The Josephson junctions are low voltage to start with. For just a single junction there are a few reports getting away with 77 K. This not getting the same very high accuracy as the 4 K version, but still pretty good.
The more standard way is a divider, likely a resistive divider and than a Zener or maybe even band gap reference as a start. Here it does not make a difference if one starts at 10 V, 7 V, 5 V or 1.2 V: the divider does not get much easier with a lower voltage to start with.
The power loss is not that bad. One can get away with some 0.1 to 1 mA for the divider, so usually less than the power at the reference.
For me the question is, if it is worth adding a way to turn off the drive side to also have 0 V from the same output. So not just a DC reference, but the extra switching to allow correction of the thermal EMF from the cables and connectors (not just at the ref. side but also the meter side).