People v. Dunley , 203 Cal. Rptr. 3d 335 ( 2016 )


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  • Filed 6/10/16; opinion on rehearing
    CERTIFIED FOR PARTIAL PUBLICATION*
    IN THE COURT OF APPEAL OF THE STATE OF CALIFORNIA
    FOURTH APPELLATE DISTRICT
    DIVISION TWO
    THE PEOPLE,
    Plaintiff and Respondent,                     E062656
    v.                                                    (Super.Ct.No. FELSS1402746)
    EDDIE DUNLEY,                                         OPINION
    Defendant and Appellant.
    APPEAL from the Superior Court of San Bernardino County. Lorenzo R.
    Balderrama, Judge. Dismissed.
    Michele Anne Cella, under appointment by the Court of Appeal, for Defendant
    and Appellant.
    Kamala D. Harris, Attorney General, Gerald A. Engler, Chief Assistant Attorney
    General, Julie L. Garland, Assistant Attorney General, Eric A. Swenson and Joy Utomi,
    Deputy Attorneys General, for Plaintiff and Respondent.
    *  Pursuant to California Rules of Court, rules 8.1105(b) and 8.1110, this opinion
    is certified for publication with the exception of part 3 of the Legal Analysis.
    1
    The Mentally Disordered Offenders Act (Pen. Code, § 2960 et seq.)1 provides for
    involuntary civil commitment as a condition of parole for prisoners who are found to
    have “a severe mental disorder” if certain conditions are met. (§ 2962, subds. (a)-(f).)2
    The commitment is for a term of one year and may be extended annually for an additional
    year on petition of the district attorney. (§ 2972, subds. (a), (b).)
    Appellant Eddie Dunley appeals from a judgment extending his commitment as a
    mentally disordered offender (MDO). He contends that because persons subject to civil
    commitment after being found not guilty by reason of insanity (NGI) have a statutory
    right, pursuant to section 1026.5, subdivision (b)(7) (hereafter section 1026.5(b)(7)), not
    to be compelled to testify in proceedings to extend their commitments (Hudec v. Superior
    Court (2015) 
    60 Cal. 4th 815
    , 832), so should a person facing commitment as an MDO.
    He points out that this right has been extended to commitment proceedings for sexually
    1   All further statutory citations refer to the Penal Code unless another code is
    cited.
    2The conditions include the following: That the prisoner has a severe mental
    disorder, that the disorder is not in remission or cannot be kept in remission without
    treatment, that the severe mental disorder was one of the causes or was an aggravating
    factor in the prisoner’s criminal behavior, that the prisoner has been in treatment for the
    severe mental disorder for 90 days or more within the year prior to his or her parole
    release day, and that by reason of his or her severe mental disorder, the prisoner
    represents a substantial danger of physical harm to others. (§ 2962, subd. (d)(1).) The
    act applies only to prisoners who have been convicted of specified offenses. (§ 2962,
    subd. (e).)
    2
    violent predators (SVP)3 by application of equal protection principles. (People v. Curlee
    (2015) 
    237 Cal. App. 4th 709
    , 716-722.) He contends that NGI’s, SVP’s and MDO’s are
    all similarly situated with respect to civil commitment procedures.
    We hold that MDO’s, SVP’s and NGI’s are all similarly situated with respect to
    the testimonial privilege provided for in section 1026.5(b)(7). However, as we will
    discuss, this appeal is moot because a subsequent petition for recommitment was denied
    by the trial court on or about March 7, 2016, based on the court’s finding that appellant
    no longer met the criteria for commitment as an MDO. Accordingly, although we will
    decide the threshold issue, which is purely a legal question and will surely reoccur in
    MDO proceedings in light of People v. 
    Curlee, supra
    , 
    237 Cal. App. 4th 709
    , we will
    dismiss the appeal as moot.4 (People v. Cheek (2001) 
    25 Cal. 4th 894
    , 897-898; People v.
    Gregerson (2011) 
    202 Cal. App. 4th 306
    , 321.)
    PROCEDURAL HISTORY
    On June 9, 2014, the San Bernardino County District Attorney filed a petition
    pursuant to section 2972 to extend appellant’s involuntary commitment as an MDO.
    On December 17, 2014, a jury found that appellant met the criteria for
    commitment as an MDO. Accordingly, the court granted the petition and extended
    3 See the Sexually Violent Predators Act. (Welf. & Inst. Code, § 6600 et seq.)
    4 We will also address appellant’s claim of instructional error because it appears
    to involve the impermissible shifting of the burden of proof to appellant.
    3
    appellant’s commitment until January 20, 2016. Appellant filed a timely notice of
    appeal.
    FACTS
    While serving a prison term for robbery, appellant had several incidents of battery
    on correctional officers. A mental health evaluation was done after each incident. Both
    evaluations reported that appellant was disorganized and confused. One evaluation
    concluded that appellant showed severely impaired judgment. The other concluded that
    he showed psychosis. In 2008, he was committed to Atascadero State Hospital as an
    MDO. He had previously been admitted to Atascadero in 2001.
    Dr. Joe Debruin, a forensic psychologist at Atascadero, evaluated appellant to
    determine whether he met the criteria for recommitment as an MDO.5 Dr. Debruin
    reviewed appellant’s treatment plan, interdisciplinary and psychiatric progress notes,
    previous MDO evaluation reports, and the police report concerning his prior offense. He
    also interviewed appellant.
    Dr. Debruin diagnosed appellant with schizoaffective disorder, bipolar type,
    which, he testified, is a severe mental disorder that persists over a period of time. He
    testified that appellant had consistently exhibited symptoms of schizoaffective disorder
    5  “If the court or jury finds that the patient has a severe mental disorder, that the
    patient’s severe mental disorder is not in remission or cannot be kept in remission without
    treatment, and that by reason of his or her severe mental disorder, the patient represents a
    substantial danger of physical harm to others, the court shall order the patient
    recommitted . . . .” (§ 2972, subd. (c).)
    4
    since he was committed to Atascadero in 2008. Appellant displayed a belief that he was
    God or “God’s son in the flesh,” and reported hallucinations and hearing voices, which
    sometimes commanded him to be aggressive. He had manic episodes during which he
    spoke in a rapid, disorganized and incoherent manner. He had mood control difficulties
    and would fluctuate from being very agitated to being depressed. He had paranoid
    episodes in which he thought people were “messing with his body organs” and that
    hospital staff were “telling lies and being corrupt.” These symptoms continued to occur
    in the months preceding the hearing. During his current confinement at Atascadero,
    appellant had 60 violent episodes. The most recent was in December 2013, when
    appellant repeatedly punched a fellow patient.
    Dr. Debruin testified that appellant lacked insight into his condition, i.e., that he
    did not believe he was mentally ill or that he needed medication. Appellant did not
    follow his treatment plan or participate in groups, and he was often unwilling to take his
    medication. Dr. Debruin opined that if appellant were released into the community, he
    would not take his medication and that his symptoms would escalate as a result.
    Based on appellant’s prior offenses, violent behavior, delusional statements and
    lack of insight into his illness, Dr. Debruin opined that appellant’s mental disorder was
    not in remission and, as a result of the disorder, he posed a substantial danger for violence
    if he were released into the community.
    Dr. Martin Steed, appellant’s treating psychiatrist for the year and a half preceding
    the hearing, testified to the same effect. He diagnosed appellant with schizoaffective
    5
    disorder, bipolar type, which he characterized as a severe mental disorder. He testified
    that appellant displayed “extensive irritable mood, grandiosity, increase in self-esteem, in
    risky behaviors, as well as hyperreligiosity and hypersexuality.” He noted that as
    recently as two weeks before coming to San Bernardino for the hearing, appellant
    “thought he was God, as he usually does.” He testified that appellant’s condition was not
    in remission and that he had no doubt that appellant would stop taking his medications as
    soon as he was released and that he would pose a danger to the public. Although he
    acknowledged that appellant’s violent behavior had decreased since he had been placed
    on lithium, he was still symptomatic. Dr. Steed concluded that appellant posed a
    substantial danger to others as a result of his mental disorder.
    The prosecution called appellant to testify. Much of his testimony was confused
    or nonresponsive, but he ultimately admitted that he had a mental disorder and that his
    disorder made him dangerous.
    LEGAL ANALYSIS
    1.
    THE APPEAL IS MOOT
    A case becomes moot when a court ruling can have no practical effect or cannot
    provide the parties with effective relief. (People v. 
    Gregerson, supra
    , 202 Cal.App.4th at
    p. 321.) By the nature of MDO proceedings, in which a new commitment order must be
    sought every year, issues arising in such proceedings can most often not be decided on
    appeal quickly enough to provide any relief to the person committed. That is the case
    6
    here. Appellant’s current commitment order expired on January 20, 2016, while this
    appeal was pending. A new petition for recommitment was filed on June 22, 2015, and
    was denied on March 7, 2016, based on the trial court’s finding that appellant no longer
    meets the criteria for commitment as an MDO.6 A reversal of appellant’s current
    commitment order would have no effect on the pending petition. However, it is
    appropriate to address the issues raised in this appeal because they are important legal
    issues that are likely to reoccur “‘while evading appellate review . . . .’ [Citation.]”
    (People v. Gregerson, at p. 321.) Accordingly, we have chosen to address these issues,
    but we will dismiss the appeal as moot. (Ibid.)
    2.
    EQUAL PROTECTION
    Background.
    Under both the United States and California Constitutions, a person has the right
    to refuse to answer potentially incriminating questions put to him or her in any
    proceeding; in addition, the defendant in a criminal proceeding enjoys the right to refuse
    to testify at all. (U.S. Const., 5th Amend.; Cal. Const., art. I, § 15.) Commitment
    proceedings involving NGI’s, SVP’s and MDO’s are all civil in nature. (Hudec v.
    6   We take judicial notice of the pending petition in People v. Dunley, filed June
    22, 2015, in the Superior Court of San Bernardino County, case No. FELJS1502150.
    (Evid. Code, § 452, subd. (d).) By separate order, we have also taken judicial notice of
    the trial court’s minutes dated March 7, 2016, denying the petition.
    7
    Superior 
    Court, supra
    , 60 Cal.4th at p. 819 (Hudec) [NGI]; People v. Leonard (2000)
    
    78 Cal. App. 4th 776
    , 789-793 [SVP]; People v. Montoya (2001) 
    86 Cal. App. 4th 825
    , 830
    [MDO], overruled on another point in People v. Blackburn (2015) 
    61 Cal. 4th 1113
    , 1131;
    § 2972, subd. (a) [MDO commitment hearing is a civil hearing].) Accordingly, none of
    the three groups has a right emanating from the Fifth Amendment or article I, section 15
    of the California Constitution to refuse to testify in commitment proceedings. (See
    Hudec, at p. 819 & fn. 2.)7
    In 
    Hudec, supra
    , 
    60 Cal. 4th 815
    , the California Supreme Court resolved a split of
    authority as to whether NGI’s have a statutory right not to be compelled to testify. The
    court held that section 1026.5(b)(7), which incorporates into an NGI commitment
    extension proceeding “‘the rights guaranteed under the federal and State Constitutions for
    criminal proceedings,’” provides that a defendant may not be compelled to testify in NGI
    commitment proceedings. (Hudec, at pp. 819-832.)
    In People v. 
    Curlee, supra
    , 
    237 Cal. App. 4th 709
    (Curlee), the court concluded that
    SVP’s and NGI’s are similarly situated “for purposes of whether they may be compelled
    to testify at their commitment hearings.” (Curlee, at pp. 720-721.) Accordingly, it held,
    unless the People can justify disparate treatment, equal protection principles mandate that
    the statutory right not to testify in a commitment proceeding provided for in
    7 As in 
    Hudec, supra
    , 
    60 Cal. 4th 815
    , appellant does not contend that he has such
    a right. He relies entirely on section 1026.5(b)(7) and equal protection principles.
    8
    section 1026.5(b)(7) applies to SVP’s as well as to NGI’s. It remanded the matter for
    an evidentiary hearing for the purpose of allowing the People to show that differential
    treatment of NGI’s and SVP’s is justified. (Curlee, at pp. 721-723.) Relying in part on
    Curlee, appellant contends that MDO’s are similarly situated with respect to NGI’s and
    SVP’s for the purpose of the testimonial privilege.8
    The Claim is Not Forfeited.
    We first address the Attorney General’s contention that review of the issue is
    forfeited because at the hearing, appellant did not assert a right not to testify. We
    acknowledge that an equal protection claim may be forfeited if it is raised for the first
    time on appeal. (
    Curlee, supra
    , 237 Cal.App.4th at p. 714.) However, we will exercise
    our discretion to address the issue because at the time of the hearing, in December 2014,
    published authority from this court held that section 1026.5(b)(7) does not confer a
    testimonial privilege on NGI’s and, therefore, also rejected a contention that equal
    protection mandates extension of that right to MDO’s. (People v. Lopez (2006) 
    137 Cal. App. 4th 1099
    , 1106-1116, disapproved in part in 
    Hudec, supra
    , 60 Cal.4th at p. 832,
    fn. 5.) Other appellate courts had held that NGI’s do have a statutory right to refuse to
    testify and, in January 2015, one month after appellant’s hearing, the California Supreme
    8 
    Curlee, supra
    , 
    237 Cal. App. 4th 709
    , was decided in May 2015, very shortly
    after appellant filed his opening brief in this case. The Attorney General, whose brief
    was filed six months later, in November 2015, does not address Curlee. Appellant
    discussed Curlee in his reply brief. The Attorney General has not sought to provide
    supplemental briefing concerning the effect of Curlee on this case.
    9
    Court resolved the issue as described above. (Hudec, at pp. 822-825.) However, in
    December 2014, it would not have been unreasonable to assume that an objection would
    have been futile, based on People v. Lopez. We do not require parties to make futile
    objections. (Curlee, at p. 715.) Moreover, the threshold equal protection issue we decide
    in this appeal is a question of law and does not require resolution of disputed factual
    issues. Such an issue can be raised for the first time on appeal. (Cedars-Sinai Medical
    Center v. Superior Court (1998) 
    18 Cal. 4th 1
    , 6.)
    MDO’s, SVP’s and NGI’s are Similarly Situated for Purposes of the Testimonial
    Privilege Under Section 1026.5(b)(7).
    “‘“The first prerequisite to a meritorious claim under the equal protection clause
    is a showing that the state has adopted a classification that affects two or more similarly
    situated groups in an unequal manner.” [Citations.] This initial inquiry is not whether
    persons are similarly situated for all purposes, but “whether they are similarly situated for
    purposes of the law challenged.”’ [Citation.] In other words, we ask at the threshold
    whether two classes that are different in some respects are sufficiently similar with
    respect to the laws in question to require the government to justify its differential
    treatment of these classes under those laws.” (People v. McKee (2010) 
    47 Cal. 4th 1172
    ,
    1202 (McKee).)
    In contexts other than the testimonial privilege, NGI’s, SVP’s and MDO’s have
    been found similarly situated for purposes of the application of the three commitment
    schemes, thus requiring justification for any differential treatment. In 
    McKee, supra
    , 47
    
    10 Cal. 4th 1172
    , the court addressed the contention that the SVP scheme then in effect,
    which imposed indefinite commitments and required SVP’s to bear the burden of proving
    at periodic review hearings that they should be released, violated equal protection
    because it placed a greater burden on SVP’s than on MDO’s. Under the MDO
    commitment scheme, the state bears the burden of proving beyond a reasonable doubt
    that the person should be recommitted for another year. (McKee, at pp. 1183-1184,
    1202.)
    After noting the “incontrovertible point that SVP’s and MDO’s do not share
    identical characteristics,” the McKee court held: “We conclude that MDO’s and SVP’s
    are similarly situated for our present purposes. As was stated in In re Calhoun (2004)
    
    121 Cal. App. 4th 1315
    [
    18 Cal. Rptr. 3d 315
    ], in which the court struck down a policy that
    granted to SVP’s a more restricted right to refuse antipsychotic medication than MDO’s,
    both MDO’s and SVP’s ‘have been found, beyond a reasonable doubt, to suffer from
    mental disorders that render them dangerous to others. The dangerous finding requires
    only an assessment of future dangerousness. It does not require proof of a recent overt
    act. Both have been convicted of a serious or violent felony. At the end of their prison
    terms, both have been civilly committed to the Department of Mental Health[9] for
    treatment of their disorders. Furthermore, the purpose of the MDO Act and the SVPA is
    9Now the State Department of State Hospitals. (
    Curlee, supra
    , 237 Cal.App.4th
    at p. 712, fn. 2.)
    11
    the same: to protect the public from dangerous felony offenders with mental disorders
    and to provide mental health treatment for their disorders.’ ([Calhoun,] at pp. 1351-1352,
    accord People v. Buffington (1999) 
    74 Cal. App. 4th 1149
    , 1156 [
    88 Cal. Rptr. 2d 696
    ]
    (Buffington) [concluding that SVP’s and MDO’s are similarly situated because ‘they are
    currently suffering from a mental disorder that renders them dangerous’]; People v.
    Gibson (1988) 
    204 Cal. App. 3d 1425
    , 1436 [
    252 Cal. Rptr. 56
    ] [an MDO is similarly
    situated to other adult persons involuntarily committed because ‘[o]ne purpose of all of
    these pertinent involuntary commitment schemes is the protection of the public from the
    dangerous mentally ill and their involuntary commitment for treatment’].) We agree that
    these common features make SVP’s and MDO’s similarly situated. Therefore, when the
    state makes the terms of commitment or recommitment substantially less favorable for
    one group than the other, the case law reviewed above teaches that it is required to give
    some justification for this differential treatment.” 
    (McKee, supra
    , 47 Cal.4th at p. 1203,
    italics added.)
    The McKee court went on to hold that NGI’s and SVP’s are also similarly situated
    for purposes of the civil commitment schemes. The court stated: “McKee argues that
    NGI’s and SVP’s are also similarly situated and that a comparison of the two
    commitment regimes raises similar equal protection problems as discussed above. His
    argument has merit. NGI’s as discussed are those who have committed criminal acts but
    have been civilly committed rather than criminally penalized because of their severe
    mental disorder. Under the current statutory scheme they may not be in civil custody
    12
    longer than the maximum state prison term to which they could have been sentenced for
    the underlying offense [citations] unless at the end of that period the district attorney
    extends the commitment for two years by proving in a jury trial beyond a reasonable
    doubt that the person presents a substantial danger of physical harm to others because of
    a mental disease, defect, or disorder. [Citations.] We agree that, as with MDO’s, the
    People have not yet carried their burden of justifying the differences between the SVP
    and NGI commitment statutes.” 
    (McKee, supra
    , 47 Cal.4th at p. 1207.)
    In 
    Curlee, supra
    , 
    237 Cal. App. 4th 709
    , the court held that for purposes of the
    testimonial privilege in commitment proceedings, SVP’s and NGI’s are similarly
    situated. Citing, inter alia, 
    McKee, supra
    , 
    47 Cal. 4th 1172
    , the court stated: “The
    preconditions to commitment are similar: Both groups have committed a criminal act
    and have been found to suffer from a mental condition that might present a danger to
    others. [Citation.] At the end of the SVP’s prison term, and at the end of the term for
    which an NGI could have been imprisoned, each is committed to the state hospital for
    treatment if, at the end of that period, the district attorney proves in a jury trial beyond a
    reasonable doubt that the person presents a danger to others as a result of a mental
    disease, defect, or disorder. [Citations.] The purpose of the commitment is the same: To
    protect the public from those who have committed criminal acts and have mental
    disorders and to provide mental health treatment for the disorders. [Citations.]” (Curlee,
    at p. 720.)
    13
    In this case, the Attorney General contends that NGI’s are not similarly situated
    with respect to MDO’s or SVP’s because an NGI defendant asserts his mental disorder as
    an affirmative defense in his criminal trial and is, therefore, found not culpable as a result
    of the disorder. She notes that a defendant bears the burden of proof on the NGI defense.
    (See § 25, subd. (b).) In contrast, in both MDO and SVP proceedings, a defendant has
    been found guilty of a qualifying offense and after having served his or her sentence, is
    found to qualify for civil commitment in a proceeding in which the prosecution bears the
    burden of proof as to the existence of a mental disorder that renders that defendant a
    danger to the public. We fail to see how these distinctions are relevant to the
    determination as to whether the three groups are similarly situated for purposes of the
    testimonial privilege, however. Based on the reasoning of 
    McKee, supra
    , 47 Cal.4th at
    page 1202, and 
    Curlee, supra
    , 237 Cal.App.4th at pages 720 through 721, we can see no
    distinction between MDO’s and either SVP’s or NGI’s for purposes of the testimonial
    privilege. Accordingly, we hold that for that purpose, MDO’s, NGI’s and SVP’s are
    similarly situated.
    Disparate Treatment.
    If two groups are found to be similarly situated for the purposes of the law in
    question, the next inquiry is whether the state can justify the disparate treatment. (People
    v. Buffington (1999) 
    74 Cal. App. 4th 1149
    , 1155.) One of two tests applies in a given
    case: either the rational basis test or the strict scrutiny test. The rational basis test applies
    when the statute involves neither a suspect class nor a fundamental right. That test
    14
    requires only that there is “‘“any reasonably conceivable state of facts that could provide
    a rational basis for the classification.”’ [Citation.]” (People v. Turnage (2012) 
    55 Cal. 4th 62
    , 74.) If the statute does affect a fundamental right, strict scrutiny applies.
    (Hubbart v. Superior Court (1999) 
    19 Cal. 4th 1138
    , 1153, fn. 20 (Hubbart).) “‘[O]nce it
    is determined that [a] classification scheme affects a fundamental interest or right the
    burden shifts; thereafter the state must first establish that it has a compelling interest
    which justifies the law and then demonstrate that the distinctions drawn by the law are
    necessary to further that purpose.’ [Citations.]” (People v. Saffell (1979) 
    25 Cal. 3d 223
    ,
    228 (Saffell).)
    The Attorney General contends that the rational basis test applies in this case. In
    our original opinion, we held that, on the contrary, the proper standard is strict scrutiny.
    We based this holding on 
    Hubbart, supra
    , 
    19 Cal. 4th 1138
    , and other cases in which the
    California Supreme Court has held that strict scrutiny applies to equal protection
    challenges to civil commitment schemes because those schemes affect the individual’s
    fundamental liberty interest. (Id. at p. 1153, fn. 20; 
    McKee, supra
    , 47 Cal.4th at p. 1203
    [involuntary commitment schemes impact individual’s fundamental liberty interest],
    1210 [strict scrutiny applies].) In a petition for rehearing, the Attorney General
    contended that this conclusion is erroneous and that we “unwarrantedly expand[ed]
    McKee’s holding.” She contends that McKee holds that strict scrutiny does not apply to
    “every detail” of civil commitment schemes. She contends that the testimonial privilege
    is merely a statutory trial right and not a matter affecting a fundamental interest, and that
    15
    strict scrutiny therefore does not apply. We granted rehearing to address these
    contentions.
    The California Supreme Court has long held that under California law, equal
    protection challenges to involuntary civil commitment schemes are reviewed under the
    strict scrutiny test because such schemes affect the committed person’s fundamental
    interest in liberty. (
    Hubbart, supra
    , 19 Cal.4th at p. 1153, fn. 20 and cases cited
    therein.)10 The court reiterated that holding in In re Smith (2008) 
    42 Cal. 4th 1251
    , 1263:
    “Under California law, ‘“[s]trict scrutiny is the appropriate standard against which to
    measure [equal protection] claims of disparate treatment in civil commitment.
    [Citations.]”’ [Citation.]” Up to that point, the court had never, in any case of which we
    are aware, stated any limitations on that rule. The Attorney General contends that in
    
    McKee, supra
    , 
    47 Cal. 4th 1172
    , however, the court did hold that equal protection
    challenges to some minor aspects of a civil commitment scheme are not subject to strict
    scrutiny.
    10  The court distinguished federal law in this respect, noting that the United States
    Supreme Court has “suggest[ed] a willingness” to accord substantial deference to
    involuntary civil commitment laws challenged under the federal Constitution. (
    Hubbart, supra
    , 19 Cal.4th at p. 1153, fn. 20.) The court then stated that in contrast, California
    “has traditionally subjected involuntary civil commitment statutes to the most rigorous
    form of constitutional review.” (Ibid.) Here, appellant relies on both the Sixth and
    Fourteenth Amendments to the United States Constitution and article I, section 15 of the
    California Constitution.
    16
    In 
    McKee, supra
    , 
    47 Cal. 4th 1172
    , in an equal protection challenge to amendments
    to the SVP act, the court rejected in a footnote the suggestion by the concurring and
    dissenting justice that it was holding that strict scrutiny applies to “‘every detail of every
    civil commitment program.’” (McKee, at p. 1210, fn. 13.) In the same footnote,
    however, the court went on to say, “Nor do we agree with the concurring and dissenting
    opinion inasmuch as it means to imply that the change from a short-term commitment,
    renewable only if the state carries its burden beyond a reasonable doubt, to an indefinite
    commitment in which the person committed has the burden of proof is merely an
    alteration of a minor detail of the commitment scheme.” (Ibid.) Thus, the court referred
    to the concurrence and dissent only for the purpose of rejecting any implication that the
    issues before it in that case could be deemed to be mere “details” of the SVP act. The
    court’s rejection of the concurring and dissenting justice’s characterization of its holding,
    is not, of course, the equivalent of actually holding that strict scrutiny does not apply to
    some details of the SVP act or other involuntary civil commitment statutes. Moreover, in
    McKee, the court reiterated its earlier holding in Conservatorship of Hofferber (1980) 
    28 Cal. 3d 161
    (Hofferber) that “fundamental distinctions between classes of individuals
    subject to civil commitment are subject to strict scrutiny.” (McKee, at p. 1210, citing
    Hofferber, at p. 171, fn. 8.) Accordingly, the Attorney General’s contention is simply
    erroneous.
    We also reject the Attorney General’s assertion that in McKee, the court held that
    “because” the challenged law increased the length of an SVP’s commitment and placed
    17
    the burden on the SVP to prove eligibility for release, strict scrutiny applies. Nowhere
    does McKee state that strict scrutiny applies for any reason other than because the
    challenged law affects the liberty interests of the individuals who are subject to it.
    
    (McKee, supra
    , 47 Cal.4th at pp. 1203-1204 [liberty interest], 1210 [strict scrutiny].)
    Opinions are not authority for propositions that were not raised and decided. (People v.
    Knoller (2007) 
    41 Cal. 4th 139
    , 154-155.)
    The Attorney General asserts that in other cases, the Supreme Court has held that
    only challenges to “the duration of an MDO’s commitment such that it infringes upon
    either his liberty or freedom [and] substantive definitional standards and burdens of
    proof, which affect the criteria used to determine whether a person is subject to
    commitment” are subject to strict scrutiny review. The cases she cites are In re Moye
    (1978) 
    22 Cal. 3d 457
    (Moye),11 
    Hofferber, supra
    , 
    28 Cal. 3d 161
    , and 
    Hubbart, supra
    , 
    19 Cal. 4th 1138
    . This contention, too, is erroneous.
    In 
    Moye, supra
    , 
    22 Cal. 3d 457
    , the issue was whether a person who is committed
    to the Department of Health following his acquittal of criminal charges because of
    insanity can be held in the department’s custody for a period in excess of the maximum
    term provided for the underlying offense of which he was acquitted. (Id. at p. 460.) In
    
    Hofferber, supra
    , 
    28 Cal. 3d 161
    , the issue was whether a person who had been charged
    11 
    Moye, supra
    , 
    22 Cal. 3d 457
    , was superseded in part by the enactment of
    section 1026.5. (
    Hudec, supra
    , 60 Cal.4th at pp. 821-822.)
    18
    with a violent crime but found incompetent to stand trial was subject to civil commitment
    “for reasons and under procedures that differ from those applicable to other mentally
    disordered persons.”12 (Id. at p. 167.) In 
    Hubbart, supra
    , 
    19 Cal. 4th 1138
    , the issue was
    whether the criteria used for determining eligibility for civil commitment under the SVP
    act violated due process or equal protection. (Id. at pp. 1151-1167 [due process], 1168-
    1170 [equal protection].) However, in none of those cases did the court address a
    contention that strict scrutiny applied because of the particular aspect of the civil
    commitment scheme that was at issue, nor did it so hold. In Moye, the court merely
    stated, “Because petitioner’s personal liberty is at stake, the People concede that the
    applicable standard for measuring the validity of the statutory scheme now before us
    requires application of the strict scrutiny standard of equal protection analysis.
    Accordingly, the state must establish both that it has a ‘compelling interest’ which
    justifies the challenged procedure and that the distinctions drawn by the procedure are
    necessary to further that interest. [Citation.]” (Moye, at p. 465.) Similarly, in Hofferber,
    the applicable standard was not in issue. The sole reference to it is in a footnote, where
    the court stated, “The conservator concedes that, because a fundamental liberty interest is
    at stake, strict scrutiny is the correct standard of review.” (Hofferber, at p. 171, fn. 8.) In
    Hubbart, the court merely noted in a footnote that it “has traditionally subjected
    12  The former Mentally Disordered Sex Offenders Act (Welf. & Inst. Code,
    former section 6300 et seq.) is the forerunner of the current SVP act. 
    (McKee, supra
    , 47
    Cal.4th at p. 1196.)
    19
    involuntary civil commitment statutes to the most rigorous form of constitutional
    review.” (Hubbart, at p. 1153, fn. 20.) Accordingly, we reject the suggestion that those
    cases stand for the proposition that only certain types of issues arising through equal
    protection challenges to civil commitment statutes are subject to strict scrutiny. The
    dictum in 
    McKee, supra
    , 
    47 Cal. 4th 1172
    , on which the Attorney General relies, does not
    affect the court’s existing holdings. We, of course, are bound by the court’s directly
    applicable holdings. (Auto Equity Sales, Inc. v. Superior Court (1962) 
    57 Cal. 2d 450
    ,
    455.)
    For the same reason, we reject the Attorney General’s assertion that denial of the
    statutory right not to be compelled to testify is not subject to strict scrutiny because it
    “touches on only a single procedural aspect of the trial,” and is therefore merely a trial
    error, as opposed to structural error, within the meaning of Arizona v. Fulminante (1991)
    
    499 U.S. 279
    .13 She is correct that denial of a purely statutory trial right is subject to the
    least stringent standard of reversal, i.e., that of People v. Watson (1956) 
    46 Cal. 2d 818
    .
    (People v. Epps (2001) 
    25 Cal. 4th 19
    , 29.) That is not, however, relevant to the question
    of what standard of review applies for purposes of equal protection. In the context of
    equal protection, the test for the application of strict scrutiny is whether the civil
    13In Arizona v. 
    Fulminante, supra
    , 
    499 U.S. 279
    , the court distinguished between
    federal constitutional errors that are “structural” and require automatic reversal of a
    criminal conviction because they affect the “framework within which the trial proceeds,”
    from “trial errors” occurring during the trial. Trial errors are subject to harmless error
    analysis. (Id. at pp. 306-310.)
    20
    commitment scheme itself affects personal liberty, not whether a particular aspect of the
    act is the equivalent of structural error.
    For these reasons, we reject the Attorney General’s contentions on rehearing and
    reiterate that strict scrutiny applies to the determination whether the testimonial privilege
    provided for in section 1026.5(b)(7) applies to MDO proceedings.14
    3.
    REVIEW OF THE ASSERTED INSTRUCTIONAL ERROR IS FORFEITED15
    Appellant appears to assert that the trial court erred by failing to instruct the jury
    on the burden of proof with respect to his medicated state, i.e., whether he is in remission
    because his symptoms are controlled by his current medication. That is, at least, what the
    heading of his argument states. He relies on People v. Noble (2002) 
    100 Cal. App. 4th 184
    (Noble). Upon further examination, however, appellant’s actual contention is that the
    trial court erred by failing to give an instruction suggested in dictum by the court in
    Noble. (Id. at p. 190.) The suggested instruction does not relate to the actual issue in
    14  The Attorney General has not identified a compelling state interest which
    would support different treatment for MDO’s with respect to the testimonial privilege. In
    both 
    McKee, supra
    , 
    47 Cal. 4th 1172
    and 
    Curlee, supra
    , 
    237 Cal. App. 4th 709
    , the courts
    remanded the matters for an evidentiary hearing to allow the state the opportunity to
    establish a factual basis justifying the disparate treatment of the affected groups.
    (McKee, at pp. 1208-1211; Curlee, at pp. 722-723.) Because we are dismissing the
    instant appeal as moot, however, that issue must be litigated in some future case.
    15   See footnote 4, ante.
    21
    Noble, which is that the court gave an instruction that impermissibly shifted the burden of
    proof. (Id. at pp. 188-190.)
    The issue in Noble is as follows. In that case, the trial court in an MDO
    proceeding first instructed the jury: “‘It is the burden of the prosecution to prove beyond
    a reasonable doubt that the defendant meets the requirements for a hospital extension as
    defined in these instructions.’ It then instructed the jury to determine whether defendant,
    ‘by reason of a mental disorder, not at this time in remission, represents a substantial
    danger of physical harm to others. [¶] The People have the burden of proving beyond a
    reasonable doubt that the respondent [defendant]: [¶] 1. Has a severe mental disorder;
    [¶] 2. Suffers from a severe mental disorder that is not in remission or cannot be kept in
    remission if the person’s treatment is not continued; and [¶] 3. By reason of his severe
    mental disorder, the respondent [defendant] represents a substantial danger of physical
    harm to others.’ Quoting the statutory definition of the term, the trial court also
    instructed the jury that ‘“remission” means a finding that the overt signs and symptoms of
    the severe mental disorder are controlled either by psychotropic medication or
    psychosocial support. . . .’” (Noble, at p. 189.)
    The jury was further instructed in terms of CALJIC No. 4.15 as follows: “‘It is a
    defense to a Petition to Extend Commitment that the respondent [defendant] in a
    medicated state does not represent a substantial danger of physical harm to others. [¶]
    The . . . [defendant] has the burden of proving by a preponderance of the evidence all of
    the facts necessary to establish: [¶] 1. In his present medicated condition he no longer
    22
    represents a substantial danger of inflicting physical harm upon others; and [¶] 2. He
    will continue to take the medication as prescribed, in an unsupervised environment. [¶]
    If you find that the respondent [defendant] has met this burden on these issues, you
    should find that he does not represent a substantial danger of physical harm to others.’”
    
    (Noble, supra
    , 100 Cal.App.4th at p. 189.)
    The appellate court held that giving CALJIC No. 4.15 was erroneous because the
    so-called “medication defense,” i.e., the defense that the person is in remission because
    his medication controls his mental disorder and renders him not dangerous is not an
    affirmative defense. Rather, it is a defense that negates an element of the state’s case, in
    that the state has the burden of proving that the person is not in remission. An affirmative
    defense is one which does not negate an essential element of a cause of action or charged
    crime, but instead presents new matter to excuse or justify conduct that would otherwise
    lead to liability. 
    (Noble, supra
    , 100 Cal.App.4th at p. 189.) “Where a ‘defense’ negates
    an essential element of the crime charged rather than introducing new matter . . . ‘the
    state may not constitutionally place the burden of persuasion on that issue upon the
    defendant.’ [Citation].” (Ibid.) Accordingly, the court held, the trial court erred in
    giving CALJIC No. 4.15. (Noble, at pp. 189-190.)
    The court then stated in dictum that when a defendant relies on the medication
    defense, the court should instruct the jury as follows: “The People have the burden to
    prove, beyond a reasonable doubt, that if released, the defendant will not take his or her
    23
    prescribed medication and in an unmedicated state, the defendant represents a substantial
    danger of physical harm to others.” 
    (Noble, supra
    , 100 Cal.App.4th at p. 190.)
    Here, the trial court did not give an instruction shifting the burden of proof to
    appellant on the medication defense. Instead, it instructed on the state’s burden using
    CALCRIM No. 3457. That instruction explains that the state must prove that the person
    has a severe mental disorder that is not in remission or that cannot be kept in remission
    without continued treatment and, as a result, the person poses a substantial danger of
    physical harm to others. It defines “remission” as meaning that “the external signs and
    symptoms of the severe mental disorder are controlled by either psychotropic medication
    or psychosocial support.” (CALCRIM No. 3457.)
    Appellant relied on the medication defense in the hearing and presented evidence
    that he had not engaged in any violence since he began taking lithium. He requested a
    special instruction in the language suggested in 
    Noble, supra
    , 100 Cal.App.4th at page
    190. The court denied the request, saying that the requested instruction was adequately
    covered by CALCRIM No. 3457.
    Appellant now contends that this was error, because the jury might have been
    confused by CALCRIM No. 3457. He contends that the instruction may be confusing or
    24
    misleading, “[d]epending on the jury’s understanding of the word ‘treatment.’”16 If the
    jury understood “treatment” to mean “medication,” he contends, the instruction’s
    definition of remission “would have made no sense, and the jury would have been
    confused.” Appellant did not, however, make that argument in the trial court. Rather, his
    attorney merely stated that he was requesting the Noble instruction because an appellate
    attorney had taken him to task in a prior case for failing to request the instruction. Even
    after the jury submitted a question asking for clarification about remission, defense
    counsel merely suggested that the Noble instruction “might be appropriate in light of the
    question.”17 He did not make the assertion appellant now makes, i.e., that CALCRIM
    No. 3457 is confusing because it does not define “treatment.” The Noble instruction in
    no way clarifies the meaning of “treatment,” however. Rather, it addresses the People’s
    burden “to prove, beyond a reasonable doubt, that if released, the defendant will not take
    his or her prescribed medication and in an unmedicated state, the defendant represents a
    substantial danger of physical harm to others.” 
    (Noble, supra
    , 100 Cal.App.4th at
    p. 190.) Failure to request clarifying language where an instruction is otherwise correct
    forfeits review. (People v. Maury (2003) 
    30 Cal. 4th 342
    , 425-426, disapproved on other
    16  Appellant’s argument initially appears to be that CALCRIM No. 3457 was
    confusing, depending on how the jury understood the word “treatment.” However, as we
    discuss, this is not actually the gist of his argument.
    17  “1. Is substantial danger of physical harm to others; are we to consider the fact
    if he is medicated or not? [¶] 2. Also, will Mr. Dunley be given a social worker when
    released?”
    25
    grounds in Barnett v. Superior Court (2010) 
    50 Cal. 4th 890
    , 901.) Accordingly,
    appellant’s claim was not preserved for review.
    DISPOSITION
    The appeal is dismissed.
    CERTIFIED FOR PARTIAL PUBLICATION
    McKINSTER
    J.
    We concur:
    RAMIREZ
    P. J.
    HOLLENHORST
    J.
    26