State v. Carmona , 2016 NMCA 50 ( 2016 )


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  •                                                           I attest to the accuracy and
    integrity of this document
    New Mexico Compilation
    Commission, Santa Fe, NM
    '00'04- 09:38:44 2016.06.09
    Certiorari Denied, May 11, 2016, No. S-1-SC-35851
    IN THE COURT OF APPEALS OF THE STATE OF NEW MEXICO
    Opinion Number: 2016-NMCA-050
    Filing Date: March 17, 2016
    Docket No. 33,378
    STATE OF NEW MEXICO,
    Plaintiff-Appellant,
    v.
    MARIO CARMONA,
    Defendant-Appellee.
    APPEAL FROM THE DISTRICT COURT OF BERNALILLO COUNTY
    Jacqueline D. Flores, District Judge
    Hector H. Balderas, Attorney General
    Santa Fe, NM
    Jacqueline R. Medina, Assistant Attorney General
    Albuquerque, NM
    for Appellant
    Jorge A. Alvarado, Chief Public Defender
    Mary Barket, Assistant Appellate Defender
    Santa Fe, NM
    for Appellee
    OPINION
    HANISEE, Judge.
    {1}    The State appeals the district court’s order suppressing its expert’s opinion that
    Defendant’s DNA was contained in samples taken from an alleged victim by a now-deceased
    Sexual Assault Nurse Examiner (SANE). We affirm.
    1
    BACKGROUND
    {2}     In 2003, nine-year-old P.W. told her mother that Defendant (whom P.W.’s mother
    had invited to stay overnight at her house as a guest) entered P.W.’s bedroom at night and
    licked her vagina and anus. P.W.’s mother called the police, who took P.W. and her mother
    to St. Joseph’s Hospital (now known as the Women’s hospital) to be examined. P.W. was
    examined by Lydia Vandiver (SANE Vandiver), who swabbed P.W. for DNA evidence and
    collected her clothing, bedding, and other personal effects.
    {3}     Defendant was charged by grand jury indictment with three counts of criminal sexual
    contact of a minor (CSCM) in the third degree, in violation of NMSA 1978, § 30-9-13(A)
    (2003). After his arrest, Defendant was sent to Colorado to serve the remainder of a sentence
    for an unrelated criminal conviction. In 2011, Defendant was released and his prosecution
    in New Mexico resumed. On the State’s motion, the district court ordered that Defendant
    submit to a buccal swab to facilitate comparison of his DNA to that present in the samples
    collected from P.W. eight years earlier by SANE Vandiver.
    {4}     In 2013, and with the case still pending, SANE Vandiver died. Defendant moved to
    suppress the DNA evidence and a report prepared by the State’s expert witness, Alanna
    Williams, comparing the evidence collected by SANE Vandiver with that from Defendant’s
    buccal swab. Defendant argued that without SANE Vandiver’s in-court testimony, (1) the
    State could not establish a chain of custody for the swabs or the relevance of Ms. Williams’
    opinion; and (2) admitting the DNA evidence gathered from P.W.’s body by SANE
    Vandiver would violate his right to confront the witnesses against him as guaranteed by the
    Sixth Amendment to the United States Constitution.
    {5}     At a hearing on Defendant’s motion to suppress, P.W. testified about her physical
    examination, during which SANE Vandiver “removed [her] clothing, [then] shook them out
    onto a plastic tarp or paper in order to collect any hairs or DNA samples that might be in
    there.” When asked about SANE Vandiver’s collection of the DNA evidence, P.W. stated
    that she first observed SANE Vandiver remove swabs from labeled glass vials. P.W.
    described the swabs as “like Q-tips, but long[.]” SANE Vandiver “swabbed me in various
    areas, such as my anus, my vagina, into the crack of my butt and places like that where the
    DNA might have been.” When finished, SANE Vandiver “put [the swabs] back in the vial
    and screwed them up and [then] put them . . . in a bag, in a manil[]a envelope.” P.W. did not
    recall SANE Vandiver swabbing any other areas of her body.
    {6}     Constance Monahan, a statewide SANE coordinator and director of the Albuquerque
    SANE Collaborative at the time of the alleged assault, also testified. Ms. Monahan knew
    SANE Vandiver at the time P.W. was examined in 2003. Ms. Monahan testified that SANE
    Vandiver was the clinical coordinator for the Albuquerque SANE program, and a “key nurse
    instructor[]” for New Mexico’s statewide SANE training program. Ms. Monahan was also
    aware that SANE Vandiver received specialized training for pediatric examinations at Para
    Los Niños under the tutelage of Dr. Renee Ornelas, and that SANE Vandiver worked as a
    2
    contract clinician and attended various seminars on forensic nursing. As well, SANE
    Vandiver provided formal SANE training to nurses statewide and personally performed
    sexual assault examinations at various hospitals in Albuquerque.
    {7}     Regarding the manner by which evidence was collected during a typical sexual
    assault examination, Ms. Monahan stated that
    [the SANE] would . . . meet the patient at the clinic, and then there would be
    a general process from—or guidelines, in terms of the questions asked . . .
    [the SANE] then move[s the patient] into an exam room [to] do the evidence
    collection and the medical documentation of injury, and then the discharge.
    As to evidence collection kits, and in particular the so-called “fast track kits” used at the time
    and employed by SANE Vandiver to examine P.W., Ms. Monahan testified as follows:
    The New Mexico sexual assault evidence kit is a standardized
    packaging and process for evidence collection from sexual assault victims,
    whatever their age. Inside the kit is a series of envelopes and brown bags and
    directions and forms . . . [that are] standardized in New Mexico.
    ....
    The envelopes [in the fast track kit] were preprinted to indicate the
    orifice or the location of the body. . . . The swabs were inside already in the
    envelopes. So when the nurse opened up the kit, she would reach for the
    smaller envelope and inside, the swabs would be there.
    ....
    The primary purpose would be for consistency, to treat all victims,
    patients the same way, and it would be to standardize[] the process, so that
    we were all doing it the same way in New Mexico.
    {8}    According to Ms. Monahan, SANE Vandiver performed a third of the total
    examinations in any given month at the hospital where the SANE program was based. Ms.
    Monahan testified that SANE Vandiver averaged around “[ten] to [twenty] shifts a month”
    and within her shifts typically handled anywhere from “ten to fifteen [cases] a month over
    the course of two and [one-]half years.”
    {9}     Ms. Monahan’s own job duties included acting as the custodian of evidence collected
    by SANEs, including SANE Vandiver. It was expected that once a SANE had removed and
    utilized swabs, returned them into and sealed the kit, that SANE would next place the kit
    inside an empty locker or a locked refrigerator through a slot. That evidence was then
    accessible only by Ms. Monahan, who possessed the lone access key. Once a week, Ms.
    3
    Monahan would collect logs and samples from the locker and refrigerator, place them into
    a large duffel bag, and deliver the bag to the Albuquerque Police Department crime
    laboratory. Ms. Monahan testified that this process was followed for P.W.’s swabs, and that
    she recognized SANE Vandiver’s signature on evidence logs she retrieved. Ms. Monahan
    personally delivered the evidence SANE Vandiver collected from P.W. to police
    investigators on April 29, 2003.
    {10} Additionally, the State proffered testimony of various chain-of-custody witnesses and
    of its DNA analyst, Ms. Williams, who would testify that the chain of custody regarding the
    swabs she examined indicated that they were those used to collect evidence from P.W. by
    SANE Vandiver. Based on a comparison of a profile developed from DNA found on the
    swabs and a profile developed from DNA on Defendant’s buccal swab, Ms. Williams would
    conclude that Defendant’s DNA was present on the swabs taken from P.W. by SANE
    Vandiver. The State further explained that Ms. Williams’ testimony would be based on the
    labels affixed to the envelopes containing swabs that SANE Vandiver had used on P.W.
    {11} Defendant’s attorney argued that introduction of Ms. Williams’ testimony would
    violate the Confrontation Clause because
    the SANE examiner has a tremendous amount of discretion in terms of how
    to conduct the test . . . SANE kits are not medical procedures; it’s evidence
    collection. It’s equivalent to a technician taking picture[s] at a scene or
    collecting bullet casings. . . . And it’s testimonial, because it’s offered for
    prosecution. It’s collected for prosecution, and therefore the credibility and
    motives of the people involved are at issue[.]
    {12} On multiple rationales, the district court granted Defendant’s motion to suppress.
    First, applying Rule 11-401 NMRA, the district court determined that the DNA evidence was
    not relevant. Second, it ruled that the State “failed to establish a reliable chain of custody.”
    Third, it concluded that admitting the DNA evidence would violate Defendant’s right to
    “confront and cross-examine witnesses[.]” The State appeals.
    DISCUSSION
    The Confrontation Clause Prohibits the Introduction of a Hearsay Statement When Its
    Declarant Is Unavailable to Testify in Person and Its Primary Purpose Is to Establish
    or Prove Past Events Potentially Relevant to Later Criminal Prosecution
    {13} We review the district court’s determination that evidence is inadmissible under the
    Confrontation Clause de novo. State v. Zamarripa, 2009-NMSC-001, ¶ 22, 
    145 N.M. 402
    ,
    
    199 P.3d 846
    . To assess whether admission of the DNA evidence collected by SANE
    Vandiver or Ms. Williams’ expert testimony would violate the Confrontation Clause, we first
    summarize the holding in Crawford v. Washington, 
    541 U.S. 36
    (2004), the seminal United
    States Supreme Court case in this area. Second, we explain the “primary purpose” test for
    4
    determining the scope and application of the Confrontation Clause first set out in Davis v.
    Washington, 
    547 U.S. 813
    (2006). Third, we discuss the United States Supreme Court’s
    application of the “primary purpose” test in the context of scientific evidence and expert
    testimony. Finally, we apply our own Supreme Court’s more recent decision in State v.
    Navarette, 2013-NMSC-003, 
    294 P.3d 435
    . Our analysis of modern Confrontation Clause
    jurisprudence points squarely to the following conclusion: the Confrontation Clause
    prohibits the admission of DNA evidence collected by an unavailable SANE and any expert
    testimony based thereon when the primary purpose animating the SANE’s collection of such
    evidence is to assist in the prosecution of an individual identified at the time of the
    collection.
    1.     Crawford Eliminated a Reliability-Focused Confrontation Clause Analysis and
    Established a Context-Based Evaluation to Ascertain Whether a Statement
    Amounts to Testimonial Hearsay
    {14} The Confrontation Clause provides that “[i]n all criminal prosecutions, the accused
    shall enjoy the right . . . to be confronted with the witnesses against him[.]” U.S. Const.
    amend. VI. In Ohio v. Roberts, the Supreme Court interpreted the Confrontation Clause to
    permit the admission of an unavailable witness’s hearsay statements (assuming other
    grounds for admissibility are met) if the statement bears “adequate indicia of reliability.” 
    448 U.S. 56
    , 66 (1980) (internal quotation marks omitted), overruled by 
    Crawford, 541 U.S. at 42
    , 68-69. This interpretation of the Confrontation Clause prevailed until the Court decided
    Crawford and adopted a stricter interpretation of the right at 
    stake. 541 U.S. at 68-69
    .
    {15} Crawford observed that the text of the Confrontation Clause illustrates its purpose:
    combating the use of ex parte statements against the accused. 
    Id. at 51.
    That text indicates
    the Clause’s limits, as well: it only “applies to ‘witnesses’ against the accused—in other
    words, those who ‘bear testimony.’ ” 
    Id. (citation omitted).
    Crawford inferred that the term
    “witness” as used in the Clause applied only to a particular category of witness testimony,
    and not to any and every out-of-court statement—in other words, not all hearsay, only
    “testimonial hearsay.” 
    Id. at 51,
    53. Crawford concluded that the Confrontation Clause
    prohibits the introduction of testimonial hearsay unless the accused has had the opportunity
    to cross-examine the declarant. 
    Id. at 54.
    {16} Crawford also identified “[v]arious formulations of this core class of ‘testimonial’
    statements[:]”
    ex parte in-court testimony or its functional equivalent—that is, material
    such as affidavits, custodial examinations, prior testimony that the defendant
    was unable to cross-examine, or similar pretrial statements that declarants
    would reasonably expect to be used prosecutorially, extrajudicial statements
    contained in formalized testimonial materials, such as affidavits, depositions,
    prior testimony, or confessions, [and] statements that were made under
    circumstances which would lead an objective witness reasonably to believe
    5
    that the statement would be available for use at a later trial[.]
    
    Id. at 51-52
    (alteration, internal quotation marks, and citations omitted). Although the Court
    noted that “testimony at a preliminary hearing, before a grand jury, . . . a former trial; [or
    statements during] police interrogations” were all sufficient to trigger the Confrontation
    Clause, 
    id. at 68,
    the Court declined to predefine any necessary criteria for determining
    whether a given piece of evidence is “testimonial.” See Ohio v. Clark, ___ U.S. ___, ___,
    
    135 S. Ct. 2173
    , 2179 (2015) (“[O]ur decision in Crawford did not offer an exhaustive
    definition of ‘testimonial’ statements.”).
    2.     In Davis, the Supreme Court Held That the “Primary Purpose” for Which a
    Statement Is Made Determines Whether It Is Testimonial
    {17} In Davis, the Supreme Court returned its attention to the Confrontation Clause, and
    articulated a more generalized rule for determining whether a statement constitutes
    testimonial hearsay when it does not fall within the “core class” of testimonial statements
    set out in Crawford:
    Statements are nontestimonial when 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. They are testimonial when the circumstances objectively indicate
    that there is no such ongoing emergency, and that the primary purpose of the
    interrogation is to establish or prove past events potentially relevant to later
    criminal prosecution.
    
    Davis, 547 U.S. at 822
    .
    {18} Davis applied the “primary purpose” test to separate appeals, one raising a
    Confrontation Clause challenge to the transcript of a 911 call made by a domestic violence
    victim, the other challenging a “battery affidavit” executed by another victim. 
    Id. at 817-20.
    The Court held that a domestic violence victim’s statements to the 911 operator were non-
    testimonial because they concerned ongoing events involving a “bona fide physical threat[,]”
    not a description of events that had already passed. 
    Id. at 827.
    “[V]iewed objectively,” the
    Court reasoned, the questions asked of the victim by the 911 operator were designed to
    solicit answers “necessary to be able to resolve the present emergency, rather than simply
    to learn (as in Crawford) what had happened in the past.” 
    Id. (emphasis omitted).
    By
    contrast, the Court found that a “battery affidavit” executed by the victim of domestic
    violence was testimonial because it provided a “narrative of past events [that] was delivered
    at some remove in time from the danger [the victim] described. And after [the victim]
    answered the officer’s questions, he had her execute an affidavit, in order, he testified, ‘to
    establish events that have occurred previously.’ ” 
    Id. at 831-32
    (alteration and citation
    omitted).
    6
    {19} Davis delineates an important distinction between initial information gathered by law
    enforcement that is not necessarily motivated by a desire for later use in a criminal
    prosecution, and information gathered once any emergency has been resolved and the police
    have turned their attention to collecting evidence for use in a criminal prosecution against
    a known criminal perpetrator. When this latter purpose primarily motivates the activities of
    law enforcement or other state actors, the future-accused’s right under the Confrontation
    Clause to test a hearsay declarant’s testimony during trial is triggered.
    3.     The Supreme Court’s Fractured Application of the “Primary Purpose” Test
    When Applied to Scientific Evidence and Expert Testimony Leaves Lower
    Courts With Little Guidance
    {20} Even more recently, the Supreme Court applied Davis’s “primary purpose” test to
    chemical analysis reports in Melendez-Diaz v. Massachusetts, 
    557 U.S. 305
    (2009) and
    Bullcoming v. New Mexico, 564 U.S. ___, 
    131 S. Ct. 2705
    (2011), and to DNA analysis in
    Williams v. Illinois, 567 U.S. ___, 
    132 S. Ct. 2221
    (2012). Although the Supreme Court was
    more or less unified in its resolution of Crawford and Davis (no justice dissented from either
    judgment), the Court was barely able to assemble a majority of justices in Melendez-Diaz
    and Bullcoming. And in Williams, the case most directly on point, the Supreme Court was
    unable to obtain majority support for any one rationale analyzing the Confrontation Clause
    implications of an expert’s reliance on hearsay statements made by an unavailable declarant
    in reaching her opinion.
    a.     Melendez-Diaz Holds That a Laboratory Certification That Identifies a
    Substance to Be Cocaine Is Testimonial Hearsay
    {21} Melendez-Diaz concerned “certificates of analysis” containing sworn statements by
    laboratory analysts that substances found in bags seized from the defendant contained
    
    cocaine. 557 U.S. at 308
    . The Court held that the certificates fell within the core exemplars
    of testimonial hearsay identified in Crawford: although “denominated by Massachusetts law
    [to be] ‘certificates,’ [they] are quite plainly affidavits: declarations of facts written down
    and sworn to by the declarant before an officer authorized to administer oaths. They are
    incontrovertibly a ‘solemn declaration or affirmation made for the purpose of establishing
    or proving some fact.’ ” 
    Id. at 310
    (alteration and citation omitted) (quoting 
    Crawford, 541 U.S. at 51
    ). The Court also found that the statements failed Davis’s “primary purpose” test:
    under the Massachusetts statute providing for the admission of the test results into evidence,
    the “sole purpose” of the certificates “was to provide prima facie evidence of the
    composition, quality, and the net weight of the analyzed substance[.]” 
    Id. at 311
    (internal
    quotation marks and citation omitted).
    {22} Joined by three colleagues, Justice Kennedy dissented. He maintained that the
    majority had “swe[pt] away an accepted rule governing the admission of scientific evidence
    . . . based on” Crawford and Davis, “two recent opinions that say nothing about forensic
    analysts[.]” 
    Id. at 330
    (Kennedy, J., dissenting). Justice Kennedy reasoned that the rule
    7
    allowing for the admission of scientific analysis without requiring the in-person testimony
    of the analyst had historical pedigree, and that by rejecting it the Court had created more
    problems than it solved: because so many individuals “play a role in a routine test for the
    presence of illegal drugs[,]” he worried that classifying all such evidence as testimonial
    under the Confrontation Clause would have the practical effect of preventing the prosecution
    from presenting any scientific evidence whatsoever. 
    Id. at 332-33
    (Kennedy, J., dissenting).
    Justice Kennedy concluded that the Confrontation Clause’s reference to “witnesses against
    [the defendant]” limits its application to only lay witnesses “who perceived an event that
    gave rise to a personal belief in some aspect of the defendant’s guilt[,]” 
    id. at 344
    (Kennedy,
    J., dissenting), and that the Confrontation Clause was not intended to include “analysts who
    conduct scientific tests far removed from the crime and the defendant.” 
    Id. at 347
    (Kennedy,
    J., dissenting).
    b.      Bullcoming Holds That a Report Analyzing Blood and Certifying Its Alcohol
    Content Is Testimonial Hearsay
    {23} In Bullcoming, the state sought to admit a State Laboratory Division (SLD) Report
    of Blood Alcohol Analysis. 564 U.S. at ___, 131 S. Ct. at 2710. The report contained a
    “certificate of analyst,” which contained various statements by a lab technician who was
    unavailable to testify at the defendant’s trial. Id. at ___, 131 S. Ct. at 2710-12. The certificate
    of analyst stated that the blood-alcohol concentration (BAC) in the defendant’s blood sample
    was 0.21 grams per hundred milliliters. Id. at ___, 131 S. Ct. at 2710. The certificate also
    affirmed that the integrity of the sample had not been compromised and that the required
    procedures for handling and testing the sample had been followed. Id. at ___, 131 S. Ct. at
    2710-11.
    {24} Bullcoming ruled the certificate implicated the Confrontation Clause because “[a]
    document created solely for an ‘evidentiary purpose,’ . . . made in aid of a police
    investigation, ranks as testimonial.” Id. at ___, 131 S. Ct. at 2717 (citing 
    Melendez-Diaz, 557 U.S. at 311
    ). Even though the certificate of analyst was unsworn, the laboratory analyst was
    required by statute to prepare the report when provided with a sample by law enforcement,
    certify the results of the test on a document, and further formalize the document by signing
    it on a form that makes reference to magistrate and municipal court rules for admitting the
    report into evidence. Bullcoming, 564 U.S. at ___, 131 S. Ct. at 2717. The Supreme Court
    further noted that operation of the gas chromatograph testing machine “requires specialized
    knowledge and training. Several steps are involved in the gas chromatograph process, and
    human error can occur at each step.” Id. at ___, 131 S. Ct. at 2711. These formalities and the
    amount of human discretion involved in the creation of the certificate, the Supreme Court
    concluded, were “more than adequate to qualify [the analyst’s] assertions [in the certificate]
    as testimonial.” 
    Id. at 2717;
    see also State v. Huettl, 2013-NMCA-038, ¶ 37, 
    305 P.3d 956
    (“What has emerged as clearly impermissible is an expert’s testimony which is based solely
    upon a non-testifying analyst’s analysis and conclusions.” (citing Bullcoming, 564 U.S. at
    ___, 131 S. Ct. at 2717-18)).
    8
    {25} Again writing on behalf of the dissenting justices as in Melendez-Diaz, Justice
    Kennedy denounced as a “hollow formality” the requirement that the technician who
    prepared the BAC report testify regarding “routine authentication elements for a report that
    would be assessed and explained by in-court testimony subject to full cross-examination”
    of the witness who had knowledge of the processes for authenticating the samples.
    Bullcoming, 564 U.S. at ___, 131 S. Ct. at 2723-24 (Kennedy, J., dissenting).
    c.     Williams Upholds the Admission of an Expert’s Opinion That the Defendant’s
    DNA Was Found on Swabs Taken From the Victim, But Does Not Offer a
    Controlling Rationale in Support of Its Holding
    {26} In Williams, 567 U.S. ___, 
    132 S. Ct. 2221
    , the Supreme Court applied the
    Confrontation Clause to the admission of expert scientific testimony based on hearsay. The
    victim in Williams had been kidnapped and raped by an unknown assailant and was taken
    to a hospital. Id. at ___, 132 S. Ct. at 2229. There, doctors treated the victim’s wounds and
    took a blood sample and vaginal swabs, sealed the swabs, and submitted them to a crime lab
    for testing. 
    Id. At the
    crime lab, a technician performed a chemical test on the swabs,
    confirmed the presence of semen, resealed the kit, and placed it in a secure freezer. 
    Id. Police then
    sent the swabs from the victim to Cellmark Diagnostics Laboratory (Cellmark), which
    contracted with the state to perform DNA testing. 
    Id. Cellmark tested
    the swabs and returned
    a report to the police containing a male DNA profile derived from semen found on the
    swabs. 
    Id. The police
    matched the profile produced by Cellmark with an earlier profile
    derived from a sample taken as a result of the defendant’s arrest years before. 
    Id. The victim
    identified the defendant as her assailant during a lineup, and the state charged the defendant
    with rape, kidnapping, and aggravated robbery. 
    Id. {27} The
    state did not call as witnesses the technicians at Cellmark who had actually
    developed a DNA profile from the samples collected from the victim’s swabs. 
    Id. Instead, the
    state called the forensic scientist who had used a chemical test to confirm the presence
    of semen on the vaginal swabs taken from the victim, a forensic analyst who had developed
    a DNA profile from the blood sample taken from the defendant when he was arrested in
    2000, and a third expert who had compared this DNA profile with the profile created by
    Cellmark. 
    Id. The third
    expert testified that the Cellmark profile matched the profile
    generated from the sample taken in 2000, stating both that it was common within the
    scientific community for experts to rely on records generated by other DNA experts, and that
    she and other experts in her field regularly relied on shipping manifests and other labels in
    assuming that the DNA evidence they analyzed was authentic. Id. at ___, 132 S. Ct. at 2230.
    {28} The defendant challenged the admission of the expert’s comparison of the two
    samples, arguing that the expert’s reliance on testing performed by Cellmark’s employees
    (who did not testify) violated the Confrontation Clause. 
    Id. The state
    responded that the
    defendant’s right was not violated because Defendant had an opportunity to cross-examine
    the analyst who had developed a profile from the 2000 sample and the analyst who had
    compared the results of the 2000 sample with the Cellmark profile. Id. at ___, 132 S. Ct. at
    9
    2231. The state also argued that under Rule 703 of the Federal Rules of Evidence, “an expert
    is allowed to disclose the facts on which the expert’s opinion is based even if the expert is
    not competent to testify to those underlying facts.” Id. at ___, 132 S. Ct. at 2231. The
    prosecutor concluded that “any deficiency in the foundation for the expert’s opinion doesn’t
    go to the admissibility of that testimony, but instead goes to the weight of the testimony. ”
    
    Id. (alterations, internal
    quotation marks, and citation omitted). The trial court agreed and
    overruled the defendant’s objection to the expert’s comparison of the two DNA profiles. 
    Id. {29} Williams
    rejected the defendant’s arguments in a split opinion with no controlling
    rationale. A plurality of four justices—the same four who dissented in Melendez-Diaz and
    Bullcoming—would have held that the expert’s testimony was not hearsay (and therefore not
    subject to scrutiny under the Confrontation Clause) because it was not offered for the truth
    of the matter asserted. Id. at ___, 132 S. Ct. at 2236-41 (plurality opinion). This plurality
    reasoned as follows:
    [The] expert witness referred to the report not to prove the truth of the matter
    asserted in the report, i.e., that the report contained an accurate profile of the
    perpetrator’s DNA, but only to establish that the report contained a DNA
    profile that matched the DNA profile deduced from petitioner’s blood. Thus
    . . . the report was not to be considered for its truth but only for the distinctive
    and limited purpose of seeing whether it matched something else. The
    relevance of the match was then established by independent circumstantial
    evidence showing that the . . . report was based on a forensic sample taken
    from the scene of the crime.
    Id. at ___, 132 S. Ct. at 2240-41 (internal quotation marks and citation omitted).
    {30} In the alternative, the plurality concluded that the defendant’s Confrontation Clause
    right was not violated even if the Cellmark DNA analysis had been admitted into evidence
    to prove that the Defendant’s DNA had been found in vaginal swabs from the victim because
    the analysis “plainly was not prepared for the primary purpose of accusing a targeted
    individual.” Id. at ___, 132 S. Ct. at 2243 (plurality opinion). The plurality identified two
    non-testimonial purposes behind the DNA evidence: (1) “catch[ing] a dangerous rapist who
    was still at large”; and (2) because the DNA analysis is divided among numerous
    technicians, “it is likely that the sole purpose of each technician is simply to perform his or
    her task in accordance with accepted procedures[,]” not accusing the defendant of
    wrongdoing. Id. at ___, 132 S. Ct. at 2243-44. The plurality also identified three factors that
    minimized any likelihood that the evidence had been fabricated: First, the plurality noted that
    “no one at Cellmark could have possibly known that the profile that it produced would turn
    out to inculpate [the defendant]—or for that matter, anyone else whose DNA profile was in
    a law enforcement database.” 
    Id. Second, it
    is possible to detect whether the DNA sample
    used by Cellmark had been degraded based on the profile itself; it was not necessary to
    conduct an independent examination of the DNA swabs themselves. Id. at ___, 132 S. Ct.
    at 2244. Third,
    10
    [a]t the time of the testing, [the defendant] had not yet been identified as a
    suspect, and there is no suggestion that anyone at Cellmark had a sample of
    his DNA to swap in by malice or mistake. And given the complexity of the
    DNA molecule, it is inconceivable that shoddy lab work would somehow
    produce a DNA profile that just so happened to have the precise genetic
    makeup of [the defendant], who just so happened to be picked out of a lineup
    by the victim. The prospect is beyond fanciful.
    Id. at ___, 132 S. Ct. at 2244 (emphasis added).
    {31} Unlike in Melendez-Diaz and Bullcoming, Justice Thomas concurred with the
    previously dissenting justices and thereby provided the controlling fifth vote to affirm the
    Illinois Supreme Court’s judgment upholding Defendant’s conviction. He disagreed with the
    plurality’s first conclusion that the Cellmark report was not hearsay. Id. at ___, 132 S. Ct.
    at 2256 (Thomas, J., concurring in judgment). Justice Thomas wrote that “statements
    introduced to explain the basis of an expert’s opinion are not introduced for a plausible
    nonhearsay purpose.” Id. at ___, 132 S. Ct. at 2257 (Thomas, J., concurring in judgment).
    He reasoned that
    [t]o use the inadmissible information in evaluating the expert’s testimony, the
    jury must make a preliminary judgment about whether this information is
    true. If the jury believes that the basis evidence is true, it will likely also
    believe that the expert’s reliance is justified; inversely, if the jury doubts the
    accuracy or validity of the basis evidence, it will be skeptical of the expert’s
    conclusions.
    
    Id. (internal quotation
    marks and citations omitted).
    {32} Justice Thomas concluded that the Cellmark report implicated the Confrontation
    Clause—i.e., it was hearsay—because the state’s expert’s opinion was entirely reliant on
    assertions in the Cellmark report that “the profile [Cellmark] reported was in fact derived
    from [the victim’s] swabs, rather than from some other source.” Id. at ___, 132 S. Ct. at
    2258 (Thomas, J., concurring in judgment). Justice Thomas nonetheless concurred in the
    result, because in his view “[t]he Cellmark report lacks the solemnity of an affidavit or
    deposition, for it is neither a sworn nor a certified declaration of fact. Nowhere does the
    report attest that its statements accurately reflect the DNA testing processes used or the
    results obtained.” Id. at ___, 132 S. Ct. at 2260 (Thomas, J., concurring in judgment).
    {33} The four-justice dissent—comprised of the Melendez-Diaz and Bullcoming majority
    but without Justice Thomas—would have held the Cellmark report to be testimonial because
    it was “identical to the [blood sample report] in Bullcoming (and [the drug content test in]
    Melendez-Diaz) in all material respects.” Id. at ___, 132 S. Ct. at 2266 (Kagan, J.,
    dissenting) (internal quotation marks and citation omitted). The dissent argued that the
    Cellmark report was “made to establish some fact in a criminal proceeding—here, the
    11
    identity of [the victim’s] attacker.” 
    Id. (internal quotation
    marks and citation omitted). The
    dissent similarly reasoned that, like the gas chromatographical test for blood alcohol content
    in Bullcoming, “the Cellmark analysis has a comparable title; similarly describes the relevant
    samples, test methodology, and results; and likewise includes the signatures of laboratory
    officials.” Id. at ___, 132 S. Ct. at 2266-67 (Kagan, J., dissenting).
    {34} Amplifying the ideological split in Confrontation Clause analyses generated post-
    Crawford regarding scientific evidence, the plurality charged that the dissent would have no
    qualms with the prosecutor asking its expert whether “there [was] a computer match
    generated of the male DNA profile produced by Cellmark to a male DNA profile that had
    been identified as having originated from [the defendant.]” Id. at ___, 132 S. Ct. at 2236
    (plurality opinion) (emphasis omitted); see also id. at ___, 132 S. Ct. at 2267 (Kagan, J.,
    dissenting). But because the prosecutor had instead asked the expert whether “there [was]
    a computer match generated of the male DNA profile found in semen from the vaginal swabs
    of [the victim] to a male DNA profile that had been identified as having originated from [the
    defendant],” the dissent concluded that admitting the state’s expert witness’s testimony
    violated the defendant’s Confrontation Clause right. Id. at ___, 132 S. Ct. at 2236 (plurality
    opinion) (emphasis omitted); id. at ___, 132 S. Ct. at 2267 (Kagan, J., dissenting).
    4.      Under Bullcoming and Our Supreme Court’s Controlling Interpretation of
    Williams, SANE Vandiver’s Absence Requires the Exclusion of Ms. Williams’
    Expert Opinion That Defendant’s DNA Was Found on Swabs Taken From P.W.
    {35} In Navarette, our Supreme Court read Williams to stand for (among others) the
    following propositions: (1) “that a statement can only be testimonial if the declarant made
    the statement primarily intending to establish some fact with the understanding that the
    statement may be used in a criminal prosecution[,]” 
    id. ¶ 8;
    (2) “even if a statement . . . does
    not target a specific individual, the statement may still be testimonial[,]” 2013-NMSC-003,
    ¶ 10; and (3) “an out-of-court statement that is disclosed to the fact-finder as the basis for
    an expert’s opinion is offered for the truth of the matter asserted[,]” 
    id. ¶ 13,
    and is therefore
    subject to exclusion if its primary purpose is testimonial.
    {36} Navarette answered whether the Confrontation Clause “preclude[s] a forensic
    pathologist from relating subjective observations recorded in an autopsy report as a basis for
    the pathologist’s trial opinions, when the pathologist neither participated in nor observed the
    autopsy performed on the decedent.” 
    Id. ¶ 1.
    Our Supreme Court held that the statements
    were subject to exclusion because the autopsy was performed as part of a homicide
    investigation and the pathologist who had performed the autopsy had a statutory duty to
    report possible deaths by homicide to law enforcement. 
    Id. ¶¶ 15-17.
    The Court reasoned
    that “the medical examiner’s findings as to the cause of death and as to soot, stippling, and
    gunpowder all went to the issues of whether [the victim’s] death was a homicide and, if so,
    who shot him. These issues reflected directly on [the defendant’s] guilt or innocence.” 
    Id. ¶ 17.
    12
    {37} Here, the basis for Ms. Williams’ opinion that Defendant’s DNA was found on
    P.W.’s body is SANE Vandiver’s hearsay statements that the swabs came from P.W. As our
    Supreme Court noted, such “basis” evidence amounts to the admission of out-of-court
    statements to prove the truth of the matter they assert (i.e., to prove that the DNA was found
    on P.W.’s body) and therefore must be subjected to Confrontation Clause scrutiny. See 
    id. ¶ 13.
    We are not persuaded by the State’s argument that Ms. Williams relied on the swabs
    themselves, not SANE Vandiver’s statements on the envelopes containing the swabs. Had
    Ms. Williams testified that she had found Defendant’s DNA on swabs (and did not disclose
    that the swabs were taken from P.W.), her testimony would be irrelevant because it would
    not make it any more or less probable that Defendant had in fact touched P.W. See Rule 11-
    401(A) (“Evidence is relevant if it . . . has any tendency to make a fact more or less probable
    than it would be without the evidence[.]”). It is Ms. Williams’ reliance on the statements
    identifying P.W. as the source of the swabs that supplies relevance to Ms. Williams’ expert
    testimony. Without SANE Vandiver’s statements linking the swabs Ms. Williams tested to
    the examination of P.W. (and the portions of P.W.’s body on which a swab was used), Ms.
    Williams’ testimony would be that Defendant’s DNA was found on various swabs of
    unknown origin.
    {38} The context of SANE Vandiver’s examination of P.W. leaves no doubt that the
    statements were made with the primary purpose of establishing a fact—that Defendant’s
    DNA was found on P.W.—for use in a future criminal proceeding against Defendant. See
    Navarette, 2013-NMSC-003, ¶ 8 (“[A] statement can only be testimonial if the declarant
    made the statement primarily intending to establish some fact with the understanding that
    the statement may be used in a criminal prosecution.”) First, P.W. had already identified
    Defendant as the one who touched her inappropriately before she was examined by SANE
    Vandiver, so it cannot be argued that the swabs were used in order to identify and apprehend
    P.W.’s unknown, dangerous assailant. Second, because P.W. was not in need of emergency
    medical treatment, there is no basis to conclude that the swabs were taken in “surrounding
    circumstances” that suggest a nontestimonial primary purpose. See State v. Mendez, 2010-
    NMSC-044, ¶¶ 37-39, 
    148 N.M. 761
    , 
    242 P.3d 328
    (holding that a hearsay statement made
    to a SANE by a victim who testifies at trial is admissible under Rule 11-803(4) NMRA
    based upon the statement’s medical purpose despite the otherwise primarily testimonial
    purpose of a SANE examination). Third, as Ms. Monahan testified, the “primary purpose”
    of the SANE kits was to create reliable, consistent DNA evidence for testing and use in
    future criminal prosecutions. As was the case with the medical examiner in Navarette, SANE
    Vandiver would have reasonably expected that her collection of swabs from P.W. and her
    placement of those swabs in envelopes labeled “vagina,” and “anus,” all go to the issue of
    whether Defendant improperly touched P.W., and therefore “reflect[] directly on
    [Defendant’s] guilt or innocence.” 2013-NMSC-003, ¶ 17.
    {39} In recently addressing nearly identical circumstances in Commonwealth v. Jones, 
    37 N.E.3d 589
    (Mass. 2015), the Supreme Judicial Court of Massachusetts was asked whether
    the Confrontation Clause permitted “the [c]ommonwealth to introduce, through the
    testimony of an expert witness who was not present when the victim’s ‘rape kit’ examination
    13
    was performed, evidence concerning how the various swabs that the expert tested were
    collected.” 
    Id. at 592.
    Jones, like this case, involved allegations that the defendant had
    touched the alleged victim’s genitals. 
    Id. at 594.
    And as is the case here, the commonwealth
    in Jones sought to prove the defendant’s guilt by offering expert opinion testimony that the
    defendant’s DNA was found in the area surrounding the alleged victim’s genitals. 
    Id. Finally, like
    the State here, the commonwealth in Jones did not offer at trial the testimony
    of the nurse who personally examined the alleged victim. 
    Id. at 595.
    Rather, the trial court
    “permitted the [c]ommonwealth’s first expert witness, who was not present during the
    examination . . . to testify to her ‘understanding’ of how the three swabs had been collected.”
    
    Id. Like Ms.
    Williams here, the commonwealth’s expert’s “understanding” of how the three
    swabs were collected was “based . . . on information the expert learned from the ‘evidence
    collection inventory list’ purportedly completed by the nurse who conducted the ‘rape kit’
    examination.” 
    Id. {40} Citing
    the same Supreme Court authority our Supreme Court in Navarette applied
    and we apply today, compare Navarette, 2013-NMSC-003, ¶¶ 7-21, with 
    Jones, 37 N.E.3d at 596
    , 600, the Jones court found that the defendant’s Confrontation Clause rights were
    violated because the statements identifying various swabs and the inventory list affixed to
    the “rape kit” were in essence “a series of factual statements concerning how the various
    swabs were collected.” 
    Jones, 37 N.E.3d at 596
    . The court reasoned that these statements
    were “plainly testimonial” because “ ‘a reasonable person in the speaker’s position would
    anticipate his findings and conclusions being used against the accused in investigating and
    prosecuting a crime[.]’ ” 
    Id. at 597
    (alterations omitted) (quoting Clark, ___U.S. at ___, 135
    S. Ct. at 2181). Applying both the United States and our Supreme Court’s controlling
    interpretations of the Confrontation Clause, the same logic applies in this case with equal
    force. SANE Vandiver’s statements on the labels affixed to the kit are testimonial hearsay
    because SANE Vandiver would have reasonably understood those statements’ sole purpose
    to be for use in investigating and prosecuting criminal charges against Defendant. Allowing
    Ms. Williams to testify that Defendant’s DNA had been found on P.W. based on inferences
    from labels on the examination kit prepared by SANE Vandiver “would be akin to allowing
    a chemist to testify to the chemist’s ‘understanding,’ based on information relayed to the
    chemist in a report drafted by nontestifying police officers, that a substance later determined
    to be cocaine had been found in the defendant’s trouser pocket.” 
    Jones, 37 N.E.3d at 598
    .
    {41} In support of its argument that introduction of Ms. Williams’ expert testimony would
    not violate the Confrontation Clause, the State cites Fencher v. State, 
    931 So. 2d 184
    , 186-87
    (Fla. Dist. Ct. App. 2006), which held that the admission of an expert’s analysis of DNA
    found on a rape kit collected by an unavailable SANE nurse did not violate the defendant’s
    Confrontation Clause right. But Fencher was decided before the Supreme Court had
    considered the Confrontation Clause implications of scientific evidence and expert testimony
    in Melendez-Diaz, Bullcoming, and Williams. Moreover, Fencher’s holding is based on the
    rationale that the SANE nurse “merely procured the samples[;]” while others secured a chain
    of custody and provided the basis for the expert’s conclusion that Defendant’s DNA was
    found on the 
    victim. 931 So. 2d at 187
    . Bullcoming expressly rejects this rationale; the
    14
    SANE nurse who collects samples, like a police officer who notes the speed of a car using
    a radar gun or a technician who operates a gas chromatograph machine, is not a “mere
    scrivener.” 564 U.S. at ___, 131 S. Ct. at 2714.
    CONCLUSION
    {42} The relevance and admissibility of Ms. Williams’ expert testimony that Defendant’s
    DNA was found on P.W. is based entirely on her reliance on testimonial hearsay identifying
    P.W., and locations of her body, as the source of evidence collected upon the swabs Ms.
    Williams later tested. Because the declarant of those statements—SANE Vandiver—is
    unavailable to testify, allowing Ms. Williams to offer her opinion to the jury would violate
    Defendant’s rights under the Confrontation Clause of the Sixth Amendment. We therefore
    affirm the district court’s order granting Defendant’s motion to suppress evidence. The case
    is remanded to the district court for further proceedings.
    {43}   IT IS SO ORDERED.
    ____________________________________
    J. MILES HANISEE, Judge
    WE CONCUR:
    ___________________________________
    JAMES J. WECHSLER, Judge
    ___________________________________
    LINDA M. VANZI, Judge
    15