Sanders v. SCDMV ( 2020 )


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  •            THE STATE OF SOUTH CAROLINA
    In The Supreme Court
    Bradley Sanders, Petitioner,
    v.
    South Carolina Department of Motor Vehicles and
    Columbia Police Department, Respondents below,
    Of whom South Carolina Department of Motor Vehicles
    is the Respondent.
    Appellate Case No. 2019-000693
    ON WRIT OF CERTIORARI TO THE COURT OF APPEALS
    Appeal from the Administrative Law Court
    S. Phillip Lenski, Administrative Law Judge
    Opinion No. 27990
    Heard May 21, 2020 – Filed September 2, 2020
    AFFIRMED
    Heath Preston Taylor, of Taylor Law Firm, LLC, of West
    Columbia, for Petitioner.
    Frank L. Valenta Jr., Philip S. Porter, and Brandy Anne
    Duncan, all of the South Carolina Department of Motor
    Vehicles, of Blythewood, for Respondent.
    CHIEF JUSTICE BEATTY: The South Carolina Department of Motor
    Vehicles (DMV) suspended the driver's license of Bradley Sanders (Sanders)
    pursuant to South Carolina's implied consent statute after he refused to take a blood-
    alcohol test following his arrest for driving under the influence (DUI). The
    suspension was upheld by the Office of Motor Vehicles and Hearings (OMVH), the
    Administrative Law Court (ALC), and the court of appeals. See Sanders v. S.C.
    Dep't of Motor Vehicles, 
    426 S.C. 21
    , 
    824 S.E.2d 454
    (Ct. App. 2019). We affirm.
    I. FACTUAL/PROCEDURAL BACKGROUND
    On November 21, 2012, at approximately 4:10 a.m., the Columbia Police
    Department dispatched an officer to Whaley Street after a single vehicle ran off the
    road and struck a tree. Upon arrival, the officer found Sanders standing nearby at a
    gas station, bleeding from the head. The officer questioned Sanders and noticed that
    he slurred his words, had an odor of alcohol, and appeared to be "off-balance," both
    physically and mentally. Sanders denied being in an accident, but his personal
    belongings and blood were found inside the wrecked vehicle, and he could not
    explain how he injured his head. Sanders was taken by ambulance to a hospital
    emergency room, where he was found to have extensive head and neck injuries.
    The officer advised Sanders of his rights under Miranda v. Arizona, 
    384 U.S. 436
    (1966), and informed him that he was under arrest for DUI. The officer also
    gave Sanders notice, both verbally and in writing, of his rights under South
    Carolina's implied consent statute. See S.C. Code Ann. § 56-5-2950 (2018) (implied
    consent law). A hospital employee indicated to the officer that Sanders was unable
    to submit to a breath test. As a result, the officer asked Sanders to take a blood-
    alcohol test. Sanders refused. No blood sample was collected.
    The DMV issued a Notice of Suspension to Sanders informing him that it had
    suspended his driver's license for refusing to submit to testing in accordance with
    the implied consent statute. Under the statute, the South Carolina General Assembly
    has declared that "[a] person who drives a motor vehicle in this State is considered
    to have given consent to chemical tests of the person's breath, blood, or urine for the
    purpose of determining the presence of alcohol, drugs, or the combination of alcohol
    and drugs, if arrested for an offense arising out of acts alleged to have been
    committed while the person was driving a motor vehicle while under the influence
    of alcohol, drugs, or a combination [thereof]."
    Id. § 56-5-2950(A). Sanders
    challenged the license suspension in a contested case hearing before
    the OMVH. The issue before the OMVH centered on whether Sanders had refused
    to submit to a test pursuant to section 56-5-2950. Because Sanders was asked to
    submit to a blood test, the hearing more specifically focused on whether the officer
    was justified in requesting a blood sample because licensed medical personnel had
    determined Sanders was unable to submit to a breath test.1
    The officer testified that he requested the blood sample after a hospital
    employee indicated Sanders was unable to submit to a breath test. The officer stated
    he personally observed the employee in the emergency room and saw that she wore
    a hospital identification badge that identified her name and title as "Angela Albright,
    RN."
    The officer also provided a one-page, standardized form, the "South Carolina
    Law Enforcement Division - Urine/Blood Collection Report" (SLED Report), which
    documented the officer's investigation. The officer indicated on the form that
    Sanders had been arrested for an offense related to intoxication and was advised of
    his implied consent rights. There was also a section for completion by licensed
    medical personnel, which contained alternative statements describing whether blood
    and/or urine samples had been sought or collected. The following statement was
    marked regarding Sanders:
    A blood sample is requested by the arresting officer
    because a licensed medical person has informed the officer
    that the subject is unable to take a breath test at this time
    due to any reason deemed acceptable by that licensed
    medical person.
    In the line designated for "Name and [Title] of Licensed Medical Personnel," Nurse
    Albright wrote in "Angela Albright, RN," and she signed on the line reserved for
    "Signature of Licensed Medical Personnel." The officer signed the bottom of the
    1
    Under the implied consent law, a motorist "first must be offered a breath test to
    determine the person's alcohol concentration." S.C. Code Ann. § 56-5-2950(A).
    However, an officer may request a blood sample "[i]f the person is physically unable
    to provide an acceptable breath sample because the person has an injured mouth, is
    unconscious or dead, or for any other reason considered acceptable by the licensed
    medical personnel."
    Id. (emphasis added). "If
    the officer has reasonable suspicion
    that the person is under the influence of drugs other than alcohol, or . . . a
    combination of alcohol and drugs, the officer may order that a urine sample be taken
    for testing."
    Id. form, documenting that
    his request for a blood sample had been "Refused." Sanders
    also signed to confirm that he received a copy of the SLED Report.
    Sanders's counsel objected to the SLED Report stating that, although Nurse
    Albright "may well be a registered nurse," he could not determine whether she
    actually was one because she was not there to cross-examine as to her credentials,
    and anyone "can have hospital garb on," citing State v. Frey, 
    362 S.C. 511
    , 
    608 S.E.2d 874
    (Ct. App. 2005).2 Sanders's counsel also argued he should be able to
    cross-examine Nurse Albright as to her reason why Sanders could not take a breath
    test (he noted the underlying reason was not specified on the SLED Report).
    Sanders's counsel asserted the officer's testimony on these points would be hearsay.
    The officer reiterated that he personally witnessed Nurse Albright wearing a
    hospital identification badge with her name and the designation of her title as "RN"
    and saw her performing her duties in the emergency room. He also noted that Nurse
    Albright had identified her hospital title on the SLED Report as "RN." The officer
    lastly added that he was told that the reason why Sanders could not supply a breath
    sample was because Sanders "would not be able to get out [of the hospital emergency
    room] in a timely manner in order to provide that breath sample." See S.C. Code
    Ann. § 56-5-2950(A) ("A breath sample taken for testing must be collected within
    two hours of the arrest."). No contemporaneous objection was made by Sanders's
    counsel to the officer's additional statement regarding the underlying reason why
    medical personnel found Sanders could not provide a breath sample (the inability
    for Sanders to be discharged from the emergency room within the two-hour time
    limit).
    Sanders's counsel provided the officer with a copy of Sanders's medical
    records and asked him to recite for the record the portions that counsel had
    highlighted about Sanders's diagnosis and symptoms. The officer read the portions
    stating Sanders was diagnosed with "[s]calp contusions, scalp laceration[s], cervical
    strain, and [a] closed head injury," and that the common symptoms of a head injury
    could include, among other things, dizziness, headaches, and "slow bleeding or other
    problems inside the head." Sanders's counsel asked the officer, "Does it sound like
    2
    In Frey, the motorist challenged the admission of his blood alcohol test results at
    his criminal trial on a DUI charge, and the court of appeals held a hospital employee
    wearing generic scrubs with no indication of his position at the hospital was not
    shown to be licensed medical personnel.
    he may have had a concussion and was out of it?" The officer declined to discuss
    this point.
    Sanders then testified as to his injuries and medical condition following the
    accident. At his counsel's urging, Sanders also recited the findings in his medical
    records, confirming he was diagnosed with "[s]calp contusions, scalp lacerations,
    cervical strain, and [a] closed head injury." Sanders testified that he "had no clue"
    what happened after the accident and "was very disoriented," and he stated he did
    not recall being in the hospital or being asked to submit a blood sample. During
    cross-examination, Sanders conceded that he went to Five Points at approximately
    1:00 a.m. the night of his arrest and "probably had two [alcoholic drinks], maybe
    part of a third" before his one-car accident shortly after 4:00 a.m. Sanders stated that
    the last thing he remembered was driving down the street towards the tree, and the
    rest of the evening was very "fuzzy" and "foggy," as the only other thing he recalled
    was waking up in jail with blood encrusted in his hair.
    During closing remarks, Sanders's counsel made a general request to renew
    his hearsay objection. In the alternative, counsel asserted Sanders had "absolutely
    no knowledge of what was going on" after the accident because Sanders "had a
    significant head injury, had a concussion" and he did not "remember anything until
    he woke in jail the next morning" with "blood all over the back of his head."
    The OMVH issued a written order upholding the suspension. The OMVH
    found Sanders was lawfully arrested for DUI and was advised of his implied consent
    rights. The OMVH found the officer made a reasonable request for a blood sample
    after being informed by licensed medical personnel that Sanders was unable to
    submit to a breath test. The OMVH noted Sanders had argued this information was
    hearsay because he did not know if Nurse Albright was an RN and he did not have
    the opportunity to question her as to the reason why she made this finding. The
    OMVH "conclude[d] that the testimony was not hearsay because it was not admitted
    to prove that [Sanders] was actually unable to leave, only that the blood test was
    warranted because licensed medical personnel determined he was unable to provide
    a breath sample." The OMVH further concluded that the officer "presented a prima
    facie case that the person who told him and signed the form [the SLED Report] was
    licensed medical personnel - she was in the hospital, treating patients, represented
    herself as a nurse, and wore a name tag that indicated she was a registered nurse,"
    and Sanders made no attempt to refute this evidence.
    Sanders sought review by the ALC, which affirmed the OMVH's ruling and
    upheld the suspension of Sanders's driver's license. The court of appeals affirmed.
    Sanders v. S.C. Dep't of Motor Vehicles, 
    426 S.C. 21
    , 
    824 S.E.2d 454
    (Ct. App.
    2019). This Court granted Sanders's petition for a writ of certiorari.
    II. STANDARD OF REVIEW
    The South Carolina Administrative Procedures Act establishes the
    "substantial evidence" rule as the standard for judicial review of a decision of an
    administrative agency. Lark v. Bi–Lo, Inc., 
    276 S.C. 130
    , 133, 
    276 S.E.2d 304
    , 305
    (1981). The appellate court may not substitute its judgment for that of the agency
    as to the weight of the evidence on questions of fact, but may reverse or modify the
    decision if substantial rights of the appellant have been prejudiced because the
    administrative findings or conclusions are affected by an error of law, clearly
    erroneous in view of the substantial evidence in the record, or are arbitrary,
    capricious, or characterized by an abuse of discretion. Peake v. S.C. Dep't of Motor
    Vehicles, 
    375 S.C. 589
    , 594, 
    654 S.E.2d 284
    , 287 (Ct. App. 2007).
    III. DISCUSSION
    Sanders contends the decision of the court of appeals should be reversed due
    to a lack of substantial evidence in the record to support the suspension. Specifically,
    Sanders argues the court of appeals erred in (1) determining there was substantial
    evidence that Nurse Albright qualified as licensed medical personnel, and
    (2) holding the statements used to establish his alleged inability to submit to a breath
    test were not hearsay. We disagree. We begin with an overview of the remedial
    purpose of the implied consent statute, along with a consideration of the proper scope
    of a civil suspension hearing, as we believe these two points provide the appropriate
    framework for our decision.
    A. Remedial Purpose of Implied Consent Statute
    "Being licensed to operate a motor vehicle on the public highways of this state
    is not a property right, but is merely a privilege subject to reasonable regulations
    under the police power in the interest of the public safety and welfare." Peake, 375
    S.C. at 
    595, 654 S.E.2d at 288
    . "The implied consent laws are driven by public
    policy considerations." S.C. Dep't of Motor Vehicles v. Nelson, 
    364 S.C. 514
    , 522,
    
    613 S.E.2d 544
    , 548 (Ct. App. 2005).
    "One immediate purpose of the implied consent statute is to obtain the best
    evidence of a driver's blood alcohol content at the time when the arresting officer
    reasonably believes him to be driving under the influence." Leviner v. S.C. Dep't of
    Highways & Pub. Transp., 
    313 S.C. 409
    , 411, 
    438 S.E.2d 246
    , 248 (1993); see
    Skinner v. Sillas, 
    130 Cal. Rptr. 91
    , 95 (Ct. App. 1976) (stating the purpose of the
    statute is to take the test soon after arrest because "alcohol in the blood system
    dissipates quickly").
    It also promotes traffic safety by expeditiously removing dangerous drivers
    from the public roadways in a summary civil procedure. See Nelson, 364 S.C. at
    
    522, 613 S.E.2d at 548
    ("The State has a strong interest in maintaining safe highways
    and roads."); see also Krueger v. Fulton, 
    169 N.W.2d 875
    , 878 (Iowa 1969) ("It is
    obvious the purpose of the Implied Consent Law is to reduce the holocaust on our
    highways part of which is due to the driver who imbibes too freely of intoxicating
    liquor. The civil license revocation provided for under the Implied Consent Act was
    intended to protect the public from the irresponsible driver and not merely punish
    the licensee." (citation omitted)).
    "An operator of a motor vehicle in South Carolina is not required to submit to
    alcohol or drug testing; however, our legislature has clearly mandated that should
    one choose not to consent to such testing, his or her license must and shall be
    suspended . . . ." Nelson, 364 S.C. at 
    522, 613 S.E.2d at 548
    . "Were drivers free to
    refuse alcohol and drug testing without suffering penalty, the current system of
    detecting, testing, and prosecuting drunk drivers would simply fail."
    Id. at 522, 613
    S.E.2d at 548–49.
    The South Carolina General Assembly has imposed a greater length of
    suspension for refusing to consent to testing than for those who take a test and have
    an alcohol concentration below a certain threshold and have no prior convictions.
    Id. at 522, 613
    S.E.2d at 549. "The disparity in suspensions demonstrates the
    legislative concern over an individual[']s refusal to consent to testing."
    Id. at 523, 613
    S.E.2d at 549; cf. Quintana v. Mun. Court, 
    237 Cal. Rptr. 397
    , 401 (Ct. App.
    1987) ("The purpose of the implied consent statute is to fulfill the need for a fair,
    efficient and accurate system of detection and prevention of driving under the
    influence. That purpose is obviously thwarted by the inebriated driver who refuses
    the test. . . . He has thus proven to be more dangerous to the public than the
    inebriated driver who has consented to a test." (citations omitted)).
    A civil license suspension is distinguishable from the criminal prosecution on
    the DUI charge. The provisions for an administrative suspension are liberally
    construed to advance the statute's purpose of promoting the public interest, and
    decisions restricting the application of implied consent laws are narrowly construed.
    See State v. Price, 
    333 S.C. 267
    , 273 n.7, 
    510 S.E.2d 215
    , 218 n.7 (1998) (stating
    the fact that the State affords procedural due process to a motorist prior to suspending
    a driver's license does not transform the suspension from a remedial sanction into a
    punitive one); see also Illinois v. Johnson, 
    758 N.E.2d 805
    , 811 (Ill. 2001) (stating
    "the implied-consent statute is remedial in nature and, therefore, 'should be liberally
    construed' to preserve its overall purpose" (citation omitted)); Minnesota v.
    Juncewski, 
    308 N.W.2d 316
    , 319 (Minn. 1981) (observing decisions restricting the
    application of the implied consent law are to be narrowly construed (citation
    omitted)); Wisconsin v. Reitter, 
    595 N.W.2d 646
    , 652 (Wis. 1999) ("Given the
    legislature's intentions in passing the statute, courts construe the implied consent law
    liberally.").
    B. Scope of Administrative Suspension Hearing
    In furtherance of the goals described above, the General Assembly has
    statutorily prescribed the permissible scope of an administrative hearing challenging
    the suspension of a driver's license. The statute contemplates an expeditious civil
    review but also "guards against an automatic or rote elimination of this [important]
    interest." S.C. Dep't of Motor Vehicles v. McCarson, 
    391 S.C. 136
    , 148, 
    705 S.E.2d 425
    , 431 (2011). As with the penalties imposed, the General Assembly has
    differentiated the scope of the review based on whether the motorist submitted to—
    or refused to submit to—testing.
    Section 56-5-2951(F) sets forth the permissible scope of the suspension
    hearing in cases where a motorist has refused to submit to testing as follows:
    (F) A contested case hearing must be held after the request
    for the hearing is received by the [OMVH]. The scope of
    the hearing is limited to whether the person:
    (1) was lawfully arrested or detained;
    (2) was given a written copy of and verbally informed
    of the rights enumerated in Section 56-5-2950; [and]
    (3) refused to submit to a test pursuant to Section
    56-5-2950 . . . .
    S.C. Code Ann. § 56-5-2951(F)(1)-(3) (2018) (emphasis added).
    There has been no dispute as to the first two factors to support the suspension:
    Sanders was properly arrested and he was informed of his implied consent rights.
    Therefore, the suspension hearing turned on the third factor, refusal to submit to a
    test pursuant to the implied consent statute. See
    id. § 56-5-2951(F)(3); see
    also City
    of Columbia v. Moore, 
    318 S.C. 292
    , 296, 
    457 S.E.2d 346
    , 348 (Ct. App. 1995)
    (observing the law implies a person's consent to testing, "[b]ut this consent is only
    to chemical tests under the procedure plainly set forth in the statute").
    The officer was authorized to ask for a blood test if any of the exceptions in
    section 56-5-2950(A) applied. See S.C. Code Ann. § 56-5-2950(A) (stating an
    officer need not offer a breath test "[i]f the person is physically unable to provide an
    acceptable breath sample because the person has an injured mouth, is unconscious
    or dead, or for any other reason considered acceptable by the licensed medical
    personnel" (emphasis added)). The court of appeals determined the record here
    supported the conclusion that the officer's request for a blood test was authorized
    because licensed medical personnel determined Sanders was unable to submit to a
    breath test.
    C. Licensed Medical Personnel
    We first consider Sanders's argument that the court of appeals erred in finding
    there was substantial evidence in the record showing Nurse Albright was licensed
    medical personnel because the finding was based on hearsay.
    This Court has recognized that the South Carolina Rules of Evidence (SCRE)
    are applicable to driver's license suspension hearings. McCarson, 391 S.C. at 
    147, 705 S.E.2d at 430
    (citing S.C. Code Ann. § 1-23-330(1) (2005); Rule 1101(d)(3),
    SCRE). McCarson involved a dispute over the first statutory factor (whether the
    arrest was lawful), and the Court held that the DMV must present admissible
    evidence of probable cause.
    Id. at 149, 705
    S.E.2d at 431. The Court noted hearsay
    is defined as "a statement, other than one made by the declarant while testifying at
    the trial or hearing, offered in evidence to prove the truth of the matter asserted," and
    stated hearsay is not admissible absent an exception.
    Id. at 146, 705
    S.E.2d at 430
    (quoting Rule 801(c), SCRE).
    Under the implied consent statute, "licensed medical personnel" includes
    "physicians licensed by the State Board of Medical Examiners, registered nurses
    [RNs] licensed by the State Board of Nursing, and other medical personnel trained
    to obtain [blood and urine] samples in a licensed medical facility." S.C. Code Ann.
    § 56-5-2950(A) (emphasis added) (providing only licensed medical personnel as
    defined in the statute may take blood and urine samples and that the samples "must
    be obtained and handled in accordance with procedures approved by SLED").
    Although Sanders argued at the hearing that he should have been able to cross-
    examine Nurse Albright as to whether she qualified as licensed medical personnel,
    personal attendance by the hospital employee has never been required to establish
    this fact. See State v. Frey, 
    362 S.C. 511
    , 514, 
    608 S.E.2d 874
    , 876 (Ct. App. 2005)
    (stating, in a DUI trial, that the "suggestion that [the hospital employee's]
    qualifications could be established only by his presence and testimony at trial is
    specious"). This fact, like any other, may be shown by several means.
    The officer testified as to his first-hand observations of Nurse Albright, noting
    that she wore a hospital identification badge providing her name and title as an "RN,"
    and he saw her performing the duties commensurate with the position of an RN in
    the emergency room. These personal observations by the officer during his
    investigation are not hearsay and constitute admissible evidence of Nurse Albright's
    status. See State v. Evans, 
    316 S.C. 303
    , 311, 
    450 S.E.2d 47
    , 52 (1994) (stating an
    investigator's testimony was "based on personal observations" and "was not merely
    relating what he was told by others," so it did not constitute hearsay); see also State
    v. Salisbury, 
    343 S.C. 520
    , 525, 
    541 S.E.2d 247
    , 249 (2001) (stating "[t]he officers'
    personal observations and opinions of Salisbury's actions, appearance, and condition
    constitute direct evidence because it is based on the officers' actual knowledge of the
    situation").
    The officer's recollection of Nurse Albright's nametag is significant because,
    under South Carolina law, "[a] licensed nurse must clearly identify himself or herself
    as officially licensed by the board [State Board of Nursing]." S.C. Code Ann. § 40-
    33-39 (2011). To that end, a licensed nurse is required to "wear a clearly legible
    identification badge or other adornment at least one inch by three inches in size
    bearing the nurse's first or last name, or both, and title as officially licensed."
    Id. (emphasis added). Consequently,
    Nurse Albright was required under South Carolina
    law to wear a badge clearly identifying her licensure status during her employment
    with the hospital.
    While Sanders belatedly opines to this Court that Nurse Albright could have
    engaged in a false "holding out" regarding her status (citing a news article about a
    "fake doctor"), Sanders made no contemporaneous attempt at the suspension hearing
    to allege that Nurse Albright engaged in any misleading conduct in this regard, nor
    did he dispute the officer's substantive testimony regarding Nurse Albright's status
    as an RN. Sanders could have rebutted the DMV's prima facie case, without the
    need to cross-examine Nurse Albright, by investigating Nurse Albright's licensing
    status (or alleged lack thereof) himself.3 See generally
    id. § 40-33-30(B) (providing
    it is unlawful for a person to use the designation "APRN," "RN," or "LPN" or any
    variation thereof, "or [to] use any title, sign, card, or device to indicate that the person
    is a nurse . . . unless the person is actively licensed" by the State Board of Nursing).
    Instead, Sanders relied solely on a hearsay objection, which we have found to be
    without merit. Accordingly, the court of appeals did not err in finding there is
    substantial evidence in the record showing Nurse Albright is licensed medical
    personnel.
    D. Officer's Request for a Blood Sample
    Sanders next contends the court of appeals erred in holding there was
    substantial evidence in the record to support the officer's request for a blood sample,
    as the evidence of his alleged inability to submit to a breath test was inadmissible
    hearsay.
    At the suspension hearing, the officer testified that he requested a blood test
    after arriving at the emergency room and being advised by licensed medical
    personnel (Nurse Albright) that Sanders was not able to take a breath test. Sanders's
    counsel made a general hearsay objection, arguing Nurse Albright should be present
    so he could question her as to her qualifications and the reason why she found
    Sanders was unable to take a breath test:
    [A]nybody can have hospital garb on . . . [the] defense
    needs to be able to cross-examine that particular person on
    his or her credentials. Secondly, this [SLED Report]
    doesn't say he wasn't able to leave the hospital. It says for
    some reason deemed acceptable by the licensed medical
    personnel. We have a right to ask that licensed medical
    personnel what that reason was. And we can't ask that
    3
    The DMV notes that whether an individual holds a medical license is publicly
    verifiable information that is readily available on the website of the South Carolina
    Department of Labor, Licensing, and Regulation, and it states this Court could take
    judicial notice of Nurse Albright's licensing status under Rule 201, SCRE. Our
    review of the government website indicates Nurse Albright has been licensed as an
    RN since 1999 and her current South Carolina license is valid through April 2022.
    See S.C. Dep't of Labor, Licensing, & Regulation, https://llr.sc.gov/. This
    information is obviously compelling, but we need not rely on it in reaching our
    decision as there is substantial evidence in the record as to Nurse Albright's status.
    person that reason without that person being here and
    we're not sure, again, she may well be a registered nurse,
    but we don't know that for sure and we don't have a right
    to cross-examine her credentials . . . .
    As explained in the preceding section, hospital employees do not have to
    attend a proceeding for their qualification as licensed medical personnel to be
    established. Frey, 362 S.C. at 
    514, 608 S.E.2d at 876
    . Further, we categorically
    reject the assertion that Nurse Albright's presence was required at this summary
    proceeding so Sanders could challenge the underlying reason why licensed medical
    personnel found he could not take a breath test. The reason for the licensed medical
    personnel's determination is clearly outside the statutorily limited scope of the
    hearing procedure set forth by the General Assembly. See S.C. Code Ann. § 56-5-
    2951(F)(1)-(3) (stating the scope of the suspension hearing is limited to whether the
    person (1) was lawfully arrested or detained, (2) was given a written copy of and
    verbally informed of the rights enumerated in section 56-5-2950, and (3) refused to
    submit to a test pursuant to section 56-5-2950).
    Here, the officer relied on the exception that licensed medical personnel found
    the motorist could not submit to a breath test. S.C. Code Ann. § 56-5-2950(A). The
    General Assembly has not required officers to question the judgment of licensed
    medical personnel or obtain a second opinion as part of the implied consent
    procedure. Nor has it authorized courts to engage in a post hoc analysis of the
    validity of the determination that the motorist could not take a breath test. The
    reason needs only to be one that is "considered acceptable by the licensed medical
    personnel," per S.C. Code Ann. section 56-5-2950(A) (emphasis added). See
    
    Reitter, 595 N.W.2d at 652
    ("The law requires no more than what the implied
    consent statute sets forth.").
    The soundness of this procedure is readily apparent. Sanders asserts that, if
    given the opportunity, he would have cross-examined Nurse Albright as to whether
    his medical treatment could have been expedited to secure his discharge sooner
    (theoretically to permit breath testing).4 Asking Nurse Albright to opine on this
    question is of dubious value, particularly where Sanders never specifically testified
    that he would have submitted to a breath test if one had been requested. Sanders's
    4
    As a practical matter, when a motorist is transported to the hospital due to injuries
    severe enough to warrant emergency treatment, it will be highly unlikely that the
    person will be discharged in time to meet the statutory window for taking a breath
    test (within two hours of arrest).
    testimony centered on the nature of his injuries, and he maintained he did not recall
    being asked to take a blood test, nor anything else about his time in the hospital. Cf.
    Taylor v. S.C. Dep't of Motor Vehicles, 
    368 S.C. 33
    , 
    627 S.E.2d 751
    (Ct. App. 2006)
    (holding the driver showed no prejudice from the fact that he did not receive a copy
    of the implied consent form from the officer, where the driver did not argue that he
    did not receive his implied consent rights at all or that he would have provided a
    blood test if he had received the implied consent rights in writing), aff'd, 
    382 S.C. 567
    , 
    677 S.E.2d 588
    (2009).
    The essential question here is—Did the officer comply with the implied
    consent statute in requesting a blood sample from Sanders? The limited scope of the
    administrative hearing is to test the conduct of the officer (not medical personnel) by
    requiring the officer to have probable cause for the arrest, to advise the motorist of
    his implied consent rights, and to request tests in compliance with the procedure
    outlined in the implied consent statute (which the motorist refused). S.C. Code Ann.
    § 56-5-2951(F)(1)-(3). Whether the licensed medical personnel was infallible in her
    determination is not within the limited scope of this administrative proceeding.5 The
    critical fact is that the determination, whether correct or not, was communicated to
    the officer and, thus, justified the next step in his investigation— the request for a
    blood sample.6 We agree with the court of appeals that the evidence offered to
    explain or support the officer's investigation does not constitute hearsay.7
    5
    Considering the remedial purpose of the implied consent statute and the statutory
    scope of the suspension hearing, we find the General Assembly did not intend the
    suspension hearing to be a forum for competing medical experts.
    6
    Cf. Andros v. Oregon ex rel. Dep't of Motor Vehicles, 
    485 P.2d 635
    (Or. Ct. App.
    1971) (holding whether there were reasonable grounds for the officer's request to
    take a chemical test did not depend on whether the driver was in fact under the
    influence of intoxicating liquor; rather it was dependent on whether the arresting
    officer had reasonable grounds to believe that to be so).
    7
    See, e.g., State v. Brown, 
    317 S.C. 55
    , 63, 
    451 S.E.2d 888
    , 894 (1994) (holding "an
    out of court statement is not hearsay if it is offered for the limited purpose of
    explaining why a government investigation was undertaken"); State v. Sims, 
    304 S.C. 409
    , 420, 
    405 S.E.2d 377
    , 383 (1991) (holding the officer's testimony from an
    out of court declarant was offered to explain the officer's actions regarding the
    defendant and was not inadmissible hearsay), cert. denied, 
    502 U.S. 1103
    (1992);
    Officers are required to administer the implied consent statute in accordance
    with procedures developed by SLED and to issue reports any time tests are
    requested. See generally S.C. Code Ann. § 56-5-2950(I) ("A person required to
    submit to tests by the arresting law enforcement officer must be provided with a
    written report including the time of arrest, the time of the tests, and the results of the
    tests before any trial or other proceeding in which the results of the tests are used as
    evidence."); see also
    id. § 56-5-2950(A) (stating
    "[t]he breath test must be
    administered by a person trained and certified by the South Carolina Criminal Justice
    Academy, pursuant to SLED policies. . . . Blood and urine samples must be obtained
    and handled in accordance with procedures approved by SLED.").
    Nurse Albright signed the SLED Report, as did Sanders, so he was
    contemporaneously informed of Nurse Albright's determination (that he could not
    submit a breath sample) and he was given a copy of the SLED Report, all in
    compliance with the officer's reporting duties. While we conclude the information
    communicated to the officer was not hearsay for purposes of this implied consent
    hearing, we note that, if Sanders believed the officer's testimony that Nurse Albright
    had made a determination of any kind was also false, he always had the recourse of
    rebutting it by calling her as a witness himself.
    Lastly, we observe that, at the hearing, Sanders's counsel urged the OMVH to
    overturn the suspension on the alternative ground that Sanders "had a significant
    head injury, had a concussion," and did not "remember anything until he woke in
    jail the next morning" with "blood all over the back of his head." Sanders testified
    that he could not remember anything from the time of the accident until he woke up
    in jail, and he described himself as "very disoriented," "fuzzy," "foggy," and having
    "no clue" as to his surroundings after his accident. It is unclear how counsel intended
    this assertion to provide a legal basis for overturning the suspension, and Sanders
    does not rely on it here. We note, however, that the implied consent statute provides
    that if a motorist has an injury to the mouth, is unconscious, or dead, a breath test
    need not be requested, and this determination need not be made by licensed medical
    State v. Thompson, 
    352 S.C. 552
    , 559, 
    575 S.E.2d 77
    , 81 (Ct. App. 2003) (finding
    testimony about a bystander's statement to the police was not hearsay because it was
    not offered to prove the truth of the matter asserted but rather to explain the officer's
    reason for going to the defendant's home); State v. Kirby, 
    325 S.C. 390
    , 396, 
    481 S.E.2d 150
    , 153 (Ct. App. 1996) (concluding testimony by a police officer about a
    dispatcher's call reporting drugs and firearms in a car was not hearsay where offered
    to explain the reason for the initiation of police surveillance of the vehicle in
    question).
    personnel. See S.C. Code Ann. § 56-5-2950(A) (exceptions); State v. Kimbrell, 
    326 S.C. 344
    , 348, 
    481 S.E.2d 456
    , 458 (Ct. App. 1997) (observing while these grounds
    need not be based on the judgment of licensed medical personnel, the evidence must
    reveal a reasonable basis to support them). Even if Sanders were rendered
    unconscious, however, the result would not have been the excusal of all testing;
    rather, under the statute, it would have justified the officer's request for a blood test.
    IV. CONCLUSION
    We conclude the substantial evidence in the record supports the DMV's
    suspension of Sanders's driver's license.
    AFFIRMED.
    KITTREDGE, HEARN, FEW and JAMES, JJ., concur.                             FEW, J.,
    concurring in a separate opinion.
    JUSTICE FEW: I concur with the majority. I write to share my thoughts on
    whether the nurse's statements are hearsay. As with many hearsay questions, it is
    actually not a hearsay question. It is a statutory interpretation question. Sanders
    argues subsection 56-5-2950(A) of the South Carolina Code (2018) requires the
    State to prove a suspect was "physically unable to provide an acceptable breath
    sample." The Department argues subsection 56-5-2950(A) requires only that the
    State prove the medical professional had an "acceptable" reason for determining the
    suspect was "physically unable" to provide a breath sample. If we resolve this
    dispute over statutory interpretation, we will answer the hearsay question. In other
    words, once we determine what subsection 56-5-2950(A) requires the State to prove
    at the hearing, the answer to the hearsay question follows without serious
    controversy.
    Under Sanders' interpretation of the subsection, the question at the hearing is, "Was
    the suspect 'physically unable to provide an acceptable breath sample.'" If Sanders
    is correct, the State would need the nurse's statements to be true to prove Sanders'
    physical condition. Necessarily, the State would offer the statements in evidence for
    the purpose of proving the truth of the matter asserted in the statements. The
    statements—in that event—would be hearsay.
    The Department, however, is correct. I do not believe subsection 56-5-2950(A) can
    be read to require the State to prove the suspect's physical condition. As the Chief
    Justice explained, proving such a subjective point of medicine is beyond the scope
    the General Assembly intended for these hearings. "Whether the licensed medical
    personnel was infallible in her determination is not within the limited scope of this
    administrative proceeding." Rather, the most sensible reading of subsection 56-5-
    2950(A) is it requires only that the State prove the licensed medical professional
    made the determination the suspect was "physically unable" for a reason the
    professional "considered acceptable." See State v. Stacy, 
    315 S.C. 105
    , 107, 
    431 S.E.2d 640
    , 641 (Ct. App. 1993) ("[W]e hold that the statute requires a licensed
    [professional] . . . to determine whether an acceptable reason exists for finding that
    a person is unable to provide an acceptable breath sample."). Thus, to prove what
    subsection 56-5-2950(A) requires, it is not necessary that the professional's
    statements be true. The State may offer the statements in evidence for the sole
    purpose of proving the statements were made, and the statements are not hearsay.