In Pennsylvania, for instance, the state went beyond simply implementing a .08 legal limit to avoid losing federal highway funds, with state legislators including in the law assessments and treatment services, provided on a tiered basis depending on the offenders' blood-alcohol content at the time of arrest and any prior offenses.

Mothers Against Drunk Driving (MADD) called Pennsylvania's system unique. Named Accelerated Rehabilitative Disposition (ARD), the system screens all drunk-driving offenders for alcohol and other drug addiction. They are then referred to the appropriate treatment services. Offenders would pay for the treatment according to their income level, insurance coverage, or other assets.

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