State of Maine v. Richard J. Kimball , 2015 Me. LEXIS 73 ( 2015 )


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  • MAINE SUPREME JUDICIAL COURT                                      Reporter of Decisions
    Decision: 
    2015 ME 67
    Docket:   Ken-14-269
    Argued:   April 9, 2015
    Decided:  May 19, 2015
    Panel:       SAUFLEY, C.J., and ALEXANDER, MEAD, GORMAN, JABAR, and HJELM, JJ.
    STATE OF MAINE
    v.
    RICHARD J. KIMBALL
    ALEXANDER, J.
    [¶1] In this appeal we address, again, issues that arise when a victim of
    domestic violence claims lack of memory of critical events or otherwise becomes
    unavailable or unwilling to testify against the accused. The State, to maintain the
    prosecution in such cases, often must rely on alternatives to first-person testimony
    to bring the victim’s statements before the jury. The challenges for trial courts
    addressing such evidence have been enhanced in recent years by opinions of the
    United States Supreme Court, beginning with Crawford v. Washington,
    
    541 U.S. 36
    (2004), that have significantly developed the standard of admissibility,
    under the Confrontation Clause, of out-of-court statements made by persons who
    do not testify at trial.   This appeal focuses on how the trial court addressed
    out-of-court statements by a reluctant victim to permit the statements to come
    before the jury.
    2
    [¶2] Richard J. Kimball appeals from a judgment of conviction for domestic
    violence assault (Class D), 17-A M.R.S. § 207-A(1)(A) (2014), entered by the
    Superior Court (Kennebec County, Marden, J.) following a jury trial. Kimball
    argues that his right to confront witnesses against him pursuant to the United States
    and Maine Constitutions, see U.S. Const. amend. VI; Me. Const. art. I, § 6, was
    violated when the victim was unwilling to testify and the court admitted hearsay
    statements by the victim in the form of (1) an emergency 9-1-1 recording and
    (2) the victim’s statements to an emergency medical technician paramedic
    (“EMT”). Kimball contends that the victim’s statements were testimonial in nature
    and barred by the Crawford opinion and its progeny, even though the statements at
    issue may have traditionally qualified for admission as exceptions to the hearsay
    rule. Concluding that the victim’s prior out-of-court statements were properly
    admitted at trial, we affirm the judgment.
    I. CASE HISTORY
    [¶3] The relevant facts, viewed in the light most favorable to the jury’s
    verdict, are as follows. See State v. Medeiros, 
    2010 ME 47
    , ¶ 16, 
    997 A.2d 95
    . On
    September 15, 2013, at 6:56 p.m., the victim called 9-1-1, stating that she had been
    attacked by her husband, Kimball, at a home in Oakland. The victim sounded as if
    she was in distress, and the dispatcher requested that the victim “take a deep breath
    . . . so [the dispatcher could] understand where [she was located].” The victim
    3
    reported to the dispatcher that Kimball had beaten her “to a bloody pulp.” She told
    the dispatcher that she had locked Kimball outside, and that he was outside the
    house. She stated that she “just want[ed] somebody to look at [her] house so he
    doesn’t come back . . . .” The call lasted approximately two minutes.
    [¶4] Officers from the Oakland Police Department arrived at the victim’s
    residence approximately four minutes after she placed the 9-1-1 call. The police
    found Kimball sitting on the back steps of the residence, barefoot and smoking a
    cigarette. Kimball appeared intoxicated, and the knuckles of his index and middle
    finger on his right hand were observed to be red and swollen.
    [¶5] Kimball stated to the police that the victim was inside the house “going
    crazy and . . . beating herself up.” He stated that he had asked the victim for cash
    to go to the store, that he and the victim had argued, and that he had “gotten mad at
    [the victim] and punched the wall.”      He told the police that he had left the
    residence to take a walk. The back door by the stairs where Kimball was sitting
    was locked.
    [¶6] The police made visual contact with the victim, who motioned to one
    officer from inside the home and let the officer enter through the front door of the
    residence. The officer described the victim’s demeanor as “in hysterics,” “crying
    very loud,” “hard to understand,” “very worked up,” and “very scared.” The
    officer saw that the victim’s injuries included a severely bruised eye that was
    4
    swollen to the point of closing, redness around her throat, bruising around her jaw,
    and “ping pong ball sized protrusions” on the back of her head. A photograph was
    taken of the victim’s injuries.
    [¶7]    A captain of the Oakland Fire Department was dispatched to the
    residence in his capacity as an EMT paramedic to treat the victim’s injuries. The
    EMT noticed redness around the victim’s neck and could feel “a couple bumps” on
    the back of her head. The victim told the EMT that “she was grabbed in the head
    and was slammed into the floor multiple times.”
    [¶8] Kimball was charged with one count of domestic violence assault
    (Class D), 17-A M.R.S. § 207-A(1)(A). He entered a plea of not guilty and
    requested a jury trial,1 which was held on May 28, 2014. The victim, although
    under subpoena, did not appear the morning of the trial. She was eventually
    brought before the court under arrest to testify. Beyond acknowledging her name,
    the victim remained silent and would not answer questions asked by the State. The
    court ultimately issued a contempt order as a result of the victim’s refusal to testify
    and jailed her for twenty-four hours.
    1
    As a result of adoption of the Maine Rules of Unified Criminal Procedure, jury trial requests in
    misdemeanor cases are no longer required. Defendants in misdemeanor and felony cases are entitled to a
    jury trial unless the right to a trial by jury is waived. See M.R.U. Crim. P. 18(e), 23(a). This practice
    applies in many counties presently, and will apply statewide on July 1, 2015. See M.R.U. Crim. P. 1(e).
    5
    [¶9] During the trial, the court admitted in evidence the content of the 9-1-1
    call, over Kimball’s objection on Confrontation Clause grounds. The court also
    allowed the EMT to testify as to his observations of the victim. On redirect
    examination, after defense counsel had asked if bumps on the victim’s head could
    have other causes, the EMT was permitted to testify that, when he was treating the
    victim’s injuries, the victim stated that “she was grabbed in the head and was
    slammed into the floor multiple times.”
    [¶10]   Kimball was found guilty of domestic violence assault and was
    sentenced to nine months in the Kennebec County jail, with all but forty-four days
    suspended. Kimball also was required to complete two years of probation
    following the sentence, including special conditions that he participate in domestic
    violence court and complete sixteen sessions of a Certified Batterer’s Intervention
    program before being permitted to have contact with the victim. Kimball filed this
    timely appeal pursuant to 15 M.R.S. § 2115 (2014) and M.R. App. P. 2.
    II. LEGAL ANALYSIS
    [¶11] This appeal presents an issue that is not uncommon in prosecutions
    related to domestic violence, in which some victims refuse to testify, claim lack of
    memory of traumatic events, become difficult to contact, recant allegations, or
    6
    express a desire not to “press” charges.2                   Many factors may drive a victim’s
    decision to distance herself or himself from these cases, including fear of
    retribution by a partner, fear of intimidation or physical confrontation by the
    perpetrator or associates, shame or concerns regarding reputation, a desire to
    remain in the relationship, or a concern about untrue statements in his or her initial
    report. The presence of children or the victim’s financial dependence on the
    defendant may further complicate these dynamics.3
    2
    Examples from our prior opinions demonstrate the pervasiveness of this issue. See, e.g., State v.
    Ahmed, 
    2006 ME 133
    , ¶¶ 3-4, 8, 15, 
    909 A.2d 1011
    (affirming a conviction supported by police
    testimony regarding statements and observations of the victim when the victim testified that she no longer
    wanted the matter prosecuted); State v. Benner, 
    654 A.2d 435
    , 437 (Me. 1995) (holding that
    circumstantial evidence was sufficient to support a conviction despite the victim’s attempt to recant her
    complaint that the defendant struck her); State v. Whitten, 
    667 A.2d 849
    , 850-51 (Me. 1995) (affirming a
    gross sexual assault conviction when the victim’s physician testified, see M.R. Evid. 803(4), that on the
    evening of the assault, the victim had reported that she “had been beaten up and forcibly raped,” but at
    trial, the victim testified that although she had been in an abusive relationship with her boyfriend, “she
    could not remember whether she was compelled” to engage in sexual intercourse); State v. Discher,
    
    597 A.2d 1336
    , 1338-39, 1342 (Me. 1991) (affirming a manslaughter conviction in connection with the
    death of a baby, when the baby’s mother testified she did not remember the defendant telling her that he
    had shaken the child, despite a recording made shortly after the event, in which the mother had reported
    that the defendant stated that “he couldn’t stand the crying” and that he “shook the baby 10 or 20 seconds
    at the most,” a recording that was held to be improperly admitted pursuant to M.R. Evid. 803(5), but was
    considered harmless error in light of other evidence of the defendant’s admissions to shaking the baby);
    see also State v. Barnies, 
    680 A.2d 449
    , 450-53 & n.1 (Me. 1996) (vacating an assault conviction when
    the victim refused to testify, despite her previous statements to the police that the defendant “had put a lit
    cigarette to her eye and kicked her shin,” when the police officer was the sole witness, and the victim’s
    statement was ruled by this Court not admissible pursuant to the excited utterance exception,
    M.R. Evid. 803(2)).
    Significant research has been conducted on the issue of so-called “victimless” prosecutions in
    domestic violence cases, revealing that these cases tend to be less the exception than the rule. See
    Deborah Tuerkheimer, Crawford’s Triangle: Domestic Violence and the Right of Confrontation, 
    85 N.C. L
    . Rev. 1, 10-18 (2006); see also Tom Lininger, Prosecuting Batterers After Crawford, 
    91 Va. L
    . Rev.
    747, 768 (2005) (“Recent evidence suggests that 80 to 85 percent of battered women will recant at some
    point.”).
    3
    For further discussion of this issue, see generally Deborah Weissman, Crawford v. Washington:
    Implications for Public Health Policy and Practice in a Domestic Violence Context, 121 Public Health
    7
    [¶12] Because of the challenges associated with obtaining victim testimony
    at trial, out-of-court statements by victims can be crucial evidence, either
    substantively or for impeachment purposes, in domestic violence cases.
    Well-established hearsay exceptions have been applied to allow admission of a
    victim’s previous statements, including statements made while under the stress of
    excitement caused by a startling event, M.R. Evid. 803(2), present sense
    impressions, M.R. Evid. 803(1), or statements made for medical diagnosis or
    treatment, M.R. Evid. 803(4). See State v. Ahmed, 
    2006 ME 133
    , ¶¶ 1, 12-15,
    
    909 A.2d 1011
    (affirming a conviction of domestic violence assault when the
    victim’s statements to a police officer were admitted as excited utterances and the
    content of a 9-1-1 call was admitted for impeachment purposes); State v. Whitten,
    
    667 A.2d 849
    , 850-51 (Me. 1995).
    [¶13] Although the United States Supreme Court’s opinions in Crawford,
    
    541 U.S. 36
    , and Davis v. Washington, 
    547 U.S. 813
    (2006), have somewhat
    narrowed the admissibility of such evidence when a defendant’s right of
    confrontation is implicated, the trial court’s rulings in this case did not exceed the
    bounds set by the Supreme Court’s jurisprudence.
    Reports 464-67 (2006), and Laurie S. Kohn, The Justice System and Domestic Violence: Engaging the
    Case but Divorcing the Victim, 32 N.Y.U. Rev. L. & Soc. Change 191 (2008).
    8
    [¶14]   With those general observations, we turn to the specific issues
    presented in this appeal. A trial court’s evidentiary rulings are reviewed for clear
    error or an abuse of discretion. State v. Reese, 
    2005 ME 87
    , ¶ 9, 
    877 A.2d 1090
    .
    A court’s legal conclusions that certain statements are nontestimonial, and
    therefore admissible over Confrontation Clause objections, are reviewed de novo.
    State v. Mercier, 
    2014 ME 28
    , ¶ 9, 
    87 A.3d 700
    ; State v. Metzger, 
    2010 ME 67
    ,
    ¶ 13, 
    999 A.2d 947
    .
    [¶15]    The Confrontation Clauses of the United States and Maine
    Constitutions guarantee that “[i]n all criminal prosecutions, the accused shall enjoy
    the right . . . to be confronted with the witnesses against him [or her].” U.S. Const.
    amend. VI; see also Me. Const. art. I, § 6. The federal constitutional guarantee is
    applied to the states through the Fourteenth Amendment. See U.S. Const. amend.
    XIV, § 1; State v. Johnson, 
    2014 ME 83
    , ¶ 8 n.2, 
    95 A.3d 61
    . The reach of this
    guarantee is limited to “testimonial” evidence, which the Supreme Court has
    described as “typically a solemn declaration or affirmation made for the purpose of
    establishing or proving some fact.” 
    Crawford, 541 U.S. at 51
    .
    [¶16]    In the context of police response to reported emergencies, the
    Supreme Court has observed that testimonial statements are those that are given
    “when the circumstances objectively indicate that there is no . . . ongoing
    emergency, and that the primary purpose of the interrogation is to establish or
    9
    prove past events potentially relevant to later criminal prosecution.”                        
    Davis, 547 U.S. at 822
    .         By contrast, statements are nontestimonial, and potentially
    admissible without violating the Confrontation Clause, when they are “made in the
    course of police interrogation under circumstances objectively indicating that the
    primary purpose of the interrogation is to enable police assistance to meet an
    ongoing emergency.” 
    Id. [¶17] “Confrontation
    Clause analysis under Crawford and Davis requires
    that a court make two inquiries: (1) whether the proffered evidence is hearsay, and
    (2) if it is hearsay, whether the evidence is testimonial.” State v. Tayman,
    
    2008 ME 177
    , ¶ 12, 
    960 A.2d 1151
    . Evidence that is properly admitted under an
    exception to the hearsay rule may nevertheless be barred by the Confrontation
    Clauses. Metzger, 
    2010 ME 67
    , ¶ 8, 
    999 A.2d 947
    .4
    [¶18]     Because the victim did not testify at trial and consequently the
    defendant did not have an opportunity to cross-examine her about her statements,
    we must examine whether the victim’s statements that were admitted in
    evidence—those from the 9-1-1 recording and those made to the EMT—were
    4
    Kimball objected to admission of the statements on Confrontation Clause grounds. He did not
    object at trial to the admission of the statements on hearsay grounds, and effectively waived the
    evidentiary issues by not pursuing them in his appellate brief. Accordingly, our review of the hearsay
    component is limited to whether the court’s admission of the statements constituted obvious error. See
    Ahmed, 
    2006 ME 133
    , ¶ 13, 
    909 A.2d 1011
    . “An error is obvious if it worked a substantial injustice or
    affected the defendant's substantial rights.” 
    Id. 10 testimonial
    in nature. This question is “necessarily a fact-specific inquiry,” and the
    State bears the burden to demonstrate that “the statement at issue was elicited
    primarily for the purpose of resolving an ongoing emergency, not to establish or
    prove past events.” Metzger, 
    2010 ME 67
    , ¶ 22, 
    999 A.2d 947
    .
    A.       Victim’s 9-1-1 Recording Statements
    [¶19] Although the trial court did not specify the hearsay exception it
    applied to admit the 9-1-1 recording, the record amply supports a conclusion that
    the victim’s statements on the recording were admissible as excited utterances.
    “Pursuant to M.R. Evid. 803(2), an excited utterance is (1) a statement relating to a
    startling event or condition; (2) made while the declarant was under the stress of
    excitement; (3) caused by the event or condition.” Ahmed, 
    2006 ME 133
    , ¶ 14,
    
    909 A.2d 1011
    ; see also State v. Robinson, 
    2001 ME 83
    , ¶ 12, 
    773 A.2d 445
    (listing factors for a court to consider in admitting a statement as an excited
    utterance, including “the nature of the startling or stressful event” and “the amount
    of time that passed between the startling event and the statement”). The declarant
    need not be unavailable for this exception to apply.5
    5
    The restyled Maine Rules of Evidence now in effect contain slightly adjusted language for the
    excited utterance exception. See M.R. Evid. 803(2) (restyled Rules); Introductory Advisory Committee
    Note to the restyled Maine Rules of Evidence (stating that the restyled Rules are not intended to change
    the meaning of the superseded rules).
    11
    [¶20] Here, the victim’s statements on the 9-1-1 recording related directly to
    a recent traumatic event. Although the record does not indicate precisely how
    much time passed between the incident and the 9-1-1 call, one can infer that the
    call was made shortly after the victim had locked the defendant out of the house.
    The court had evidence that the victim remained under the stress of the event when
    she placed the call, and when police arrived on the scene, they found that the
    victim was still “in hysterics.”
    [¶21] We have affirmed assault convictions reliant on excited utterance
    evidence, M.R. Evid. 803(2), when the victim’s statements to police occurred
    seven minutes after a 9-1-1 call, see Ahmed, 
    2006 ME 133
    , ¶ 15, 
    909 A.2d 1011
    ,
    and “three to twelve minutes” after an attack while the victim remained very upset,
    see Robinson, 
    2001 ME 83
    , ¶ 14, 
    773 A.2d 445
    ; see also State v. McLaughlin,
    
    642 A.2d 173
    , 175 (Me. 1994) (upholding the trial court’s admission of a statement
    made ten minutes after an assault).      It was not error for the court to admit
    statements in the 9-1-1 call as substantive evidence to support the conviction.
    [¶22] Kimball contends that, regardless of its admissibility pursuant to the
    Rules of Evidence, the contents of the 9-1-1 recording are testimonial and
    inadmissible under the Confrontation Clauses because, at the time of the call, the
    victim was locked inside her residence and isolated from immediate danger.
    Although he did not testify, Kimball asserts to us that he had walked away from
    12
    the residence, and the victim merely wanted someone to “look at her house” to
    keep Kimball from returning. We have applied four criteria, derived from the
    Davis opinion, to distinguish between testimonial and nontestimonial statements in
    this context. Statements made to law enforcement personnel during a 9-1-1 call
    are nontestimonial when:
    (1) the caller is speaking about events as they are actually happening;
    (2) it would be clear to a reasonable listener that the victim is facing
    an ongoing emergency; (3) the nature of the questions asked and
    answered are objectively necessary and elicited for the purpose of
    resolving the present emergency; and (4) the victim’s demeanor on the
    phone and circumstances at the time of the call evidence an ongoing
    emergency.
    State v. Rickett, 
    2009 ME 22
    , ¶ 12, 
    967 A.2d 671
    (citing 
    Davis, 547 U.S. at 827
    ).
    [¶23] We have observed that “[a]n interrogation that initially serves to
    determine the need for emergency assistance may evolve into an interrogation
    solely directed at ascertaining the facts of a past crime.” Rickett, 
    2009 ME 22
    ,
    ¶ 13, 
    967 A.2d 671
    . There exists no bright-line rule demarcating when or where
    this transition takes place. The Supreme Court has stated, however, that “at least
    the initial interrogation conducted in connection with a 911 call[] is ordinarily not
    designed primarily to establish or prove some past fact, but to describe current
    circumstances requiring police assistance.” 
    Davis, 547 U.S. at 827
    .
    [¶24] In Rickett, we considered the admissibility of three separate 9-1-1
    calls, holding that the victim’s first call and part of her third call were
    13
    nontestimonial and admissible because they were made while the victim “was
    outside her home[,] her assailant was still inside, and she lacked the ability to leave
    to go to a place that would be safe for her.” 
    2009 ME 22
    , ¶ 14, 
    967 A.2d 671
    . At
    the point when Rickett left the residence and ended the immediate danger to the
    victim, the call became testimonial, and we held that the trial court did not abuse
    its discretion in ordering that the latter portion of the call be redacted.         
    Id. Importantly, the
    questions asked by the dispatcher in Rickett “were of the type that
    would allow the officers who were called to investigate to assess the situation, the
    threat to their own safety, and the possible danger to [the victim].” 
    Id. [¶25] An
    “ongoing emergency” is by its nature broader than the attack
    itself; it includes the victim’s untreated injuries, the ongoing stress of the event,
    and the possibility that the assailant is still at large and could attack the victim
    again. See Metzger, 
    2010 ME 67
    , ¶¶ 17, 19, 
    999 A.2d 947
    . Contrary to Kimball’s
    contentions, a victim need not make a 9-1-1 call during a physical assault in order
    to be “speaking about events as they are actually happening” pursuant to the first
    factor of the Davis test. Rickett, 
    2009 ME 22
    , ¶ 12, 
    967 A.2d 671
    (citing 
    Davis, 547 U.S. at 827
    ). The victim’s belief that she remains in danger can render a 9-1-1
    call statement part of an ongoing emergency. The victim’s emergency is “not
    limited to the victim’s medical condition,” but may also include situations “where
    14
    the officer has been unable to identify the suspect and satisfy himself that no one is
    in further danger.” Metzger, 
    2010 ME 67
    , ¶ 19, 
    999 A.2d 947
    .
    [¶26] The record evidence in this case, viewed objectively, indicates that the
    victim was facing an ongoing emergency when she placed the 9-1-1 call, and that
    she sought assistance for her injuries and protection from further harm by Kimball,
    who remained at large. Her emergency had not ended at this point, as indicated by
    her distressed demeanor and her description of her injuries. Further, the “questions
    asked and answered” during the 9-1-1 call were limited to questions about the
    victim’s injuries and whether Kimball was still outside or could be found at the
    residence—questions aimed at sending police assistance to aid in an ongoing
    emergency, rather than collecting evidence.       See Rickett, 
    2009 ME 22
    , ¶ 14,
    
    967 A.2d 671
    . Thus, the court’s admission of the 9-1-1 recording into evidence
    was proper and not violative of Kimball’s constitutional right to confrontation.
    B.    Victim’s Statements to EMT
    [¶27] Pursuant to M.R. Evid. 803(4), hearsay statements are admissible if
    they are “made for purposes of medical diagnosis or treatment and describing
    medical history, or past or present symptoms, pain, or sensations, or the inception
    or general character of the cause or external source thereof insofar as reasonably
    15
    pertinent to diagnosis or treatment.”6 For statements to be “reasonably pertinent to
    diagnosis or treatment,” reasonableness in the mind of the doctor or medical
    personnel, not the declarant, is required. Field & Murray, Maine Evidence § 803.4
    at 479 (6th ed. 2007). It may be necessary for medical personnel to ask a victim
    about the source of the victim’s injuries when the victim is “interested in
    accurately relating . . . symptoms and the cause for them in order to receive the
    appropriate treatment.” State v. Cookson, 
    2003 ME 136
    , ¶ 26, 
    837 A.2d 101
    (holding that a murder victim’s prior statement to a nurse practitioner regarding her
    relationship with the defendant was admissible as a statement made for purposes of
    medical diagnosis or treatment). “[T]he fact that an examination proves helpful to
    a party’s case does not detract from its medical nature.”                          Ames v. Ames,
    
    2003 ME 60
    , ¶ 16, 
    822 A.2d 1201
    . Accordingly, the victim’s statement to the
    EMT that “she was grabbed in the head and was slammed into the floor multiple
    times” was admissible, as it related directly to the “cause or external source” of her
    head injury in a manner “reasonably pertinent to diagnosis or treatment.” M.R.
    Evid. 803(4).
    6
    The restyled Maine Rules of Evidence now in effect split the medical diagnosis or treatment
    exception into two factors. See M.R. Evid. 803(4)(A)-(B) (restyled Rules); Introductory Advisory
    Committee Note to the restyled Maine Rules of Evidence (stating that the restyled Rules are not intended
    to change the meaning of the superseded rules).
    16
    [¶28] Kimball argues that the victim’s statement to the EMT is testimonial
    because it was made after the police had secured the victim’s residence and
    subsequent to police questioning.               That argument appears to confuse excited
    utterance issues with issues pertaining to statements made for medical diagnosis or
    treatment.      Statements made to medical personnel that fit within the hearsay
    exception need not be made while an emergency is ongoing. Such statements are,
    by their definition, not made “for the purpose of establishing or proving some fact”
    to be used at a later trial, but rather must be for the immediate purposes of—and
    reasonably pertinent to—diagnosis or treatment. 
    Crawford, 541 U.S. at 51
    ; see
    M.R. Evid. 803(4).7
    [¶29] Although ensuring reliability of evidence is no longer the sole inquiry
    in Confrontation Clause analysis, see 
    Crawford, 541 U.S. at 61-68
    , statements
    admitted pursuant to Rule 803(4) bear unique indicia of reliability that help such
    evidence to meet this “ultimate goal” of the right of confrontation, see 
    id. at 62;
    7
    Although the Supreme Court has not spoken directly to the potential for overlap between the hearsay
    exception for medical treatment and diagnosis, M.R. Evid. 803(4), and the Confrontation Clause, it has
    noted that medical reports created for treatment purposes “would not be testimonial” under its holding in
    Melendez-Diaz v. Massachusetts, 
    557 U.S. 305
    , 312 n.2 (2009) (holding that affidavits reporting the
    results of forensic analysis were testimonial in nature).
    Several other states have recently declined to extend the confrontation right to exclude such
    testimony. See, e.g., State v. Muttart, 
    875 N.E.2d 944
    , 957 (Ohio 2007) (“Statements made to medical
    personnel for purposes of diagnosis or treatment . . . are not even remotely related to the evils that the
    Confrontation Clause was designed to avoid.”); State v. Miller, 
    264 P.3d 461
    , 488 (Kan. 2011) (stating
    that “inquiries made for the sole purpose of medical treatment, or even for a dual purpose that includes
    treatment, may produce nontestimonial statements, depending on other circumstances”); State v. Cannon,
    
    254 S.W.3d 287
    , 303-04 (Tenn. 2008).
    17
    Cookson, 
    2003 ME 136
    , ¶ 26, 
    837 A.2d 101
    (“The rationale behind [Rule 803(4)]
    is the patient’s strong motivation to be truthful.”).
    [¶30] Additionally, based on the specific facts of this case, there is no
    indication that the EMT was interrogating the victim for the purpose of gathering
    evidence. Although the EMT was employed by the local fire department, he
    assisted the victim in his capacity as an EMT paramedic. The objective scope of
    his questioning was for diagnosis and treatment of the victim’s untreated injuries.
    The entry is:
    Judgment affirmed.
    On the briefs:
    Darrick X. Banda, Esq., Law Offices of Ronald W. Bourget, Augusta, for
    appellant Richard J. Kimball
    Maeghan Maloney, District Attorney, and Tyler LeClair, Stud. Atty.,
    Kennebec County District Attorney’s Office, Augusta, for appellee State of
    Maine
    At oral argument:
    Darrick X. Banda, Esq., for appellant Richard J. Kimball
    Tyler LeClair, Stud. Atty., for appellee State of Maine
    Kennebec County Superior Court docket number CR-2013-1061
    FOR CLERK REFERENCE ONLY