State v. Ray , 2022 UT App 39 ( 2022 )


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    2022 UT App 39
    THE UTAH COURT OF APPEALS
    STATE OF UTAH,
    Appellee,
    v.
    ERIC MATTHEW RAY,
    Appellant.
    Opinion
    No. 20121040-CA
    Filed March 31, 2022
    Fourth District Court, Provo Department
    The Honorable Lynn W. Davis
    No. 101401511
    Douglas J. Thompson, Attorney for Appellant
    Sean D. Reyes and Karen A. Klucznik, Attorneys
    for Appellee
    JUDGE GREGORY K. ORME authored this Opinion, in which
    JUDGES DAVID N. MORTENSEN and JILL M. POHLMAN concurred.
    ORME, Judge:
    ¶1      On remand from our Supreme Court, Eric Matthew Ray
    again challenges his conviction of forcible sexual abuse, arguing
    that Utah Code section 76-5-406(2)(k) is unconstitutionally vague
    on its face and that the trial court erred in denying him access to
    a portion of his victim’s medical records. We affirm.
    State v. Ray
    BACKGROUND 1
    ¶2      In late 2008, Ray, then a married twenty-seven-year-old
    law student in Illinois, sent a text message to a wrong number.
    R.M., then a fourteen-year-old girl living in Utah, was the
    recipient of the misdirected text. R.M. informed Ray of his
    mistake and of her age, but the two began communicating daily
    through text, social media, and telephone conversations. They
    initially discussed topics such as politics, religion, school, and
    Ray’s marital problems, but their conversations eventually took
    a romantic turn. R.M. testified that their “conversations got a
    little bit more intimate,” and they began discussing sex, love,
    and marriage. These discussions included talk of marriage in a
    temple of their shared religion and of R.M. attending art school
    in Illinois.
    ¶3      In March 2010, Ray flew to Utah during his spring break
    to visit R.M., who by that time was fifteen years old. Over the
    course of Ray’s four-day visit, with the exception of the third
    day, during which R.M. was grounded, Ray and R.M. would go
    to Ray’s hotel room and engage in progressively serious sexual
    activity.
    ¶4      On the first day of his visit, Ray picked R.M. up from
    school in his rental car and took her to his hotel. There, Ray gave
    R.M. her “first kiss and then there was a lot of kissing and
    making out going on” for the next several hours. R.M. testified at
    trial that while lying in bed together, Ray touched her “bra and
    underwear areas” over her clothing. R.M. acknowledged that
    this contradicted her testimony at an earlier preliminary hearing,
    during which she stated that they had just kissed and that
    1. “When reviewing a jury verdict, we examine the evidence and
    all reasonable inferences in a light most favorable to the verdict,
    reciting the facts accordingly. We present conflicting evidence
    only when necessary to understand issues raised on appeal.”
    State v. Ray, 
    2020 UT 12
    , n.2, 
    469 P.3d 871
     (quotation simplified).
    20121040-CA                     2                
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    State v. Ray
    nothing else had happened on that first day. When they had
    finished, Ray dropped R.M. off at a corner near her house.
    ¶5     On the second day, R.M.’s two friends accompanied R.M.
    to the hotel. While the friends went swimming at the hotel’s
    pool, Ray and R.M. disrobed to their underwear and began
    “kissing on the bed” for about an hour. R.M. testified at trial that
    Ray again touched her “bra and [her] underwear areas” and that
    he also touched her buttocks and “momentarily” reached under
    her bra. This trial testimony also contradicted her testimony at
    the preliminary hearing that Ray never touched under her bra or
    her buttocks. R.M. testified at trial that she also touched Ray’s
    “private parts” over his underwear, and when her friends
    returned to the room, the four played a game of “Sexy Truth or
    Dare,” during which Ray showed them a picture he had taken of
    two sex toys.
    ¶6    On the third day, because R.M. was grounded due to poor
    grades, Ray met her in her high school parking lot, and they
    worked on her homework for about an hour in the rental car.
    R.M. testified at trial that “nothing happened” that day other
    than homework.
    ¶7     On the fourth day—their last day together—Ray
    decorated the hotel room with flowers and candles. R.M. took a
    shower and, per Ray’s earlier request via text, shaved her pubic
    area. R.M. testified at trial that she exited the bathroom naked to
    find Ray also naked. They began kissing and eventually moved
    to the bed, where Ray touched the “outside” of R.M.’s vagina
    with his fingers for “[a] few minutes.” 2 Afterward, they watched
    a movie from the Twilight franchise while in bed and later went
    out to eat. This contradicted R.M.’s testimony at the preliminary
    hearing that after she showered and shaved, she “[g]ot dressed
    2. R.M. testified at the preliminary hearing that Ray digitally
    penetrated her vagina.
    20121040-CA                     3                 
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    State v. Ray
    and went back into his room,” where they watched the movie
    together and then began engaging in sexual activity.
    ¶8     They left the hotel room to get something to eat, and
    when they returned to the hotel room, the two discussed the
    possibility of sexual intercourse. R.M. told Ray that she “wasn’t
    ready for that,” and he said “he was okay to wait.” 3 While still at
    the hotel, Ray gave R.M. a candle, a tee shirt he had worn, and a
    vibrator to remember him by. In return, R.M. gave Ray a tee shirt
    she had worn.
    ¶9     When Ray returned to Illinois, the two continued to
    communicate via text message for just under a week until R.M.
    was hospitalized with meningitis. During her ten-day hospital
    stay, R.M. spent some time in the ICU and was given numerous
    medications. R.M. stated that she was “on and off conscious”
    during her stay, while her mother (Mother) testified that R.M.
    “was awake and asleep, awake and asleep,” but that she was
    never “unconscious.”
    ¶10 R.M. notified Ray of her condition when she was
    admitted to the hospital, but she was unable to communicate
    with him thereafter. After unsuccessfully trying to get ahold of
    R.M., Ray called Mother posing as Edward Matthews, a fictional
    classmate of R.M.’s, and asked about her condition. Thereafter,
    Ray continued to contact R.M.’s parents and the hospital at least
    once a day inquiring after her condition and offering his own
    theories as to the type of infection R.M. had. At one point, he
    informed R.M.’s parents via email that R.M. had a vaginal
    infection, which Mother considered “a red flag.” Concerned,
    Mother looked through R.M.’s social media page and found a
    picture containing two tags: Ray and Edward Matthews. Mother
    3. R.M. also testified at trial that, prior to this conversation, Ray
    had performed oral sex on her and that she reciprocated, but the
    jury did not return a unanimous verdict on two counts of
    forcible sodomy that correlated with this testimony.
    20121040-CA                      4                 
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    State v. Ray
    also discovered many pictures of Ray on R.M.’s cellphone. When
    Ray later called R.M.’s phone, her parents told him “to leave her
    alone.”
    ¶11 R.M.’s parents contacted a neighbor in law enforcement,
    who in turn asked a detective (Detective) to look into the matter.
    On March 24, 2010, Detective interviewed R.M. at the hospital,
    whom he described at trial as being “in a sedated state” and
    “slow to respond.” Detective also stated that R.M.’s responses
    quickly became “slurred,” “groggy,” and “incoherent.” In his
    report, Detective wrote, “I was informed that [R.M.] had been
    given a dose of pain medication that made it difficult for her to
    speak clearly, but that she could understand what I was asking
    of her, and that she could answer the questions I would ask.”
    ¶12 Although the interview lasted only about ten minutes due
    to R.M.’s condition, R.M. managed to confirm to Detective that
    Ray and Edward Matthews were the same person and to explain
    how they first began exchanging text messages. She told
    Detective that they began expressing romantic feelings toward
    each other and that Ray visited her in Utah earlier that month.
    She said that on the first day of Ray’s visit, she met Ray in her
    high school parking lot and that “they remained there for several
    hours” in Ray’s car. She said that they “kissed on the lips
    multiple times, and talked about various topics.” This was at
    odds with R.M.’s later trial testimony that they went back to
    Ray’s hotel room and that, in addition to kissing, Ray touched
    her “bra and [her] underwear areas” over her clothing.
    ¶13 R.M. then told Detective that she did not see Ray again
    until the third day. This account differed from R.M.’s later trial
    testimony that she and two friends went back to Ray’s hotel on
    the second day, and that while the friends were at the pool, Ray
    again touched her “bra and underwear areas” and
    “momentarily” reached under her bra. R.M. told Detective that
    on the third day, they again spent time in Ray’s rental car in the
    high school parking lot “talking and kissing” for “three to four
    hours.” But this time, she said that Ray also put his hands down
    20121040-CA                     5               
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    State v. Ray
    her pants and attempted to “finger” her. Ray removed his hand
    after she told him to because she had a yeast infection and the
    rubbing was causing her pain. 4 R.M. also told Detective that she
    had sent Ray approximately 100 nude images of herself. 5
    ¶14 At the time, R.M. did not disclose to Detective any of the
    additional details regarding her interactions with Ray that were
    later presented at trial. When Ray’s counsel asked why not, R.M.
    responded that she “was in the hospital” and “was very sick.”
    ¶15 Even after being discharged from the hospital, R.M. was
    still “extremely ill,” “found it very difficult to sit” or to
    “communicate for long periods of time,” and became nauseated
    “every time she moved.” Based on these extenuating
    circumstances, and based on R.M.’s adverse reaction to Detective
    whenever he brought up the investigation, Detective arranged
    for R.M.’s adult sister (Sister) to interview her at home. During
    that interview, R.M. disclosed additional details that she had not
    disclosed in her interview at the hospital, which Sister recorded
    in written form. 6
    4. R.M.’s trial testimony that “nothing happened” in the car on
    that day other than homework contradicted these statements. At
    trial, Ray’s counsel elicited testimony from R.M. that she initially
    told Detective that Ray had attempted to “finger” her in the car
    that day.
    5. At trial, R.M. denied sending nude photographs of herself to
    Ray, and Ray’s counsel elicited testimony from R.M. that an
    examination of her phone did not reveal any nude photographs.
    6. The trial testimony is vague as to what R.M. disclosed to
    Sister. But Sister’s written record of the interview reveals that
    R.M. told Sister that she visited Ray’s hotel room multiple times,
    Ray played “Sexy Truth or Dare” with her and her two friends,
    he gave her a sex toy, they touched each other’s genitals over
    (continued…)
    20121040-CA                     6                 
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    State v. Ray
    ¶16 Approximately one month after the hospital interview,
    Detective, posing as R.M., began communicating with Ray over
    social media with the aim of getting “more information as to
    whether there had been any criminal activity.” At one point,
    Detective asked whether Ray had told his wife about “going
    down my pants.” Ray responded: “no I have not violated any
    laws so ther ewould be noting to tell.” 7 At another point,
    Detective asked “what if I was pregnant or soemthing?” to
    which Ray replied, “we didnt have sex and im sure if you were
    pregnant, i would have found out.” Detective responded, “yeah
    but you touched me there what if sperm was on your hand,”
    which Ray did not deny, but instead replied, “your parents
    would have found a way to get me arrested.” Later on in the
    conversation, Ray stated: “we wanted to [have sex] when we
    were kissing,” “but you wanted to . . . stay a virgin and i didnt
    want to hurt you in any way and we didnt have sex.” Ray later
    described giving R.M. her first kiss and how they then “got into
    bed and kissed for the rest of the day.”
    ¶17 Eventually, Ray and “R.M.” arranged for Ray to make a
    second visit to Utah. When Ray arrived, he was arrested.
    Detective subsequently interviewed Ray, during which Ray
    confirmed that his relationship with R.M. began as a result of
    him sending a text message to a wrong number. Ray further
    related how they began discussing religion, politics, and
    personal matters and how they eventually began developing
    feelings for each other. He also confirmed that he used the
    pseudonym Edward Matthews.
    (…continued)
    their underwear, he touched her breast over her bra, they
    performed oral sex on each other, and he tried to “finger” her.
    7. Throughout this opinion, we quote the various text messages
    verbatim, including typos, adding bracketed material only when
    necessary for clarity.
    20121040-CA                    7                
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    State v. Ray
    ¶18 The State charged Ray with one count each of forcible
    sexual abuse and object rape, and two counts of forcible sodomy.
    To prove lack of consent, the State relied on Utah Code section
    76-5-406(2)(k) (the enticement provision), which provides that
    forcible sexual abuse and other sexual offenses are without
    consent if “the victim is 14 years of age or older, but younger
    than 18 years of age, and the actor is more than three years older
    than the victim and entices or coerces the victim to submit or
    participate, under circumstances not amounting to . . . force or
    threat.” See Utah Code. Ann. § 76-5-406(2)(k) (LexisNexis Supp.
    2021). 8
    ¶19 At a preliminary hearing, R.M. testified that she did not
    feel well when Detective interviewed her at the hospital and that
    her memory at the time was affected “just a little bit.” She also
    stated that she “remembered better” when she spoke with Sister
    a few weeks later. And Detective testified that the interview did
    not last long because R.M. was “[i]ntoxicated” and “not very
    articulate”—that it was as if “her tongue wasn’t working” and
    that “[i]t gradually got worse and worse.”
    ¶20 Following the preliminary hearing, Ray served a
    supplemental discovery request on the State for R.M.’s medical
    records, “including a list of medications and dosage of those
    medications she was taking during her stay in the hospital as
    well as after her release.” Ray stated that the information was
    “critical to the defense . . . because [R.M.] gave statements to the
    police as well as to other people (i.e. her sister) while under the
    influence of potentially mind and memory-altering drugs.”
    ¶21 Approximately one month later, Mother submitted a
    medical record disclosure form authorizing the hospital to
    release R.M.’s “medications & doses” and “diagnosis” to
    8. Because the applicable provisions of the Utah Code in effect at
    the relevant time do not materially differ from those currently in
    effect, we cite the current version of the code for convenience.
    20121040-CA                     8                 
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    State v. Ray
    Detective for the purpose of the “criminal investigation where
    [R.M.] was the victim.” She did not check boxes on the form
    allowing for the release of, among other things, “Discharge
    Summary,” “Consultation(s),” and “Progress notes.” Mother
    also acknowledged on the form that she understood that the
    hospital “cannot guarantee that the Recipient will not redisclose
    [R.M.’s] health information to a third party.”
    ¶22 The State received 22 pages of R.M.’s medical records. The
    State disclosed 11 of those pages, consisting of a “Medications
    Given Report,” to Ray. The hospital apparently released the
    remaining pages in error. The State filed a motion under rules
    14(b) and 16 of the Utah Rules of Criminal Procedure, requesting
    that the trial court conduct an in camera review 9 of the
    remaining pages for relevance and that it “determine what
    records, if any, the State must disclose to the defense.” Ray did
    not object to this requested procedure.
    ¶23 At a hearing following the court’s review of the records,
    the court stated that it had determined that “there wasn’t
    anything in connection with the medical report that would be
    relevant relative to the . . . case.” When asked whether it had
    looked for “things that affected [R.M.’s] memory,” the court
    replied that it “was looking for all of that.” The court later issued
    a written order stating, “After careful review of the submitted
    medical records, the court finds no relevancy of these records to
    this case” and that “in providing defense counsel with copies of
    the ‘Medications Given Report,’” the State “has complied strictly
    and thoroughly with the defendant’s discovery request.”
    ¶24 Prior to trial, Ray filed two motions to dismiss. One
    motion argued that the enticement provision was
    9. “With origins in Latin, where ‘camera’ means ‘chamber,’ in
    camera review or inspection refers to a trial judge’s private
    consideration of evidence.” State v. Betony, 
    2021 UT App 15
    , ¶ 17
    n.4, 
    482 P.3d 852
     (quotation simplified).
    20121040-CA                      9                 
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    State v. Ray
    unconstitutionally vague because the term “entice” was not
    sufficiently defined to give Ray notice that his conduct
    constituted enticement. The other motion argued that “the State
    failed to present sufficient evidence at the preliminary hearing
    . . . to establish probable cause.” Specifically, he contended that
    “[t]he State’s evidence presented at the preliminary hearing
    failed to establish probable cause [that he] enticed or coerced
    R.M. to engage in any sexual conduct without her consent.”
    ¶25 The trial court denied both motions. It concluded that the
    enticement provision was not unconstitutionally vague
    “[b]ecause the words used to describe a proscribed conduct are
    both commonly used and clearly defined” by caselaw.
    ¶26 Turning next to Ray’s sufficiency-of-the-evidence
    argument, the court found evidence that Ray “use[d] religious
    principles to foster a sexual relationship” with R.M. by
    promising her that “he would ‘take her to the temple, marry
    her.’” The court continued that “[i]n the mind of an
    impressionable young girl, it’s probable that this promise would
    create a veneer of wholesomeness and goodness on a
    relationship which is manifestly abhorrent.” And “[b]y
    manipulating [R.M.’s] religious beliefs, [Ray] likely was able to
    get [her] to act sexually in ways she might not otherwise act.”
    The court also found evidence that Ray “spent 18 months plus
    cultivating the relationship” and “groomed [R.M.] by saturating
    himself into her life” with “texting, instant messaging, [and]
    speaking by video.” There was also evidence that Ray “used teen
    pop culture to manipulate” R.M. by donning the pseudonym
    Edward Matthews “as a reference to the popular Twilight series,
    [implicating] the series’s theme of forbidden love and desire and
    danger, etc.” Based on this, the court concluded that the State
    presented sufficient evidence to establish probable cause that
    Ray enticed R.M.
    ¶27 The case then proceeded to trial, following which the jury
    convicted Ray on the forcible sexual abuse charge but acquitted
    him on the object rape charge and could not reach a unanimous
    20121040-CA                    10                
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    State v. Ray
    verdict on either forcible sodomy charge. Ray appealed his
    conviction to this court, raising several issues. While the appeal
    was then pending, this court granted Ray’s motion for a rule 23B
    remand, during which an expert witness for the defense
    reviewed all 22 pages of R.M.’s medical records. See generally
    Utah R. App. P. 23B.
    ¶28 In our prior opinion in this case, State v. Ray (Ray I), 
    2017 UT App 78
    , 
    397 P.3d 817
    , rev’d, 
    2020 UT 12
    , 
    469 P.3d 871
    , we held
    that Ray’s trial counsel provided constitutionally ineffective
    assistance for failing to request a jury instruction defining the
    term “indecent liberties” under Utah Code section 76-5-404(1).
    See 
    2017 UT App 78
    , ¶¶ 17–23. We vacated Ray’s conviction and
    remanded for a new trial on that basis. See id. ¶ 28. With the
    exception of Ray’s argument that we should simply reverse his
    conviction because R.M.’s testimony was inherently improbable,
    which argument we rejected, see id. ¶ 27, we did not have
    occasion to address the remaining arguments Ray raised on
    appeal in view of our decision to vacate his conviction and
    remand for a new trial.
    ¶29 Our Supreme Court granted certiorari and issued State v.
    Ray (Ray II), 
    2020 UT 12
    , 
    469 P.3d 871
    , in which it concluded that
    Ray’s trial counsel had not performed deficiently in not
    requesting an instruction on “indecent liberties.” See id. ¶¶ 25,
    45. In so doing, the Court clarified, among other things, that the
    standard for the deficient performance prong of the ineffective
    assistance of counsel inquiry “is not whether counsel’s course of
    conduct was strategic, but whether it fell below an objective
    standard of reasonableness.” Id. ¶ 33. The Court then reversed
    our decision in Ray I, reinstated Ray’s conviction, and remanded
    for us “to address Ray’s remaining claims.” Id. ¶ 46.
    ¶30 Following remand to this court, Ray filed a stipulated
    motion to allow replacement briefs on the ground that “[n]early
    five years ha[ve] passed since Ray’s opening brief was filed, that
    includes five years of new cases potentially relevant to,
    persuasive toward, or even binding upon the remaining briefed
    20121040-CA                    11               
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    State v. Ray
    issues.” We granted this motion and later, upon Ray’s request,
    clarified that based on our Supreme Court’s mandate “to address
    Ray’s remaining claims,” 
    id.,
     the replacement briefs were to be
    limited to “the claims that were initially raised by Ray on appeal
    but that were not addressed by this court in its prior opinion.”
    ISSUES AND STANDARDS OF REVIEW
    ¶31 Ray first argues that the trial court incorrectly ruled that
    the enticement provision was not unconstitutionally vague. 10
    “Whether a statute is unconstitutionally . . . vague is a question
    of law reviewed for correctness.” State v. Jones, 
    2020 UT App 31
    ,
    ¶ 27, 
    462 P.3d 372
     (quotation simplified). The party challenging a
    statute “as unconstitutional bear[s] the burden of demonstrating
    its unconstitutionality.” State v. Jones, 
    2018 UT App 110
    , ¶ 9, 
    427 P.3d 538
     (quotation simplified). Furthermore, “[a] statute is
    presumed constitutional, and we resolve any reasonable doubts
    10. Ray raises two additional constitutional challenges to the
    enticement provision. First, he argues that the enticement
    provision is unconstitutional as applied to him because it
    criminalized his fundamental rights under the Due Process
    Clause and violated the First Amendment. In his view, “R.M.
    could legally consent to sexual conduct” and could marry “if
    voluntarily and with premarital counseling.” In that context, he
    asserts that “[i]ntimate relationships involved in creating a
    family are a fundamental element of personal liberty” and that
    “adults have First Amendment rights to sexual expression,” both
    of which the enticement provision unconstitutionally
    criminalized in his case. Second, Ray argues that the enticement
    provision is unconstitutionally overbroad. On remand, we are
    limited by our Supreme Court’s mandate “to address Ray’s
    remaining claims.” Ray II, 
    2020 UT 12
    , ¶ 46. Because Ray did not
    raise these issues in his original brief, we have no occasion to
    address them here.
    20121040-CA                    12                
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    State v. Ray
    in favor of constitutionality.” State v. Mattinson, 
    2007 UT 7
    , ¶ 6,
    
    152 P.3d 300
    .
    ¶32 Next, Ray argues that the trial court erred in denying him
    access to the remaining eleven pages of R.M.’s medical records.
    “We review a trial court’s denial of a discovery motion for abuse
    of discretion.” 11 State v. Santonio, 
    2011 UT App 385
    , ¶ 12, 
    265 P.3d 822
    . Additionally, “we will reverse only if a reasonable
    likelihood exists that absent the error, the result would have
    been more favorable to the defendant.” State v. Leech, 
    2020 UT App 116
    , ¶ 31, 
    473 P.3d 218
     (quotation simplified). See Utah R.
    Crim. P. 30(a).
    ANALYSIS
    I. Vagueness Challenge
    ¶33 The enticement provision states that various sexual
    offenses, including forcible sexual abuse, are without consent if
    “the victim is 14 years of age or older, but younger than 18 years
    of age, and the actor is more than three years older than the
    victim and entices or coerces the victim to submit or participate,
    under circumstances not amounting to . . . force or threat.” 
    Utah Code Ann. § 76-5-406
    (2)(k) (LexisNexis Supp. 2021) (emphasis
    added). The purpose of the enticement provision, “in
    combination with the statutory section defining the crime, is to
    prevent mature adults from preying on younger and
    inexperienced persons.” State v. Gibson, 
    908 P.2d 352
    , 356 (Utah
    11. The State asserts that this issue is not preserved. Because we
    resolve the merits of the claim in the State’s favor, we need not
    address this preservation argument. See State v. Kitches, 
    2021 UT App 24
    , ¶ 28, 
    484 P.3d 415
     (“If the merits of a claim can easily be
    resolved in favor of the party asserting that the claim was not
    preserved, we readily may opt to do so without addressing
    preservation.”) (quotation simplified).
    20121040-CA                     13                 
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    State v. Ray
    Ct. App. 1995) (quotation simplified). It “protect[s] young
    persons from sexual exploitation by older, more experienced
    persons until they reach the legal age of consent and can more
    maturely comprehend and appreciate the consequences of their
    sexual acts.” State v. Scieszka, 
    897 P.2d 1224
    , 1227 (Utah Ct. App.
    1995) (quotation simplified). Ray argues that the enticement
    provision is unconstitutionally vague on its face. 12
    ¶34 “A statute may be unconstitutional either on its face or as
    applied to the facts of a given case.” State v. Herrera, 
    1999 UT 64
    ,
    ¶ 4 n.2, 
    993 P.2d 854
    . A facial challenge is the most difficult of
    the two “because it requires the challenger to establish that no
    set of circumstances exists under which the statute would be
    valid.” 13 
    Id.
     (quotation simplified). See United States v. Salerno,
    12. Ray also, at least nominally, raises an as-applied vagueness
    challenge to the enticement provision, which requires him to
    establish “that the statute was applied to him . . . in an
    unconstitutional manner.” State v. Herrera, 
    1999 UT 64
    , ¶ 4 n.2,
    
    993 P.2d 854
    . Although Ray raised an as-applied argument in his
    original brief to this court, he argues in his replacement brief,
    under the as-applied heading, that the enticement provision is
    overbroad and subject to strict scrutiny because it infringes on
    his First Amendment rights to freedom of speech and association
    and on his fundamental rights to marriage and procreation. As
    previously discussed, see supra note 10, because Ray did not raise
    these other constitutional issues in his original brief, we have no
    occasion to address them on remand.
    13. Ray argues that because “[t]his is a First Amendment case,
    some valid applications cannot save [the enticement provision]
    as [his] speech was not clearly proscribed.” Although Ray
    correctly states that an exception to this general rule arises in the
    First Amendment context, it does so in the form of an
    overbreadth challenge. See United States v. Salerno, 
    481 U.S. 739
    ,
    745 (1987); Holder v. Humanitarian Law Project, 
    561 U.S. 1
    , 20
    (2010) (“[A] Fifth Amendment vagueness challenge does not
    (continued…)
    20121040-CA                     14                 
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    State v. Ray
    
    481 U.S. 739
    , 745 (1987). Furthermore, facial vagueness
    challenges to a statute are appropriate only if First Amendment
    rights or other constitutionally protected conduct are
    implicated. 14 See State v. Green, 
    2004 UT 76
    , ¶ 44, 
    99 P.3d 820
    (…continued)
    turn on whether a law applies to a substantial amount of
    protected expression.”); United States v. Marcavage, 
    609 F.3d 264
    ,
    273 (3d Cir. 2010) (“There are two main ways to succeed on a
    facial challenge in the First Amendment context. A plaintiff may
    demonstrate either that no set of circumstances exists under
    which the law would be valid, i.e., that the law is
    unconstitutional in all of its applications, or that the law is
    overbroad because a substantial number of its applications are
    unconstitutional, judged in relation to the law’s plainly
    legitimate sweep.”) (quotation simplified). The exception
    therefore does not apply to Ray’s vagueness challenge.
    14. Additionally, “when a party raises both facial and as-applied
    vagueness challenges, ‘[a] court should . . . examine the
    complainant’s conduct before analyzing other hypothetical
    applications of the law.’” State v. Pence, 
    2018 UT App 198
    , ¶ 19,
    
    437 P.3d 475
     (quoting Village of Hoffman Estates v. Flipside,
    Hoffman Estates, Inc., 
    455 U.S. 489
    , 494–95 (1982)). This is because
    “a defendant ‘who engages in some conduct that is clearly
    proscribed cannot complain of the vagueness of the law as
    applied to the conduct of others.’” State v. Jones, 
    2018 UT App 110
    , ¶ 16, 
    427 P.3d 538
     (quoting Village of Hoffman, 
    455 U.S. at 495
    ). And because “a Fifth Amendment vagueness challenge
    does not turn on whether a law applies to a substantial amount
    of protected expression,” this “rule makes no exception for
    conduct in the form of speech.” Holder, 
    561 U.S. at 20
    . Thus,
    “[u]nder this rule, a ‘court should therefore examine the
    complainant’s conduct before analyzing other hypothetical
    applications of the law.’” Lehi City v. Rickabaugh, 
    2021 UT App 36
    , ¶ 40, 
    487 P.3d 453
     (quoting Village of Hoffman, 
    455 U.S. at 495
    ).
    (continued…)
    20121040-CA                     15                 
    2022 UT App 39
    State v. Ray
    (stating that “‘[vagueness] challenges to statutes which do not
    involve First Amendment freedoms must be examined in the
    light of the facts of the case at hand’”) (quoting Village of Hoffman
    Estates v. Flipside, Hoffman Estates, Inc., 
    455 U.S. 489
    , 495 n.7
    (1982)). See also United States v. Gaudreau, 
    860 F.2d 357
    , 360 (10th
    Cir. 1988) (stating that an appellant may raise a facial vagueness
    challenge only (1) “when it threatens to chill constitutionally
    protected conduct, especially conduct protected by the First
    Amendment”; or (2) “in some instances . . . on pre-enforcement
    review”) (footnote omitted).
    ¶35 Here, the State argued at trial that Ray enticed R.M. by
    “play[ing] right into” the tendency of teenage girls to “fall[] in
    love with fantasy” and “playing into [R.M.’s] young, . . .
    15-year-old mind” through, among other things, the cultivation
    of an 18-month relationship, the “constant barrage of IMs and
    texting,” discussing politics and religion, “[t]alking about . . .
    infatuation,” making long term plans, and discussing temple
    marriage. Because this conduct implicates the First Amendment
    right to free speech and of association, we may proceed to
    address Ray’s facial vagueness challenge. 15
    (…continued)
    Here, because we address only Ray’s facial challenge to the
    enticement provision, we do so without first addressing Ray’s
    conduct.
    15. Our Supreme Court has held that “soliciting, seducing,
    luring, or enticing a known minor to actually engage in unlawful
    sexual activity . . . is not afforded First Amendment protections.”
    State v. Gallegos, 
    2009 UT 42
    , ¶ 19, 
    220 P.3d 136
     (quotation
    simplified), abrogated on other grounds by Miller v. Utah Dep’t of
    Transp., 
    2012 UT 54
    , 
    285 P.3d 1208
    . Nevertheless, the First
    Amendment is still implicated here because we must determine
    whether the enticement provision gave sufficient notice of what
    constitutes prohibited conduct or speech.
    20121040-CA                     16                 
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    State v. Ray
    ¶36 “Vagueness questions are essentially procedural due
    process issues, i.e., whether the statute adequately notices the
    proscribed conduct.” State v. MacGuire, 
    2004 UT 4
    , ¶ 14, 
    84 P.3d 1171
     (quotation simplified). See State v. Davie, 
    2011 UT App 380
    ,
    ¶ 14, 
    264 P.3d 770
     (“[T]he vagueness doctrine is rooted in the
    Due Process Clauses of the Fifth and Fourteenth
    Amendments.”). “A statute is impermissibly vague if it either
    (a) ‘fails to provide people of ordinary intelligence a reasonable
    opportunity to understand what conduct it prohibits’ or
    (b) ‘authorizes or even encourages arbitrary and discriminatory
    enforcement.’” State v. Ansari, 
    2004 UT App 326
    , ¶ 42, 
    100 P.3d 231
     (quoting Hill v. Colorado, 
    530 U.S. 703
    , 732–33 (2000)). A
    statute is not unconstitutionally vague so long as it “is
    sufficiently explicit to inform the ordinary reader what conduct
    is prohibited.” MacGuire, 
    2004 UT 4
    , ¶ 14 (quotation simplified).
    Cf. id. ¶ 32 (“[B]ecause the meaning of the term is readily
    ascertainable, its inclusion does not encourage or facilitate
    arbitrary and discriminatory enforcement.”).
    ¶37 “The determination whether a criminal statute provides
    fair warning of its prohibitions must be made on the basis of the
    statute itself and other pertinent law[.]” Bouie v. City of Columbia,
    
    378 U.S. 347
    , 355 n.5 (1964). See United States v. Williams, 
    553 U.S. 285
    , 306 (2008) (stating that terms found to be void for vagueness
    lack “statutory definitions, narrowing context, or settled legal
    meanings”). Additionally, the constitutionality of a law may not
    be called into doubt simply on the basis that it “call[s] for the
    application of a qualitative standard.” Johnson v. United States,
    
    576 U.S. 591
    , 603–04 (2015). But “the failure of persistent efforts
    to establish a standard can provide evidence of vagueness.” Id. at
    598 (quotation simplified). In the case before us, based on the
    plain language of the enticement provision and relevant caselaw,
    we hold that the enticement provision is not unconstitutionally
    vague on its face.
    ¶38 Although our Legislature did not define the term “entice”
    as used in the enticement provision, it is a word that is both
    “commonly used and clearly defined.” State v. Gallegos, 
    2009 UT 20121040
    -CA                     17                 
    2022 UT App 39
    State v. Ray
    42, ¶ 16, 
    220 P.3d 136
     (discussing “entice” and other terms in the
    context of Utah Code section 76-4-401), abrogated on other grounds
    by Miller v. Utah Dep’t of Transp., 
    2012 UT 54
    , 
    285 P.3d 1208
    . See
    United States v. Gagliardi, 
    506 F.3d 140
    , 147 (2d Cir. 2007) (stating,
    in the context of 
    18 U.S.C. § 2422
    (b), that certain words,
    including “entice,” “though not defined in the statute, are words
    of common usage that have plain and ordinary meanings”);
    United States v. Dhingra, 
    371 F.3d 557
    , 562 (9th Cir. 2004) (same).
    “In fact, ‘[t]he likelihood that anyone would not understand’”
    such a common term “‘seems quite remote.’” Gallegos, 
    2009 UT 42
    , ¶ 16 (alteration in original) (quoting Hill, 
    530 U.S. at 732
    ).
    And a defendant “cannot simply inject doubt as to the meaning
    of words where no doubt would be felt by the normal reader.”
    
    Id.
     (quotation simplified).
    ¶39 Utah courts have previously relied on dictionary
    definitions to define “entice” when addressing the enticement
    provision. In State v. Gibson, 
    908 P.2d 352
     (Utah Ct. App. 1995),
    this court noted that “Black’s Law Dictionary defines ‘entice’ as
    ‘to wrongfully solicit, persuade, procure, allure, attract, draw by
    blandishment, coax or seduce’” and “‘[t]o lure, induce, tempt,
    incite, or persuade a person to do a thing.’” 
    Id. at 356
     (quoting
    Entice, Black’s Law Dictionary 531 (6th ed. 1990)). See State v.
    Scieszka, 
    897 P.2d 1224
    , 1226 (Utah Ct. App. 1995) (referencing
    Black’s Law Dictionary and Webster’s New 20th Century
    Dictionary definitions of “entice”). And in State v. Billingsley,
    
    2013 UT 17
    , 
    311 P.3d 995
    , our Supreme Court similarly noted
    that “Black’s Law Dictionary defines ‘entice’ as ‘[t]o lure or induce;
    esp., to wrongfully solicit (a person) to do something,’” id. ¶ 13
    (quoting Entice, Black’s Law Dictionary 611 (9th ed. 2009)), and
    that “Webster’s Third New International Dictionary defines it as ‘to
    draw on by arousing hope or desire,’” id. (quoting Entice,
    Webster’s Third New Int’l Dictionary 757 (1961)).
    ¶40 Based on the dictionary definitions, this court has held
    that under the enticement provision, “the ‘enticement’ of a
    teenager by an adult occurs when the adult uses psychological
    manipulation to instill improper sexual desires which would not
    20121040-CA                      18                
    2022 UT App 39
    State v. Ray
    otherwise have occurred.” Gibson, 
    908 P.2d at 356
    . See 
    id.
     at 356
    n.3 (noting that “[o]ther courts have defined ‘entice’ similarly”).
    And later, our Supreme Court clarified that the “inquiry under
    the statute should focus on the defendant’s conduct, not the
    victim’s sexual experience.” Billingsley, 
    2013 UT 17
    , ¶ 13. Utah
    courts have further observed that the determination of whether a
    defendant’s conduct amounts to enticement is based on “the
    totality of the facts and circumstances.” Gibson, 
    908 P.2d at 356
    .
    Accord Scieszka, 
    897 P.2d at 1227
    . And borrowing from caselaw
    on the “similar issue” of “indecent liberties,” Utah courts have
    suggested that relevant factors in such an inquiry may include
    (1) the nature of the victim’s participation (whether
    the defendant required the victim’s active
    participation), (2) the duration of the defendant’s
    acts, (3) the defendant’s willingness to terminate
    his conduct at the victim’s request, (4) the
    relationship between the victim and the defendant,
    and (5) the age of the victim.
    Scieszka, 
    897 P.2d at 1227
     (quotation simplified). Accord Gibson,
    
    908 P.2d at 356
    .
    ¶41 Additionally, in Gallegos, our Supreme Court rejected a
    vagueness challenge to another statute’s use of “entice.” See 
    2009 UT 42
    , ¶¶ 21–22. The statute in question provided that “a person
    is guilty of enticing a minor over the internet if he or she
    ‘knowingly uses a computer to solicit, seduce, lure, or entice . . . a
    minor or a person the defendant believes to be a minor to engage
    in sexual activity which is a violation of state law.’” Id. ¶ 16
    (quoting 
    Utah Code Ann. § 76-4-401
     (LexisNexis 2008))
    (emphasis added). The Court held that the statute in question
    was not unconstitutionally vague because “the words used to
    describe the proscribed conduct”—including “entice”—“are
    both commonly used and clearly defined,” and because “the
    likelihood that anyone would not understand any of these
    common words seems quite remote.” 
    Id.
     (quotation simplified).
    We conclude that the same applies to our Legislature’s use of
    20121040-CA                      19                
    2022 UT App 39
    State v. Ray
    “entice” in the enticement provision context. Additionally,
    “because the meaning of the term is readily ascertainable, its
    inclusion does not encourage or facilitate arbitrary and
    discriminatory enforcement.” State v. MacGuire, 
    2004 UT 4
    , ¶ 32,
    
    84 P.3d 1171
    .
    ¶42 Ray contends that Gallegos is distinguishable because our
    Supreme Court also noted that “any concern about lack of notice
    is ameliorated by the fact that [Utah Code section 76-4-401]
    contains a scienter requirement, i.e., that the person must
    ‘knowingly’ solicit a minor,” 
    2009 UT 42
    , ¶ 16 n.1 (quotation
    simplified), and because the statute at issue in that case
    “prohibits an individual from ‘solicit[ing], seduc[ing], lur[ing],
    or entic[ing]’ a known minor to actually engage in unlawful
    sexual activity,” id. ¶ 19 (quoting 
    Utah Code Ann. § 76-4-401
    (2)(b)(ii)) (emphasis in original). Ray asserts that unlike
    Utah Code section 76-4-401, the enticement provision
    (1) contains no such scienter requirement and (2) does not
    “require[] enticement to engage in illegal sex.” We disagree that
    these observations render Gallegos inapplicable.
    ¶43 First, the Utah Criminal Code provides that “when the
    definition of the offense does not specify a culpable mental state
    and the offense does not involve strict liability”—as is the case
    with both Utah Code section 76-5-404’s definition of forcible
    sexual abuse and with the enticement provision—“intent,
    knowledge, or recklessness shall suffice to establish criminal
    responsibility.” 
    Utah Code Ann. § 76-2-102
     (LexisNexis 2018).
    See State v. Barela, 
    2015 UT 22
    , ¶ 26, 
    349 P.3d 676
     (requiring mens
    rea for the non-consent element of a sex crime). Accordingly, by
    virtue of Utah Code section 76-2-102, the enticement provision
    has a scienter provision.
    ¶44 And in any event, although the United States Supreme
    Court has stated that “a scienter requirement may mitigate a
    law’s vagueness,” Village of Hoffman Estates v. Flipside, Hoffman
    Estates, Inc., 
    455 U.S. 489
    , 499 (1982), it “has never suggested that
    the absence of a mens rea requirement, by itself, renders a statute
    20121040-CA                     20                 
    2022 UT App 39
    State v. Ray
    unconstitutional,” Hotel & Motel Ass’n of Oakland v. City of
    Oakland, 
    344 F.3d 959
    , 973 (9th Cir. 2003). See Hill v. Colorado, 
    530 U.S. 703
    , 732 (2000); Karlin v. Foust, 
    188 F.3d 446
    , 463 (7th Cir.
    1999). And in Gallegos, our Supreme Court did not hold that the
    statute in that case would be unconstitutionally vague but for its
    scienter requirement. See 
    2009 UT 42
    , ¶¶ 16–22. Instead, in
    addressing the first prong of the vagueness test—that the statute
    “fails to provide people of ordinary intelligence a reasonable
    opportunity to understand what conduct it prohibits,” id. ¶ 15
    (quotation simplified)—the Court focused its analysis on the
    plain meaning of the words of the statute and rejected the
    appellant’s argument on that basis, see id. ¶¶ 16–17. The Court
    merely added in a footnote that “moreover, any concern about
    lack of notice is ameliorated by the fact that the [statute] contains
    a scienter requirement.” Id. ¶ 16 n.1 (quotation simplified).
    ¶45 Second, turning to Ray’s assertions that Gallegos is
    distinguishable from the present case on the ground that the
    enticement provision does not require “enticement to engage in
    illegal sex,” Ray does not elaborate on this argument other than
    to reiterate that “underlying crimes are absent” in the enticement
    provision. This argument misses the point. Utah Code section
    76-5-406 lists several unlawful sexual offenses that are
    committed when there is lack of consent—including the offense
    of forcible sexual abuse of which Ray was convicted. See 
    Utah Code Ann. § 76-5-406
    (2) (LexisNexis Supp. 2021); 
    id.
    § 76-5-404(1) (defining forcible sexual abuse). The section then
    provides several circumstances, including the one contained
    in the enticement provision, under which the victim is
    not considered to have given consent. See id. § 76-5-406(2).
    Thus, if a defendant engages in sexual activity with a victim
    without the victim’s consent, it is clear that the non-consensual
    sexual activity constitutes “illegal sex,” the specific charge of
    which, depending on the facts of the case, is listed in section
    76-5-401(2) and defined in greater detail elsewhere in the Utah
    Criminal Code. See generally id. §§ 76-5-401 to -416 (2017 & Supp.
    2021).
    20121040-CA                     21                 
    2022 UT App 39
    State v. Ray
    ¶46 Lastly, Ray asserts that the enticement provision is
    unconstitutionally vague because each time it “is before the
    court, a new test is invented,” thereby rendering enticement
    “undefinable.” See Johnson v. United States, 
    576 U.S. 591
    , 598
    (2015) (“The failure of persistent efforts to establish a standard
    can provide evidence of vagueness.”) (quotation simplified). He
    first points to our Supreme Court’s holding in State v. Billingsley,
    
    2013 UT 17
    , 
    311 P.3d 995
    , that an enticement inquiry should
    focus on the defendant’s conduct and not the victim’s sexual
    experience, see 
    id.
     ¶¶ 14–15, and a seemingly contradictory
    footnote in the concurring opinion stating that “sexual
    innocence, while certainly relevant, is not essential to the
    question of enticement,” 
    id.
     ¶ 27 n.2 (Lee, J., concurring in part).
    He also points to State v. Gibson, 
    908 P.2d 352
     (Utah Ct. App.
    1995), in which this court discussed the dictionary definitions of
    “entice,” see 
    id. at 356
    ; cited the definitions of “entice” employed
    by Wisconsin and South Dakota courts in a similar context, 16 see
    
    id.
     at 356 n.3; and discussed and applied five factors relevant in
    the “totality of the facts and circumstances” inquiry, see 
    id.
     at
    356–57. Ray asserts that these references “all use ‘entice’
    differently.” Lastly, Ray references the concurring opinion in
    Gibson, which stated that in Scieszka “we seemed to assume that
    ‘entice,’ as used in the statute, required a pattern of ongoing,
    systematic, purposeful conduct with at least an implicit offer of
    some kind of reward,” but “we have, in essence, equated the
    word entice, as used in the statute, to include any situation in
    which the adult participant takes the lead in bringing about the
    sexual encounter complained of.” 
    Id. at 357
     (Orme, J.,
    concurring).
    ¶47 We disagree with Ray’s characterization of the relevant
    caselaw. Although the enticement inquiry has certainly
    developed over time, our caselaw falls short of “repeated
    16. This court in Gibson cited the definitions from other
    jurisdictions in the context of noting that “[o]ther courts have
    defined ‘entice’ similarly.” 
    908 P.2d at
    356 n.3.
    20121040-CA                     22                
    2022 UT App 39
    State v. Ray
    attempts and repeated failures to craft a principled and objective
    standard,” which the United State Supreme Court indicated may
    evidence a statute’s vagueness. Johnson, 576 U.S. at 598. In
    Johnson, the Supreme Court invalidated the residual clause of the
    Armed Career Criminal Act of 1984 as unconstitutionally vague.
    Id. at 606. As evidence of vagueness, the Court noted that each
    time it addressed the residual clause, it “found it necessary to
    resort to a different ad hoc test to guide [its] inquiry.” Id. at 598.
    The Court also pointed to the “pervasive disagreement” among
    the lower federal courts “about the nature of the inquiry one is
    supposed to conduct and the kinds of factors one is supposed to
    consider” when determining “whether the residual clause covers
    this or that crime.” Id. at 601.
    ¶48 Unlike with the provision at issue in Johnson, although
    adjustments and clarifications have been made to Utah’s
    enticement inquiry over time, the standard has never been
    overturned and replaced. Indeed, the qualitative nature of the
    inquiry prevents it from being entirely resistant to adjustment
    with each new set of facts. In pointing to the relevant factors
    Utah courts have considered in determining whether a
    defendant engaged in enticement, Ray seems to argue that the
    enticement provision is unconstitutionally vague based on the
    qualitative nature of the totality of circumstances inquiry. But
    this, on its own, is insufficient to render a statute vague. See id. at
    603–04. To the contrary, “the law is full of instances where a
    man’s fate depends on his estimating rightly some matter of
    degree.” Id. at 604 (quotation simplified).
    ¶49 For the foregoing reasons, we hold that the enticement
    statute is not unconstitutionally vague on its face.
    II. Sealed Medical Records
    ¶50 Ray argues that the trial court erred in denying him access
    to the remaining eleven pages of R.M.’s medical records. Among
    other things, he argues that the court should have ordered the
    disclosure of the sealed records under rule 16(a) of the Utah
    20121040-CA                      23                 
    2022 UT App 39
    State v. Ray
    Rules of Criminal Procedure, that the court misapplied rule 14 of
    the Utah Rules of Criminal Procedure, and that Mother waived
    any privilege in the records when she signed the medical record
    disclosure form. 17 But even assuming, without deciding, that the
    17. Ray also argues that by withholding the remaining medical
    records, the State violated its obligations under Brady v.
    Maryland, 
    373 U.S. 83
     (1963), “to disclose material, exculpatory
    evidence to the defense in criminal cases.” State v. Bisner, 
    2001 UT 99
    , ¶ 32, 
    37 P.3d 1073
     (quotation simplified). See Brady, 
    373 U.S. at 87
     (“[T]he suppression by the prosecution of evidence
    favorable to an accused . . . violates due process where the
    evidence is material either to guilt or to punishment, irrespective
    of the good faith or bad faith of the prosecution.”). The State
    argues that because Ray did not raise this issue in his original
    brief, it falls outside our Supreme Court’s mandate on remand.
    Ray counters that “although the Brady argument is a new
    argument, and is supported by cases not previously cited, it is
    not a distinct claim.” But because we conclude that any error in
    withholding the eleven additional pages was harmless, we need
    not resolve this question.
    More specifically, because Ray’s Brady argument is
    unpreserved, he asks us to review it for plain error. This requires
    him to “establish that (i) an error exists; (ii) the error should have
    been obvious to the trial court; and (iii) the error is harmful.”
    State v. Johnson, 
    2017 UT 76
    , ¶ 20, 
    416 P.3d 443
     (quotation
    simplified). Under the third prong, for an error to be harmful, it
    “must be shown to have been of such a magnitude that there is a
    reasonable likelihood of a more favorable outcome for the
    defendant.” Id. ¶ 21 (quotation simplified). In other words, there
    must be “a reasonable probability that, but for the alleged error,
    the outcome in the case would have been different.” Id.
    (quotation simplified). This standard mirrors the harmless error
    doctrine, under which “we will reverse only if a reasonable
    likelihood exists that absent the error, the result would have
    been more favorable to the defendant.” State v. Leech, 
    2020 UT App 116
    , ¶ 31, 
    473 P.3d 218
     (quotation simplified). See Utah R.
    (continued…)
    20121040-CA                      24                
    2022 UT App 39
    State v. Ray
    court erred in denying Ray access to the remaining eleven pages,
    such error is harmless and does not warrant reversal.
    ¶51 “Not every trial error requires reversal.” State v. Leech,
    
    2020 UT App 116
    , ¶ 42, 
    473 P.3d 218
     (quotation simplified).
    Under the harmless error doctrine, “an error is harmless and
    does not require reversal if it is sufficiently inconsequential that
    we conclude there is no reasonable likelihood that the error
    affected the outcome of the proceedings.” State v. Reece, 
    2015 UT 45
    , ¶ 33, 
    349 P.3d 712
     (quotation simplified). See Utah R. Crim. P.
    30(a) (“Any error, defect, irregularity or variance which does not
    affect the substantial rights of a party shall be disregarded.”). In
    other words, “the likelihood of a different outcome absent the
    error must be sufficiently high to undermine confidence in the
    verdict.” Reece, 
    2015 UT 45
    , ¶ 33 (quotation simplified). Here, we
    are not convinced that, had Ray been given access to the 11
    additional pages of R.M.’s medical records, there is a reasonable
    likelihood he would have obtained a more favorable result at
    trial.
    ¶52 Ray asserts that “[t]his case rests entirely upon R.M.’s
    credibility, and in turn, the State’s excuses for her inability to tell
    the same story twice.” At trial, Ray’s strategy “was to show that
    R.M. was not telling the truth by showing inconsistencies in her
    various interviews, her preliminary hearing testimony, and her
    trial testimony.” Accordingly, Ray contends that the sealed
    pages were “crucial to . . . attacking R.M.’s credibility” and were
    “favorable to show that R.M. and [Detective] were willing to lie
    or seriously exaggerate under oath.” Specifically, R.M. stated at
    trial that she was “on and off conscious” during her hospital
    stay. And Detective at trial described R.M. as being “in a sedated
    (…continued)
    Crim. P. 30(a). Because we conclude that any error in denying
    Ray’s motion to disclose the additional medical records was
    harmless, it follows that the Brady claim will likewise not pass
    muster under plain error review.
    20121040-CA                      25                 
    2022 UT App 39
    State v. Ray
    state” and “slow to respond” during the hospital interview.
    Detective also stated that the interview did not last long because
    R.M.’s responses quickly became “slurred,” “groggy,” and
    “incoherent.”
    ¶53 To counter these descriptions, Ray points to sections of
    the sealed records 18 and asserts that they “prove R.M. was not
    incapable of communicating, was not unconscious or comatose,
    was not intoxicated, and was not suffering from memory loss” at
    the time Detective interviewed her at the hospital. Based on this,
    Ray contends that, had he been given access to the records, “he
    would have prevented R.M. and [Detective] from covering up
    her inconsistencies with patently false statements.” Specifically,
    Ray’s expert witness testified at the rule 23B hearing that
    “[n]othing in the sealed records indicates that R.M. had a fever
    while hospitalized or that she had trouble communicating
    during her stay, that she was ever comatose, or that she had any
    problems with her memory,” and that “[i]f R.M. had become
    comatose or unable to communicate during her stay, [the expert
    witness] would have expected that information to be included in
    the sealed records.” The expert witness also pointed to an
    instance in the medical records that described R.M. as responsive
    to an exam despite being “quite sedated” from certain
    medications and another instance that indicated that she was
    “alert and oriented” during a different exam. And the expert
    noted R.M.’s discharge summary that stated “R.M.’s ‘behavior
    was at times inconsistent and suggestive of exaggerated
    symptoms.’”
    ¶54 But the expert also acknowledged that the sealed records
    do “not represent the entire hospital record,” “which would also
    18. Because the medical records in question remain sealed, we
    rely on the expert witness’s testimony at the rule 23B hearing,
    which is not sealed, for our discussion of the records. We have
    reviewed the sealed records and have determined that they are
    consistent with that testimony.
    20121040-CA                    26               
    2022 UT App 39
    State v. Ray
    include daily progress notes from the physician and a large
    volume of data generated by nurses, laboratory results, and CT
    scans.” The records are silent as to R.M.’s condition at the time
    Detective interviewed her on March 24. Indeed, our review of
    the sealed records indicates that the interview took place
    squarely in the middle of an eight-day period in which the
    records do not specifically reference R.M.’s condition. And the
    medical records containing the “Medications Given Report,” to
    which Ray was given access prior to trial, indicate that within a
    24-hour period of the interview, R.M. was given several
    medications that the expert witness acknowledged can have a
    sedative effect and can cause “dizziness,” “drowsiness,” or
    “confusion.” Two of the medications given to R.M. at that time
    were the same medications that caused her to be “quite sedated”
    for an earlier medical exam. This is consistent with Detective’s
    report, in which he indicated, “I was informed that [R.M.] had
    been given a dose of pain medication that made it difficult for
    her to speak clearly, but that she could understand what I was
    asking of her, and that she could answer the questions I would
    ask.”
    ¶55 Next, although the expert witness pointed to a note in
    R.M.’s discharge summary that “R.M.’s ‘behavior was, at times,
    inconsistent and suggestive of exaggerated symptoms,’” he
    conceded that the sealed records do not indicate that R.M. “had
    trouble communicating during her stay, that she was ever
    comatose, or that she had any problems with her memory.”
    Thus, this statement does not support the proposition that R.M.
    had pervasive exaggerated memory or communication
    problems. Furthermore, the aforementioned note in the records
    indicating that R.M. became “quite sedated”—although still
    responsive—from certain medications was made the day R.M.
    was admitted to the hospital, which was before her parents
    discovered her relationship with Ray. R.M. therefore would not
    have had any relevant reason to exaggerate her reaction to those
    medications at that time. And to the extent the sealed medical
    records contradict R.M.’s trial testimony that she was “on and off
    conscious” during her hospital stay, the jury had already heard
    20121040-CA                    27               
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    State v. Ray
    Mother testify that R.M. “was awake and asleep, awake and
    asleep,” but never “unconscious” during that time.
    ¶56 And even assuming that the inconsistencies between
    R.M.’s initial interview and her trial testimony were completely
    excused by her medical condition, there were also several
    significant inconsistencies between R.M.’s preliminary hearing
    testimony and her trial testimony, for which R.M. offered no
    explanation other than to state that she was “less afraid” at the
    time of trial. For example,
    •   At the preliminary hearing, R.M. said that she and Ray
    had just kissed on the first day, but at trial she said that
    Ray had also touched her “bra and [her] underwear
    areas” over her clothing.
    •   At the preliminary hearing, R.M. stated that Ray never
    reached under her bra, but at trial she said that he
    “momentarily” reached under her bra on the second day.
    •   At the preliminary hearing, R.M. said that Ray did not
    touch her buttocks on the second day, but at trial she said
    that he had.
    •   At the preliminary hearing, R.M. said that after she had
    showered and shaved on the fourth day, she “[g]ot
    dressed and went back into [Ray’s] room,” where they
    watched a movie together in bed. But at trial, she said that
    they were undressed, began kissing, and eventually
    moved to the bed, where Ray touched the “outside” of
    her vagina with his fingers for “[a] few minutes.”
    •   At the preliminary hearing, R.M. stated that Ray inserted
    his fingers into her vagina, but at trial she stated that he
    touched the “outside” of her vagina with his fingers.
    •   At the preliminary hearing, R.M. repeatedly denied
    performing oral sex on Ray, but at trial she stated that she
    did.
    20121040-CA                    28                
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    State v. Ray
    All these substantial, unexplained inconsistencies—many of
    which Ray highlighted at trial—produced strong impeachment
    evidence on their own. We are not persuaded that it is
    reasonably likely that the additional incremental impeachment
    evidence arguably to be gleaned from the remaining medical
    records would have made a difference.
    ¶57 Finally, Ray’s own admissions corroborated much of
    R.M.’s account regarding their relationship and her testimony
    regarding touching that amounted to forcible sexual abuse. 19
    Among other things, in his police interview and in the messages
    Ray exchanged with Detective posing as R.M., Ray corroborated
    R.M.’s account about how their relationship began and
    progressed; that he gave R.M. her first kiss; that they played
    “Sexy Truth or Dare” with two of R.M.’s friends; and that on the
    last day, Ray decorated the hotel room with candles and flowers.
    More notably, when “R.M.” asked whether Ray had told his wife
    about “going down [R.M.’s] pants,” Ray did not deny the
    assertion. Instead, he texted, “no I have not violated any laws so
    ther ewould be noting to tell.” And at another point, when
    “R.M.” asked if she could be pregnant because “you touched me
    19. Utah Code section 76-5-404 provides that
    [a]n individual commits forcible sexual abuse if the
    victim is 14 years of age or older and, under
    circumstances not amounting to rape, object rape,
    forcible sodomy, or attempted rape or forcible
    sodomy, the actor touches the anus, buttocks,
    pubic area, or any part of the genitals of another, or
    touches the breast of a female, or otherwise takes
    indecent liberties with another, with intent to cause
    substantial emotional or bodily pain to any
    individual or with the intent to arouse or gratify
    the sexual desire of any individual, without the
    consent of the other, regardless of the sex of any
    participant.
    
    Utah Code Ann. § 76-5-404
    (1) (LexisNexis Supp. 2021).
    20121040-CA                     29                
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    State v. Ray
    there what if sperm was on your hand” Ray again did not deny
    touching R.M. “there,” instead replying that if she was pregnant,
    R.M.’s “parents would have found a way to get [him] arrested.”
    ¶58 In sum, we are not convinced that it is reasonably likely
    that Ray would have obtained a more favorable outcome at trial
    if he had obtained access to the remaining medical records. For
    this reason, even if there was error on the trial court’s part, such
    error was harmless and does not warrant reversal.
    CONCLUSION
    ¶59 The enticement provision is not unconstitutionally vague
    on its face, and any error in withholding R.M.’s remaining
    medical records was harmless. Accordingly, Ray’s conviction is
    affirmed.
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