of the remedy employed by
    the Court, not what must be pleaded in a complaint." Citizens United v. Fed.
    Election Comm'n, 
    558 U.S. 310
    , 331 (2010).
    "One asserting a facial challenge claims that the law is 'invalid in toto—and
    therefore incapable of any valid application.'" Doe, 
    421 S.C. at 502
    , 
    808 S.E.2d at 813
     (quoting Steffel v. 
    Thompson, 415
     U.S. 452, 474 (1974)). "A facial challenge is
    an attack on a statute itself as opposed to a particular application." City of Los
    Angeles, Calif. v. Patel, 
    576 U.S. 409
    , 415 (2015). Under a facial challenge, "a
    plaintiff must establish that a 'law is unconstitutional in all of its applications.'" 
    Id. at 418
     (quoting Washington State Grange v. Washington State Republican Party,
    
    552 U.S. 442
    , 449 (2008)). Conversely, "[i]n an 'as-applied' challenge, the party
    challenging the constitutionality of the statute claims that the 'application of the
    statute in the particular context in which he has acted, or in which he proposes to act,
    would be unconstitutional.'" Doe, 
    421 S.C. at 503
    , 
    808 S.E.2d at 813
     (citation
    omitted).
    Returning to the question presented, we recognize an implied consent statute
    cannot allow what the Fourth Amendment prohibits. Therefore, to satisfy the
    requirements of the United States Constitution, a warrantless blood draw pursuant
    to section 56-5-2946 generally must rely on the consent exception10 to the warrant
    requirement. 11
    The Fourth Amendment requires a finding that consent be given voluntarily
    under the totality of the circumstances. Palacio v. State, 
    333 S.C. 506
    , 514, 
    511 S.E.2d 62
    , 66 (1999) (citing Katz v. United States, 
    389 U.S. 347
     (1967); United
    States v. Durades, 
    929 F.2d 1160
     (7th Cir. 1991); United States v. Zapata, 
    997 F.2d 751
     (10th Cir. 1993)); see also Schneckloth v. Bustamonte, 
    412 U.S. 218
     (1973)
    (holding consent as an exception to the warrant requirement must be voluntarily
    10
    But see Mitchell, 139 S. Ct. at 2531 (recognizing exigent circumstances almost
    always allows a warrantless blood test).
    11
    Despite the State's insistence that section 56-5-2946 is constitutional as a search
    incident to an arrest, we find, fundamentally, it must rely on consent. As Birchfield
    made clear, a blood draw cannot be constitutional as a search incident to an arrest,
    and we decline to limit Birchfield to its facts. See supra n.6.
    given). We further recognize that a valid finding of consent requires a suspect to be
    able to refuse or revoke consent. See State v. Bruce, 
    412 S.C. 504
    , 511, 
    772 S.E.2d 753
    , 756 (2015) (holding a suspect did not object to an officer picking up keys to
    access a car during a search to which the suspect consented); State v. Prado, 
    960 N.W.2d 869
    , 879–80 (Wis. 2021) (noting a person has a constitutional right to refuse
    a warrantless search). Consequently, implied consent cannot justify a categorical
    exception to the general warrant requirement.
    Here, the trial court unconstitutionally applied section 56-5-2946 to the
    warrantless search of Appellant's blood. Because the statute is not unconstitutional
    in all its applications, Appellant brings an as-applied challenge to its
    constitutionality. As applied, the trial court should have conducted an inquiry into
    Appellant's consent to determine whether her Fourth Amendment rights were
    violated. Several cases from other jurisdictions, among others,12 have followed and
    applied this reasoning, often recognizing statutes as invalid when they do not fall
    within an exception to the warrant requirement.
    In Prado, the Supreme Court of Wisconsin found Wisconsin's incapacitated
    driver provision unconstitutional beyond a reasonable doubt because it did not fit
    within any recognized exceptions to the warrant requirement. 960 N.W.2d at 878.
    There, the court distinguished the exigent circumstances exception and the consent
    exception to the Fourth Amendment's warrant requirement. Id. at 879. Turning to
    consent, the court made the following finding:
    In the context of warrantless blood draws, consent "deemed" by statute
    is not the same as actual consent, and in the case of an incapacitated
    driver the former is incompatible with the Fourth Amendment.
    Generally, in determining whether constitutionally sufficient consent is
    present, a court will review whether consent was given in fact by words,
    gestures, or conduct. This inquiry is fundamentally at odds with the
    12
    See, e.g., Commonwealth v. Myers, 
    164 A.3d 1162
    , 1173 (Pa. 2017) ("In recent
    years, a multitude of courts in our sister states have interpreted their respective—and
    similar—implied consent provisions and have concluded that the legislative
    proclamation that motorists are deemed to have consented to chemical tests is
    insufficient to establish the voluntariness of consent that is necessary to serve as an
    exception to the warrant requirement."); State v. Wulff, 
    337 P.3d 575
    , 581 (Idaho
    2014) ("[I]rrevocable implied consent operates as a per se rule that cannot fit under
    the consent exception because it does not always analyze the voluntariness of that
    consent.").
    concept of "deemed" consent in the case of an incapacitated driver
    because an unconscious person can exhibit no words, gestures, or
    conduct to manifest consent.
    
    Id.
     (internal citations omitted). The court further recognized that "[t]he concept of a
    statutory per se exception to the warrant requirement violates both McNeely and
    Birchfield," as we agree today. Id. at 880; supra nn.6 & 7. Although the Wisconsin
    court considered the constitutionality of the incapacitated driver provision,
    distinguishable from our statute, here, Appellant had the ability to exhibit and
    effectuate words, gestures, and conduct to manifest her opposition to the search.
    Seeing as the court was concerned about unconscious drivers not having the ability
    to evince consent, there exists no greater manifestation than when the suspect is
    conscious.
    Further, in Williams v. State, the Supreme Court of Georgia reiterated, "[T]his
    [c]ourt plainly distinguished compliance with the implied consent statute from the
    constitutional question of whether a suspect gave actual consent for the state-
    administered testing." 
    771 S.E.2d 373
    , 376 (Ga. 2015). There, because the trial
    court did not determine whether the defendant gave his consent under the exception,
    the Supreme Court of Georgia vacated the judgment and remanded the case to
    determine the voluntariness of the consent under the totality of the circumstances.
    
    Id. at 377
    .
    Additionally, in State v. Yong Shik Won, the Supreme Court of Hawaii found,
    "[I]n order to legitimize submission to a warrantless BAC test under the consent
    exception, consent may not be predetermined by statute, but rather it must be
    concluded that, under the totality of the circumstances, consent was in fact freely
    and voluntarily given." 
    372 P.3d 1065
    , 1080 (Haw. 2015). In considering Hawaii's
    implied consent law, the court further found, "[A] person may refuse consent to
    submit to a BAC test under the consent exception, and the State must honor that
    refusal." 
    Id.
    Again, analyzing consent, the Supreme Court of Nevada, in Byars v. State,
    found the exigent circumstances exception did not justify the warrantless blood
    draw. 
    336 P.3d 939
    , 944–45 (Nev. 2014). The state, there, argued consent was
    implied from the driver's decision to drive on Nevada's roads. 
    Id.
     However, the
    court held consent cannot be irrevocable by electing to drive on Nevada's roads. 
    Id.
    Further, the implied consent statute allowing for an officer to use force to obtain a
    blood sample could not be read constitutionally because it does not allow a driver to
    withdraw consent and, thus, is not given voluntarily. 
    Id. at 946
    .
    Turning to the instant case, we conclude Appellant did not consent to the
    warrantless blood draw while hospitalized on the night of the accident. First, the
    state trooper acknowledged that he could have procured a warrant, yet he decided to
    order the blood draw without one. As he testified, he relied solely on what he
    thought section 56-5-2946 authorized. Second, Appellant refused to sign the implied
    consent form the state trooper presented to her, even though it was the wrong form.
    Appellant's signature was marked, "refused to sign." Third, Appellant, by her
    actions, did not impliedly consent. She became belligerent and was obstinate with
    hospital personnel. Fourth, when ordering the blood draw, the state trooper told
    Appellant, "like it or not, we are getting a blood draw." Under the totality of the
    circumstances, by her actions, Appellant refused to consent to the warrantless search.
    Because the state trooper proceeded anyway and section 56-5-2946 does not exist as
    a separate exception to the general warrant requirement, the blood draw was an
    unreasonable search and seizure under the Fourth Amendment.
    Although we find section 56-5-2946 unconstitutional as applied to Appellant,
    we conclude this section is facially constitutional. "Finding a statute or regulation
    unconstitutional as applied to a specific case does not affect the facial validity of that
    provision." Travelscape v. S.C. Dep't of Revenue, 
    391 S.C. 89
    , 109, 
    705 S.E.2d 28
    ,
    39 (2011). Faithful to our standard of review, we recognize that an officer legally
    can obtain a warrant or the suspect's consent to request a blood draw, pursuant to the
    Fourth Amendment's mandates. Exigent circumstances also justify a warrantless
    blood draw in the proper case. Mitchell, 139 S. Ct. at 2531. Additionally, breath
    tests do not intrude greatly into the body, they do not reveal more than one piece of
    information, and they do not cause more embarrassment than what is inherent in an
    arrest. Birchfield, 579 U.S. at 462–63. Accordingly, we recognize the continued
    validity of section 56-5-2946, as it authorizes implied consent for breath tests.
    B. Constitutionality under the South Carolina Constitution
    Appellant maintains the State violated her right against unreasonable
    invasions of privacy. We agree.
    The South Carolina Constitution provides as follows:
    The right of the people to be secure in their persons, houses, papers, and
    effects against unreasonable searches and seizures and unreasonable
    invasions of privacy shall not be violated, and no warrants shall issue
    but upon probable cause, supported by oath or affirmation, and
    particularly describing the place to be searched, the person or thing to
    be seized, and the information to be obtained.
    S.C. Const. art. I, § 10 (emphasis added). We have interpreted South Carolina's
    express right against unreasonable invasions of privacy provision to provide
    greater—or, a more "heightened"—protection than that provided by the United
    States Constitution. State v. Weaver, 
    374 S.C. 313
    , 321, 
    649 S.E.2d 479
    , 483 (2007)
    (holding ultimately the search in question met the automobile exception to the
    warrant requirement and did not violate the more expansive right to privacy); see
    also State v. Brown, 
    423 S.C. 519
    , 533, 
    815 S.E.2d 761
    , 769 (2018) (Beatty, C.J.,
    dissenting) (noting the heightened protection afforded by the state constitution and
    finding it protected petitioner from the warrantless search of his cell phone). "State
    courts may afford more expansive rights under state constitutional provisions than
    the rights which are conferred by the Federal Constitution." State v. Easler, 
    327 S.C. 121
    , 131 n.13, 
    489 S.E.2d 617
    , 625 n.13 (1997). "This relationship is often described
    as a recognition that the federal Constitution sets the floor for individual rights while
    the state constitution establishes the ceiling." State v. Forrester, 
    343 S.C. 637
    , 643,
    
    541 S.E.2d 837
    , 840 (2001). "South Carolina and the other states with a right to
    privacy provision imbedded in the search and seizure provision of their constitutions
    have held such a provision creates a distinct privacy right that applies both within
    and outside the search and seizure context." Id. at 644, 
    541 S.E.2d at 841
    .
    In the context of medical treatment, we held the State violates the right of
    privacy when a prison inmate would be forced to take medication solely for the
    purpose of facilitating execution. Singleton v. State, 
    313 S.C. 75
    , 89, 
    437 S.E.2d 53
    ,
    61 (1993). Further, we declared, "An inmate in South Carolina has a very limited
    privacy interest when weighed against the State's penological interest; however, the
    inmate must be free from unwarranted medical intrusions." 
    Id.
    In Forrester, this Court considered whether the right against unreasonable
    invasions of privacy requires informed consent to government searches. Although
    we held in Forrester that South Carolina's right against unreasonable invasions of
    privacy did not require informed consent on the part of the suspect before
    government searches, 13 we noted the drafters of the constitution were concerned with
    the emergence of new technology increasing the government's ability to conduct a
    search. 
    Id.
     at 647–48, 
    541 S.E.2d at
    842–43. Specifically, we recognized the special
    committee to study the constitution, in drafting the provision, both intended for it to
    13
    Ultimately, in Forrester, we reversed the court of appeals and found that an officer
    exceeded the scope of Forrester's consent when he searched the contents of her
    pocketbook beyond a visual inspection in violation of her right against unreasonable
    invasions of privacy. Id. at 648, 
    541 S.E.2d at 843
    .
    cover electronic surveillance and recognized it would have a far greater impact. Id.
    at 647, 
    541 S.E.2d at 842
    . Later, we explained in Weaver:
    The focus in the state constitution is on whether the invasion of privacy
    is reasonable, regardless of the person's expectation of privacy to be
    searched. Once the officers have probable cause to search a vehicle,
    the state constitution's requirement that the invasion of one's privacy be
    reasonable will be met.
    
    374 S.C. at 322
    , 
    649 S.E.2d at 483
    .
    In State v. Counts, this Court again had an opportunity to expand the analysis
    in Forrester and Weaver. In Counts, the petitioner argued the "knock and talk"
    technique done without probable cause or reasonable suspicion violated article I,
    section 10. 
    413 S.C. 153
    , 162, 
    776 S.E.2d 59
    , 65 (2015). We looked to other
    jurisdictions with similar rights against unreasonable invasions of privacy for
    guidance. 
    Id.
     at 170–71, 
    776 S.E.2d at 69
    . However, we did not find a persuasive
    basis to require an officer to tell a citizen of his or her right to refuse consent to a
    search. 
    Id. at 171
    , 
    776 S.E.2d at 69
    . Continuing the development of the law, we
    noted there must be some analysis of the privacy interests involved when a
    warrantless search is made: "Because the privacy interests in one's home are the
    most sacrosanct, we believe there must be some threshold evidentiary basis for law
    enforcement to approach a private residence." 
    Id. at 172
    , 
    776 S.E.2d at 69
    . In
    applying the new rule, we upheld the trial court's denial of petitioner's motion to
    suppress because the findings of fact established law enforcement's reasonable
    suspicion to conduct the "knock and talk." 
    Id. at 173
    , 
    776 S.E.2d at 70
    .
    Turning to the instant case, we find the provision in our state constitution is
    implicated when law enforcement obtains a warrantless blood draw. As the United
    States Supreme Court recognized in Schmerber v. California, there is a
    constitutional right to privacy in one's blood. 
    384 U.S. 757
    , 767 (1966). Because
    blood draws intrude upon an individual's privacy to a much higher degree, the Court
    distinguished a blood draw from a breath test in Fourth Amendment jurisprudence
    precisely. Birchfield, 579 U.S. at 463–64. Blood tests require piercing the skin and
    the extraction of a part of the person's body, and a blood test provides law
    enforcement with a preservable sample that contains a person's DNA and other
    medical information besides the BAC reading. Id. at 464. The drafters of our
    constitutional provision were concerned with the emergence of new technology
    enabling more invasive searches, and a blood test's process certainly is one of the
    most invasive government searches a suspect may encounter.
    Although the state trooper had, at a minimum, a reasonable evidentiary basis
    to believe Appellant committed the felony DUI before obtaining the blood draw,
    Appellant refused consent to the search. In Counts and Forrester, we held law
    enforcement was not required to inform the suspect of the right to refuse consent
    prior to a search; however, had Counts or Forrester nevertheless refused consent,
    law enforcement would have needed to obtain a warrant to proceed with the search.
    Because Appellant clearly refused her consent by refusing to sign the implied
    consent form and she acted inconsistently with consent, the state trooper needed to
    obtain a warrant to legally proceed with the blood draw under the South Carolina
    Constitution. Because he ordered the blood draw despite Appellant's refusal, he
    violated Appellant's right to be free from an unreasonable invasion of privacy.
    Nevertheless, we still must closely scrutinize "unwarranted medical
    intrusions" to effectuate the protection of South Carolina's right against unreasonable
    invasions of privacy. Singleton, 
    313 S.C. at 89
    , 
    437 S.E.2d at 61
    . At bottom, implied
    consent, as referred to in the impaired driver statutory scheme, is non-existent
    outside of matters involving the civil suspension or revocation of driver's licenses.
    There is no constitutionally approved, statutory per se implied consent to a blood
    draw. Law enforcement's demand for a warrantless blood test must be founded on
    an approved exception to the warrant requirement of the Fourth Amendment. A
    mandatory and forced blood draw is patently distinct from other modes of DUI
    investigation and, consequently, violates the South Carolina Constitution when
    administered without a warrant.
    C. Good faith
    Even though the warrantless blood draw violated Appellant's rights under the
    Fourth Amendment and our state constitution, the State asserts the exclusionary rule
    should not apply because law enforcement acted in good faith. We agree.
    The exclusionary rule operates as "a judicially created remedy designed to
    safeguard Fourth Amendment rights generally through its deterrent effect, rather
    than a personal constitutional right of the party aggrieved." United States v. Leon,
    
    468 U.S. 897
     (1984) (quoting United States v. Calandra, 
    414 U.S. 338
    , 348 (1974)).
    "[T]he sole purpose of the exclusionary rule is to deter misconduct by law
    enforcement." Davis v. United States, 
    564 U.S. 229
    , 246 (2011). The rule does not
    apply "when the police act with an objectively 'reasonable good-faith belief' that
    their conduct is lawful." 
    Id. at 238
    . In Davis, the United States Supreme Court
    concluded the officers who conducted the search did not violate Davis's Fourth
    Amendment rights "deliberately, recklessly, or with gross negligence." 
    Id. at 240
    .
    Where there is no misconduct and no deterrent purpose to be served, suppression of
    the evidence is an unduly harsh sanction." State v. Adams, 
    409 S.C. 641
    , 653, 
    763 S.E.2d 341
    , 348 (2014).
    In Hamrick, we held the good-faith exception to the exclusionary rule applied
    and BAC evidence from the blood test was admissible. 
    426 S.C. at 653
    , 
    828 S.E.2d at 604
    . The warrantless blood draw occurred on November 14, 2011, two years
    before the Supreme Court's ruling in McNeely. 
    Id. at 643
    , 
    828 S.E.2d at 598
    .
    Because the law seemed to support the existence of exigent circumstances before the
    McNeely ruling, we ruled the officers acted lawfully based on a reasonably good-
    faith belief. 
    Id. at 654
    , 
    828 S.E.2d at 604
    .
    Here, Appellant's blood was drawn in the early morning hours of July 10, 2016
    pursuant to section 56-5-2946, which had not been directly called into question in
    this state until McCall, over three years later. 14 At the time, McNeely only declined
    to create a categorical exigency in every DUI case. Birchfield, though it most
    seriously calls into question the validity of implied consent, was only released three
    weeks before the blood draw in this case and dealt only with a blood draw as a search
    incident to arrest. When Appellant's blood was drawn, the state trooper reasonably
    relied on section 56-5-2946 and did not violate Appellant's rights deliberately,
    recklessly, or with gross negligence. At trial, the state trooper testified he was
    trained to not seek a warrant before a blood draw in the situation of a felony DUI.
    He relied on this training when making the decision to draw Appellant's blood that
    night.
    Therefore, we hold the good-faith exception applies because of the state
    trooper's reasonable reliance on section 56-5-2946 and its uncertain validity at the
    time. 15 Although the state trooper violated Appellant's rights under both the Fourth
    Amendment and South Carolina's Constitution, exclusion is not warranted. We are
    14
    McCall was heard on May 30, 2019 and filed on February 5, 2020.
    15
    Because we find the good-faith exception to the exclusionary rule applies, we do
    not need to address the State's harmless error argument. See Futch v. McAllister
    Towing of Georgetown, Inc., 
    335 S.C. 598
    , 613, 
    518 S.E.2d 591
    , 598 (1999)
    (declining to address petitioner's remaining issues when the first issue was
    dispositive).
    confident law enforcement will take care to use section 56-5-2946 in accordance
    with what the South Carolina Constitution and the Fourth Amendment require.16
    IV. CONCLUSION
    The state trooper violated Appellant's rights under the Fourth Amendment and
    South Carolina's Constitution when he obtained the blood draw under section 56-5-
    2946 without a warrant. However, the state trooper acted in good faith based on the
    law existing at the time.
    Despite its unconstitutional application here, section 56-5-2946 remains
    facially constitutional. We recognize a suspect may consent to chemical testing, and
    even revoke consent, as section 56-5-2946 contemplates. Additionally, we
    acknowledge the lower privacy interests at stake in breath analyses under the statute.
    Our holding today only invalidates the law enforcement practice of obtaining blood
    samples for BAC testing when a warrant has not been obtained, no other exceptions
    to the warrant requirement justify the search, and the suspect neither consents nor
    revokes her consent.
    AFFIRMED.
    KITTREDGE, JAMES, JJ., and Acting Justice Kaye G. Hearn, concur.
    FEW, J., concurring in a separate opinion.
    16
    "Responsible law enforcement officers will take care to learn 'what is required of
    them' under Fourth Amendment precedent and will conform their conduct to these
    rules." Davis, 
    564 U.S. at 241
     (quoting Hudson v. Michigan, 
    547 U.S. 586
    , 599
    (2006)).
    JUSTICE FEW: I concur in result. The Court is deciding this case by addressing
    the wrong issue. The question before us is not whether the implied consent statute
    is unconstitutional, but rather whether the State demonstrated the consent exception
    applies to excuse the Fourth Amendment's warrant requirement. German's implied
    consent is one circumstance to be considered in answering that question. I believe
    the consent exception does apply, and thus, I agree the trial court did not err in
    denying German's motion to suppress. I firmly disagree that our implied consent
    statute is unconstitutional, even as applied to German.
    As I wrote for a unanimous Court in Hamrick v. State, 
    426 S.C. 638
    , 
    828 S.E.2d 596
    (2019), "pursuant to South Carolina's implied consent statute," a defendant in a
    felony driving under the influence case "is deemed by law to have consented to have
    his blood drawn by virtue of driving a motor vehicle in South Carolina." 
    426 S.C. at 654
    , 
    828 S.E.2d at 604
    . Under our implied consent law—subsections 56-5-
    2950(A) and 56-5-2946(A) of the South Carolina Code (2018)—German impliedly
    consented to the warrantless blood draw conducted in this case. German's motion to
    suppress the results of the blood draw, however, was based on the Fourth
    Amendment. Under the Fourth Amendment, the fact the implied consent law
    required her to consent before she was allowed to drive does not alone answer the
    question of whether the consent exception excused the otherwise applicable
    requirement the officer obtain a search warrant. Rather, German's implied consent
    is one circumstance a court must consider in determining whether the blood draw
    was a reasonable search and seizure under the Fourth Amendment. See State v.
    Alston, 
    422 S.C. 270
    , 288, 
    811 S.E.2d 747
    , 756 (2018) ("The existence of voluntary
    consent is determined from the totality of the circumstances." (quoting State v.
    Provet, 
    405 S.C. 101
    , 113, 
    747 S.E.2d 453
    , 460 (2013))). If the consent exception
    does not apply, that does not make the implied consent statute unconstitutional; it
    simply means the State failed—on the unique facts of this or any case—to
    demonstrate the consent exception excused the warrant requirement, and therefore,
    the search was unreasonable under the Fourth Amendment. See 
    id.
     ("When the
    defendant disputes the voluntariness of his consent, the burden is on the State to
    prove the consent was voluntary." (quoting Provet, 
    405 S.C. at 113
    , 
    747 S.E.2d at 460
    )); State v. Frasier, 
    437 S.C. 625
    , 638, 
    879 S.E.2d 762
    , 769 (2022) (stating
    warrantless searches are unreasonable under the Fourth Amendment unless an
    exception to the warrant requirement applies). Thus, the question before this Court
    is a Fourth Amendment question, not a question of the constitutionality of the
    implied consent statute.
    In this case, the trial court erred by failing to consider the totality of circumstances
    affecting whether German consented to a search and seizure without a warrant. The
    majority has now done that and concluded the consent exception does not apply. I
    would find under the totality of circumstances in this case the consent exception does
    apply.
    First, I would put great weight on implied consent. See generally Mitchell v.
    Wisconsin, 
    588 U.S. ___
    , ___,
    139 S. Ct. 2525
    , 2532-33, 
    204 L. Ed. 2d 1040
    , 1045-
    46 (2019) (explaining the Supreme Court's historical approval of "many of the
    defining elements" of implied consent statutes). German—like all adults who hold
    a driver's license in South Carolina—is an adult. She made a voluntary decision to
    accept the privilege of driving in this State in exchange for granting consent to have
    her blood drawn under the circumstances of this case.
    Second, I would put little weight on the fact German was agitated and drunk in the
    emergency room. The officer testified German was "very belligerent, and was
    giving the hospital personnel a very hard time." The treating physician testified, "I
    remember [German] because she was extremely belligerent and rude to staff." The
    physician said German stuck out in her memory "because she was trying to bite
    nurses, spitting at us, yelling at us, cursing at us." This disruptive behavior does not
    indicate a lack of consent, but rather, is typical of someone who is extremely drunk.
    The fact a suspect is agitated, belligerent, and extremely drunk does not affect the
    person's capacity to consent to a search. See United States v. Watters, 
    572 F.3d 479
    ,
    483 (8th Cir. 2009) (recognizing intoxication is a circumstance to be considered as
    to whether consent is voluntary, "but intoxication alone does not render consent
    invalid"); United States v. Rambo, 
    789 F.2d 1289
    , 1297 (8th Cir. 1986) (noting "the
    mere fact that one has taken drugs, or is intoxicated, or mentally agitated, does not
    render consent involuntary"). Importantly, German was not intoxicated when she
    voluntarily granted consent under the implied consent law.
    Third, the officer read German a form stating, as the officer described it, "she doesn't
    have to take the test or give the samples." As the majority explains, the officer read
    German the wrong form. Under the Fourth Amendment, however, the error weighs
    in favor of a finding of voluntary consent because the "correct" form does not
    indicate the suspect may refuse the test. 17 The fact the officer told German she did
    17
    The "correct" form under the felony DUI statute provides, "Pursuant to Section
    56-5-2946, you must submit to either one or a combination of chemical tests for the
    purpose of determining the presence of alcohol [or] drugs . . . ." Rec. on Appeal at
    349, State v. McCall, 
    429 S.C. 404
    , 
    839 S.E.2d 91
     (2020) (No. 2015-001097).
    not have to allow the blood draw—which the officer was not required to do under
    the Fourth Amendment—is important in the totality of circumstances affecting
    whether the consent exception applies. See Frasier, 437 S.C. at 638, 879 S.E.2d at
    769 ("Police do not need to tell an individual that he can refuse to consent, but it is
    a factor in the overall analysis." (citing Schneckloth v. Bustamonte, 
    412 U.S. 218
    ,
    248, 
    93 S. Ct. 2041
    , 2058, 
    36 L. Ed. 2d 854
    , 875 (1973); State v. Forrester, 
    343 S.C. 637
    , 645, 
    541 S.E.2d 837
    , 841 (2001))); Forrester, 
    343 S.C. at 645
    , 
    541 S.E.2d at 841
     ("The lack of [a] warning [that a suspect may refuse consent] is only one factor
    to be considered in determining the voluntary nature of the consent." (citing State v.
    Wallace, 
    269 S.C. 547
    , 552, 
    238 S.E.2d 675
    , 677 (1977))); Wallace, 
    269 S.C. at 552
    ,
    
    238 S.E.2d at 677
     ("[K]nowledge of the right to refuse consent to search is merely
    another factor to be considered in the 'totality of the circumstances' in determining
    the voluntariness of the consent to search." (citing Schneckloth, 
    412 U.S. at 248
    , 
    93 S. Ct. at 2058
    , 
    36 L. Ed. 2d at 875
    )).
    As to the fact German did not sign the form, there is no evidence she "refused" to
    sign it. Rather, the evidence indicates she was too unruly to even realize she was
    being asked to sign it. The officer testified "she really didn't want to listen . . . and
    there was no way she was going to sign this paperwork." He explained it is his
    policy to write "refused to sign" when confronted with such disruptive behavior.
    Nobody testified German actually refused to sign. For all we know, she did not sign
    the form because she believed doing so was unnecessary in light of the implied
    consent law. It is not for this Court to speculate as to her reasons for not signing the
    form. In any event, when a suspect actually refuses to sign such a form, the refusal
    does not by itself invalidate the implied consent. It is only part of the totality of the
    circumstances a court must consider in determining whether the State has
    demonstrated voluntary consent under the Fourth Amendment.
    Fourth, the phlebotomist who actually drew the blood testified German "was willing
    to have the blood drawn." I would put the most weight on this fact, that when the
    officer told German "like it or not, we are getting a blood draw," she willingly gave
    the sample. At the actual time of the blood draw, therefore, she gave no indication
    she refused the test. This compelling fact tips the totality of the circumstances and—
    in my view—requires a finding that she voluntarily consented to the blood draw.
    In summary, German made a voluntary decision to grant consent for a Fourth
    Amendment search and seizure when she accepted a license to drive in this State. In
    the emergency room the night of the incident, she was told she did not have to allow
    the blood draw, but she willingly did so. There is nothing in this record that indicates
    German withdrew or revoked the consent she impliedly gave. Under the totality of
    the circumstances, I would find German voluntarily consented to have her blood
    drawn and the consent exception excused the warrant requirement.
    The majority wrongly focuses on the constitutionality of the implied consent law.
    Our implied consent statute should be read to place implied consent into the Fourth
    Amendment analysis as one circumstance indicative of voluntary consent. Reading
    the statute in this way, we fulfill our obligation to interpret our statutes as
    constitutional, if possible. See State v. Ross, 
    423 S.C. 504
    , 514-15, 
    815 S.E.2d 754
    ,
    759 (2018) (recognizing we must construe statutes as constitutional if possible and
    finding a way to read a subsection of the Sex Offender Registry Act as constitutional
    (citing Joytime Distribs. & Amusement Co. v. State, 
    338 S.C. 634
    , 640, 
    528 S.E.2d 647
    , 650 (1999))).