Com. v. Smith, N.
This text of 2026 Pa. Super. 10 (Com. v. Smith, N.) is published on Counsel Stack Legal Research, covering Superior Court of Pennsylvania primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.
Opinion
J-S28026-25 2026 PA Super 10
COMMONWEALTH OF PENNSYLVANIA : IN THE SUPERIOR COURT OF : PENNSYLVANIA : v. : : : NIKODA RUSSELL SMITH : : Appellant : No. 1445 MDA 2024
Appeal from the Judgment of Sentence Entered May 9, 2024 In the Court of Common Pleas of Perry County Criminal Division at No(s): CP-50-CR-0000612-2022
BEFORE: BOWES, J., OLSON, J., and KING, J.
OPINION BY OLSON, J.: FILED: JANUARY 15, 2026
Appellant, Nikoda Russell Smith, appeals from the May 9, 2024
judgment of sentence entered in the Court of Common Pleas of Perry County
after a jury convicted Appellant of aggravated indecent assault – without
complainant’s consent, aggravated indecent assault – complainant
unconscious or unaware, indecent assault – without complainant’s consent,
and indecent assault – complainant unconscious or unaware.1 Appellant was
sentenced to an aggregate term of 25 to 50 years’ incarceration to be followed
by three years’ probation.2 Appellant was also required to register, for the ____________________________________________
1 18 Pa.C.S.A. §§ 3125(a)(1), 3125(a)(4), 3126(a)(1), and 3126(a)(4), respectively.
2 The trial court imposed separate, but concurrent, sentences of 25 to 50 years’ incarceration for each of Appellant’s four criminal convictions. Although the trial court stated that “the sentences [] merge with each other for sentencing purposes,” it is the criminal offenses that merge for sentencing purposes with a sentence being imposed on only the highest graded offense. J-S28026-25
remainder of his life, as a Tier III offender under Subchapter H of
Pennsylvania’s Sexual Offender Registration and Notification Act (“SORNA”),
42 Pa.C.S.A. §§ 9799.10 - 9799.42.3 After careful review, we affirm the
judgment of sentence.
The factual circumstances underlying Appellant’s criminal convictions
are summarized as follows:
[The victim] was a friend of Appellant’s friend, [Walter] Baumgartner [(“Baumgartner”)], and was attending a party at [Appellant’s] residence on the night of October 1, 2022, as a guest of [Baumgartner]. Later in the night, [the victim] fell asleep on ____________________________________________
Sentencing Order, 5/10/24; see also 42 Pa.C.S.A. § 9765 (stating, “No crimes shall merge for sentencing purposes unless the crimes arise from a single criminal act and all of the statutory elements of one offense are included in the statutory elements of the other offense. Where crimes merge for sentencing purposes, the [trial] court may sentence the defendant only on the higher graded offense.” (emphasis added)). Merger of sentences occurs, pursuant to Section 9765, only when the statutory elements of one offense are included in the statutory elements of another offense and both crimes arise from a single criminal act. 42 Pa.C.S.A. § 9765; see also Commonwealth v. Baldwin, 985 A.2d 830, 837 (Pa. 2009). The criminal offenses for which Appellant was convicted each include an additional element not found in the other offenses. Therefore, Appellant’s sentences do not merge pursuant to Section 9765.
Here, in fashioning Appellant’s punishment, the trial court imposed concurrent sentences, and Appellant has not alleged that his sentences exceeded the trial court’s statutory authority, posed a risk of double jeopardy, or penalized him in the absence of evidentiary proof of all elements beyond a reasonable doubt. Appellant’s term of probation was set to run consecutively to the term of incarceration. Therefore, Appellant’s lawful, aggregate sentence was 25 to 50 years’ incarceration to be followed by three years’ probation.
3 The trial court found that, based upon the report issued by the Sexual Offenders Assessment Board, Appellant was not a sexually violent predator. Trial Court Order, 5/10/24.
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the sofa in the living room of Appellant’s home, along with [Baumgartner]. At this time, [the victim] testified that she had been extremely intoxicated. [The victim] testified that while she was sleeping, her pants had been forcefully pulled down by the waistband, and she [] felt Appellant swipe his penis from her vaginal area to her buttock and then subsequently insert[] his penis into her rectum. [The victim] was able to identify that it was Appellant who committed the act[,] when it was occurring, [because] she was able to turn her head to get a glimpse of him[. A]lso, she testified that Appellant then fell off [] the [sofa] onto the floor[] and[,] at that time, [Appellant’s wife] entered the living room yelling at Appellant, asking him why his pants were down. [The victim] testified that[,] the day after the [episode], she was experiencing some pain [in] her [buttock area], as well as some pain when trying to urinate. [The victim] decided to go to [an] urgent care [clinic] to request a sexual assault kit, a pregnancy test, a drug test, and [a sexually transmitted infection (“STI”)] test. She then testified further that the results of those tests [indicated] that she was suffering from [c]hlamydia and a urinary tract infection.
Further, the Commonwealth provided the testimony of [Baumgartner] who testified that[,] on the night of October [1], 2022, he fell asleep alongside [the victim] on the [sofa] at Appellant[’s residence] after attending a housewarming party. In the middle of the night, he was awoken by Appellant’s wife[] yelling at Appellant who was [lying] on the floor with his pants down. He further testified[] that he was informed by [the victim] of Appellant’s actions the next day through [textual messaging].
The Commonwealth also provided the testimony of Appellant’s wife[, who] at times had wavering credibility[. Appellant’s wife] testified that she came downstairs in the middle of the night to find Appellant on the living room floor with his pants down below his waist. [Appellant’s wife] was unsure of how her husband fell into that position, but she believed that it was due to him [] using the bathroom, possibly relieving himself on [the couple’s] front lawn, as he had done in the past.
Trial Court Opinion, 1/21/25, at 3-4 (record citations omitted).
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On October 24, 2023, a jury found Appellant guilty of the
aforementioned criminal acts.4 On May 9, 2024, the trial court sentenced
Appellant, as discussed supra. On May 20, 2024, Appellant filed a timely
post-sentence motion. The trial court denied Appellant’s post-sentence
motion on September 6, 2024.5 This appeal followed.6
Appellant raises the following issues for our review:
[1.] Was the jury’s verdict against the weight of the evidence in that the Commonwealth failed to present sufficient evidence as to each element of the crime of indecent assault?
[2.] Did the [trial] court err in allowing Dr. [Richard] Azzaro[ (“Dr. Azzaro”)], Tammy Bimber[,] and the victim to testify about [the] victim’s medical examinations and diagnosis?
[3.] Did the [trial] court err when it allowed the Commonwealth to impeach its own witness, namely [Appellant’s wife]?
Appellant’s Brief at 11 (extraneous capitalization omitted).7
Appellant’s first issue raises a claim that the jury’s verdict was against
the weight of the evidence on the ground that “the victim’s testimony was
inconsistent and contradicted the testimony of another Commonwealth ____________________________________________
4 The jury found Appellant not guilty of rape, 18 Pa.C.S.A. § 3121(a)(3), and
sexual assault, 18 Pa.C.S.A. § 3124.1. Verdict, 10/25/23.
5 Appellant’s judgment of sentence was made final by the denial of his post-sentence motion.
6 Appellant and the trial court complied with Pennsylvania Rule of Appellate
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J-S28026-25 2026 PA Super 10
COMMONWEALTH OF PENNSYLVANIA : IN THE SUPERIOR COURT OF : PENNSYLVANIA : v. : : : NIKODA RUSSELL SMITH : : Appellant : No. 1445 MDA 2024
Appeal from the Judgment of Sentence Entered May 9, 2024 In the Court of Common Pleas of Perry County Criminal Division at No(s): CP-50-CR-0000612-2022
BEFORE: BOWES, J., OLSON, J., and KING, J.
OPINION BY OLSON, J.: FILED: JANUARY 15, 2026
Appellant, Nikoda Russell Smith, appeals from the May 9, 2024
judgment of sentence entered in the Court of Common Pleas of Perry County
after a jury convicted Appellant of aggravated indecent assault – without
complainant’s consent, aggravated indecent assault – complainant
unconscious or unaware, indecent assault – without complainant’s consent,
and indecent assault – complainant unconscious or unaware.1 Appellant was
sentenced to an aggregate term of 25 to 50 years’ incarceration to be followed
by three years’ probation.2 Appellant was also required to register, for the ____________________________________________
1 18 Pa.C.S.A. §§ 3125(a)(1), 3125(a)(4), 3126(a)(1), and 3126(a)(4), respectively.
2 The trial court imposed separate, but concurrent, sentences of 25 to 50 years’ incarceration for each of Appellant’s four criminal convictions. Although the trial court stated that “the sentences [] merge with each other for sentencing purposes,” it is the criminal offenses that merge for sentencing purposes with a sentence being imposed on only the highest graded offense. J-S28026-25
remainder of his life, as a Tier III offender under Subchapter H of
Pennsylvania’s Sexual Offender Registration and Notification Act (“SORNA”),
42 Pa.C.S.A. §§ 9799.10 - 9799.42.3 After careful review, we affirm the
judgment of sentence.
The factual circumstances underlying Appellant’s criminal convictions
are summarized as follows:
[The victim] was a friend of Appellant’s friend, [Walter] Baumgartner [(“Baumgartner”)], and was attending a party at [Appellant’s] residence on the night of October 1, 2022, as a guest of [Baumgartner]. Later in the night, [the victim] fell asleep on ____________________________________________
Sentencing Order, 5/10/24; see also 42 Pa.C.S.A. § 9765 (stating, “No crimes shall merge for sentencing purposes unless the crimes arise from a single criminal act and all of the statutory elements of one offense are included in the statutory elements of the other offense. Where crimes merge for sentencing purposes, the [trial] court may sentence the defendant only on the higher graded offense.” (emphasis added)). Merger of sentences occurs, pursuant to Section 9765, only when the statutory elements of one offense are included in the statutory elements of another offense and both crimes arise from a single criminal act. 42 Pa.C.S.A. § 9765; see also Commonwealth v. Baldwin, 985 A.2d 830, 837 (Pa. 2009). The criminal offenses for which Appellant was convicted each include an additional element not found in the other offenses. Therefore, Appellant’s sentences do not merge pursuant to Section 9765.
Here, in fashioning Appellant’s punishment, the trial court imposed concurrent sentences, and Appellant has not alleged that his sentences exceeded the trial court’s statutory authority, posed a risk of double jeopardy, or penalized him in the absence of evidentiary proof of all elements beyond a reasonable doubt. Appellant’s term of probation was set to run consecutively to the term of incarceration. Therefore, Appellant’s lawful, aggregate sentence was 25 to 50 years’ incarceration to be followed by three years’ probation.
3 The trial court found that, based upon the report issued by the Sexual Offenders Assessment Board, Appellant was not a sexually violent predator. Trial Court Order, 5/10/24.
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the sofa in the living room of Appellant’s home, along with [Baumgartner]. At this time, [the victim] testified that she had been extremely intoxicated. [The victim] testified that while she was sleeping, her pants had been forcefully pulled down by the waistband, and she [] felt Appellant swipe his penis from her vaginal area to her buttock and then subsequently insert[] his penis into her rectum. [The victim] was able to identify that it was Appellant who committed the act[,] when it was occurring, [because] she was able to turn her head to get a glimpse of him[. A]lso, she testified that Appellant then fell off [] the [sofa] onto the floor[] and[,] at that time, [Appellant’s wife] entered the living room yelling at Appellant, asking him why his pants were down. [The victim] testified that[,] the day after the [episode], she was experiencing some pain [in] her [buttock area], as well as some pain when trying to urinate. [The victim] decided to go to [an] urgent care [clinic] to request a sexual assault kit, a pregnancy test, a drug test, and [a sexually transmitted infection (“STI”)] test. She then testified further that the results of those tests [indicated] that she was suffering from [c]hlamydia and a urinary tract infection.
Further, the Commonwealth provided the testimony of [Baumgartner] who testified that[,] on the night of October [1], 2022, he fell asleep alongside [the victim] on the [sofa] at Appellant[’s residence] after attending a housewarming party. In the middle of the night, he was awoken by Appellant’s wife[] yelling at Appellant who was [lying] on the floor with his pants down. He further testified[] that he was informed by [the victim] of Appellant’s actions the next day through [textual messaging].
The Commonwealth also provided the testimony of Appellant’s wife[, who] at times had wavering credibility[. Appellant’s wife] testified that she came downstairs in the middle of the night to find Appellant on the living room floor with his pants down below his waist. [Appellant’s wife] was unsure of how her husband fell into that position, but she believed that it was due to him [] using the bathroom, possibly relieving himself on [the couple’s] front lawn, as he had done in the past.
Trial Court Opinion, 1/21/25, at 3-4 (record citations omitted).
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On October 24, 2023, a jury found Appellant guilty of the
aforementioned criminal acts.4 On May 9, 2024, the trial court sentenced
Appellant, as discussed supra. On May 20, 2024, Appellant filed a timely
post-sentence motion. The trial court denied Appellant’s post-sentence
motion on September 6, 2024.5 This appeal followed.6
Appellant raises the following issues for our review:
[1.] Was the jury’s verdict against the weight of the evidence in that the Commonwealth failed to present sufficient evidence as to each element of the crime of indecent assault?
[2.] Did the [trial] court err in allowing Dr. [Richard] Azzaro[ (“Dr. Azzaro”)], Tammy Bimber[,] and the victim to testify about [the] victim’s medical examinations and diagnosis?
[3.] Did the [trial] court err when it allowed the Commonwealth to impeach its own witness, namely [Appellant’s wife]?
Appellant’s Brief at 11 (extraneous capitalization omitted).7
Appellant’s first issue raises a claim that the jury’s verdict was against
the weight of the evidence on the ground that “the victim’s testimony was
inconsistent and contradicted the testimony of another Commonwealth ____________________________________________
4 The jury found Appellant not guilty of rape, 18 Pa.C.S.A. § 3121(a)(3), and
sexual assault, 18 Pa.C.S.A. § 3124.1. Verdict, 10/25/23.
5 Appellant’s judgment of sentence was made final by the denial of his post-sentence motion.
6 Appellant and the trial court complied with Pennsylvania Rule of Appellate
Procedure 1925.
7 We note that the Commonwealth did not file an appellate brief in opposition
to Appellant’s claims of error.
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witness, Baumgartner, who was on the [sofa] at the time [Appellant
committed the criminal acts against the victim.]”8 Id. at 16-17.
Appellate review of a weight claim is a review of the exercise of [the trial court’s] discretion, not of the underlying question of whether the verdict is against the weight of the evidence. Because the trial [court] had the opportunity to hear and see the evidence presented, an appellate court will give the gravest consideration to the findings and reasons advanced by the trial [court] when reviewing a trial court’s determination that the verdict is[, or is not,] against the weight of the evidence. One of the least assailable reasons for granting or denying a new trial is the [trial] court’s conviction that the verdict was[,] or was not[,] against the weight of the evidence and that a new trial should be granted in the interest of justice.
Commonwealth v. Horne, 89 A.3d 277, 285 (Pa. Super. 2014), citing
Commonwealth v. Widmer, 744 A.2d 745 (Pa. 2000); see also
Commonwealth v. Rodriguez, 340 A.3d 334, 349 (Pa. Super. 2025)
(stating, “the function of an appellate court is to review the trial court’s
____________________________________________
8 A claim that the jury, as fact-finder, should have credited one witness’s testimony over another witness’s testimony goes to the weight, and not the sufficiency, of the evidence. Commonwealth v. W.H.M., Jr., 932 A.2d 155, 160 (Pa. Super. 2007); see also Commonwealth v. Wilson, 825 A.2d 710, 713-714 (Pa. Super. 2003) (stating, a sufficiency of the evidence claim “does not include an assessment of the credibility of the testimony offered by the Commonwealth[; s]uch a claim is more properly characterized as a weight of the evidence challenge”); Commonwealth v. Gaskins, 692 A.2d 224, 227 (Pa. Super. 1997) (stating, “credibility determinations are made by the fact[-]finder and [] challenges [to those determinations] go to the weight, and not the sufficiency, of the evidence”).
Notwithstanding the phrasing of Appellant’s claim as concerning the sufficiency of the evidence to support each element of indecent assault, we find Appellant’s claim is more properly construed as a challenge to the weight of the evidence.
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exercise of discretion based upon a review of the record, rather than to
consider de novo the underlying question of the weight of the evidence”
(citation omitted)). A trial court abuses its discretion “where the course
pursued represents not merely an error of judgment, but where the judgment
is manifestly unreasonable or where the law is not applied or where the record
shows that the action is a result of partiality, prejudice, bias[,] or ill-will.”
Horne, 89 A.3d at 285-286 (citation omitted); see also Commonwealth v.
Clay, 64 A.3d 1049, 1055 (Pa. 2013) (stating, “[t]he term ‘discretion’ imports
the exercise of judgment, wisdom[,] and skill so as to reach a dispassionate
conclusion within the framework of the law, and is not exercised for the
purpose of giving effect to the will of the [trial court]”). By comparison, “the
role of the trial court is to determine whether, notwithstanding all the
evidence, certain facts are so clearly of greater weight that to ignore them, or
to give them equal weight with all the facts, is to deny justice.” Rodriguez,
340 A.3d at 349 (citation omitted). For an appellant to prevail on a weight of
the evidence claim, “the evidence must be so tenuous, vague[,] and uncertain
that the verdict shocks the conscience of the [trial] court.” Commonwealth
v. Sullivan, 820 A.2d 795, 806 (Pa. Super. 2003) (citation and internal
quotation marks omitted), appeal denied, 833 A.2d 143 (Pa. 2003).
In support of his weight of the evidence claim, Appellant argues that the
victim and Baumgartner, “both Commonwealth witnesses, had contradictory
testimony as to the events [on the night of the incident] despite being on the
[sofa] together.” Appellant’s Brief at 23. According to Appellant, the victim
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testified that after Appellant forcefully ripped her pants down and penetrated
her rectum with his penis, she “jolted like really hard” and Appellant fell to the
floor. Id. at 18. The victim stated that the force of Appellant’s penetration
and her “jolt” were so great that it awoke Baumgartner, who, in turn, pushed
Appellant off the victim. Id. at 20-21. The victim further testified that,
afterward, Baumgartner helped her pull up her pants and covered her with a
blanket. Id. at 19.
According to Appellant, Baumgartner, during his trial testimony, denied
that he was awakened by Appellant’s actions and further denied that he
pushed Appellant off the victim, helped her pull up her pants, or covered her
with a blanket. Id. at 21. Baumgartner testified that he awoke only after he
heard Appellant’s wife yelling at Appellant about lying on the floor with his
pants down. Id. at 22. Appellant contends that the victim’s subsequent
textual message to Baumgartner asking him if they engaged in sexual
intercourse the prior evening demonstrates that the victim was “uncertain of
what occurred, if at all, and by whom.” Id. at 22.
In denying the request for a new trial based upon Appellant’s weight of
the evidence claim, the trial court explained
Hearing all the evidence, the jury was free to believe all, part, or none of [the victim’s] testimony. However, despite differing testimony by Appellant[’s] wife[ and Baumgartner,] as well as some inconsistencies in [the victim’s] testimony, none of the evidence presented by the Commonwealth contradicted human experience or the laws of nature. Simply put, the jury found [the victim’s] testimony that Appellant had sexual contact with her credible, and that testimony clearly proved every element of the charged crimes. Having had the benefit of observing the victim’s
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demeanor on the witness stand and manner of testifying, the [trial] court concludes that the jury’s finding of guilt based on that evidence does not shock one’s sense of justice.
Trial Court Opinion, 1/21/25, at 4 (citations omitted).
Critical to finding Appellant guilty of aggravated indecent assault and
indecent assault was the jury’s determination of witness credibility. 9 In
denying Appellant’s post-sentence motion raising a weight of the evidence
claim, the trial court considered the evidence presented at trial and the
reasonableness of the jury’s credibility determinations. In particular, the trial
court noted that Appellant’s wife’s explanation as to why her husband was
found lying on the floor with his pants down contradicted the victim’s
testimony regarding the same episode. The trial court also noted that the
victim testified that she was able to identify Appellant as the perpetrator
because she was able to turn her head and “catch a glimpse of him.”
Appellant’s assertion that the trial court erred in denying his weight claim
based upon the inconsistencies in the victim’s testimony and the fact that
portions of the victim’s testimony were contradicted by other witnesses, ____________________________________________
9 Although Appellant states, in his first issue, that he is challenging the weight
of the evidence as it relates to his “indecent assault” convictions, his appellate brief sets forth the argument that his convictions for both aggravated indecent assault and indecent assault were contrary to the weight of the evidence. We note that Appellant was charged under two subsections of the aggravated indecent assault statute and, similarly, two subsections of the statutory provision defining indecent assault. In substance, Appellant’s argument challenged the reliability of the victim’s testimony, both as to the nature of the attack and the identity of the perpetrator. As such, we will consider Appellant’s claim as a global challenge to the weight of his aggravated indecent assault and indecent assault convictions.
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namely Appellant’s wife and Baumgartner, invites this Court to do nothing
more than alter the result reached by the fact-finder by reassessing witness
credibility and reweighing the evidence presented at trial, which the trial court,
based upon its observations, found worthy of belief. We decline Appellant’s
invitation since the jury, while passing on the credibility of the witnesses and
weight of the evidence, was free to believe all, part, or none of the evidence.
Commonwealth v. Dunkins, 229 A.3d 622, 634 (Pa. Super. 2020), aff’d,
263 A.3d 247 (Pa. 2021), cert. denied, 142 S.Ct. 1679 (2022). Moreover, we
discern no abuse of discretion in the trial court’s determination that Appellant’s
convictions of aggravated indecent assault (two counts) and indecent assault
(two counts) were not against the weight of the evidence.
In his second issue, Appellant challenges the trial court’s ruling on the
admissibility of certain evidence. “On a challenge to a trial court’s evidentiary
ruling, our standard of review is one of deference.” Commonwealth v.
Hernandez, 39 A.3d 406, 411 (Pa. Super. 2012), appeal denied, 63 A.3d
1244 (Pa. 2013). “The admissibility of evidence is solely within the discretion
of the trial court and will be reversed only if the trial court [] abused its
discretion.” Hernandez, 39 A.3d at 411 (citation omitted).
Appellant asserts that the trial court erred in qualifying Dr. Azzaro as an
expert in victim behavior and dynamics of sexual assault and by admitting, as
evidence, Dr. Azzaro’s written report because the report contained
impermissible assessments as to the victim’s credibility. Appellant’s Brief at
27-28.
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Determining whether a witness may testify as an expert is a matter within the sound discretion of the trial court, whose decision will only be reversed for a clear abuse of discretion. In order to qualify as an expert in a given field, a witness must possess more expertise than is within the ordinary range of training, knowledge, intelligence, or experience. The test to be applied when qualifying a witness to testify as an expert witness is whether the witness has any reasonable pretension to specialized knowledge on the subject under investigation.
Yacoub v. Lehigh Valley Med. Assoc., P.C., 805 A.2d 579, 591 (Pa. Super.
2022) (en banc) (citations and quotation marks omitted), appeal denied, 825
A.2d 639 (Pa. 2003). Furthermore, Section 5920 of the Judicial Code states
that, in criminal proceedings related to charges brought under Chapter 31
(sexual offenses) of the crimes code,
a witness may be qualified by the [trial] court as an expert if the witness has specialized knowledge beyond that possessed by the average layperson based on the witness’s experience with, or specialized training or education in, criminal justice, behavioral sciences[,] or victim services issues, related to sexual violence or domestic violence, that will assist the trier[-]of[-]fact in understanding the dynamics of sexual violence or domestic violence, victim responses to sexual violence or domestic violence[,] and the impact of sexual violence or domestic violence on victims during and after being assaulted.
42 Pa.C.S.A. § 5920.
In admitting Dr. Azzaro as an expert, the trial court found that Dr.
Azzaro
has been practicing for [35] years and is a clinical social worker licensed in Pennsylvania[. H]e obtained a doctorate in clinical social work from the University of Pennsylvania, and he has done research on behaviors of sexual trauma and victims. Dr. Azzaro also testified that he has [qualified previously] as an expert in the field of sexual trauma and victims in other counties in
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Pennsylvania, and has [qualified previously] as an expert in domestic violence in Maryland.
Trial Court Opinion, 1/21/25, at 6 (extraneous capitalization omitted).
At trial, Dr. Azzaro testified that he was “a licensed clinical social worker
in Pennsylvania [and he has] a doctorate in clinical social work from the
University of Pennsylvania.” N.T., 10/23/23, at 154. Dr. Azzaro has “over 35
years of practice experience working with victims of trauma, all forms of
trauma” but his area of expertise “is focused primarily on sexual trauma and
victims.” Id. Dr. Azzaro “worked with probably [] several hundred to a
thousand victims of sexual violence” including men, women, and children. Id.
Dr. Azzaro stated that he has “done research related to victim behaviors and
sexual assault [and] presented trainings across the country regarding victim
behaviors related to sexual assault.” Id. at 155. Dr. Azzaro also authored a
research dissertation “that talks about victim behavior related to victims of
sexual assault.” Id.
Based upon Dr. Azzaro’s testimony regarding his qualifications and his
extensive and specialized training in victim behaviors related to sexual
assault, we discern no abuse of discretion in the trial court’s decision to admit
Dr. Azzaro as an expert. To the extent that Appellant asserts that Dr. Azzaro
was not qualified as an expert because he did not recognize rape trauma
syndrome as a legitimate diagnosis, we do not find this assertion sufficient to
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disqualify Dr. Azzaro as an expert.10 See James v. Albert Einstein Med.
Ctr., 170 A.3d 1156, 1162 (Pa. Super. 2017) (stating, it is “for the jury to
determine the weight to be given to expert testimony, in light of the
qualifications shown by the expert witness”). Appellant was free to challenge
Dr. Azzaro’s opinions and views regarding rape trauma syndrome on
cross-examination. Furthermore, having explored Dr. Azzaro’s views before
the fact-finder, Appellant was then free to make the case that Dr. Azzaro’s
opinions did not merit belief. In short, Dr. Azzaro’s refusal to recognize rape
trauma syndrome as a legitimate diagnosis did not support his rejection as an
expert witness.
Regarding the admission of Dr. Azzaro’s written report, “[i]t is
well-settled that expert testimony on the issue of a witness’s credibility is
10 Rape trauma syndrome has been explained as
one kind of post-traumatic stress disorder. The essential feature of [a] post-traumatic stress disorder is the development of characteristic symptoms after a psychologically traumatic incident that is usually beyond the range of ordinary human experience. Those symptoms typically involve reexperiencing the traumatic incident; numbing of responsiveness to, or lessened involvement with, the external world; and a variety of autonomic, dysphoric, or cognitive symptoms.
Commonwealth v. Pickford, 536 A.2d 1348, 1351 n.2 (Pa. Super. 1987); see also https://my.clevelandclinic.org/health/diseases/rape-trauma- syndrome (last visited Dec. 16, 2025) (stating, “Rape trauma syndrome is the emotional, physical and behavioral response to rape and other forms of sexual assault. It’s a type of post-traumatic stress disorder [] specific to non[-]consensual sexual acts.”).
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impermissible, as it encroaches on the province of the jury to make such
determinations.” Commonwealth v. Jones, 240 A.3d 881, 896 (Pa. 2020).
Previously, our Supreme Court, in Commonwealth v. Dunkle, 602 A.2d 830
(Pa. 1992), defined the scope of admissibility for expert testimony in cases
involving sexual assault or sexual abuse and broadly proscribed that all expert
testimony which even purported to touch upon the credibility of a witness,
including expert testimony regarding victim responses and behaviors in the
aftermath of sexual assault, impermissibly interfered with a jury’s province of
determining witness credibility. Id. at 837-838. Originally enacted in 2012,
Section 5920 altered Pennsylvania’s prohibition regarding the admissibility of
expert testimony in cases involving sexual assault or sexual abuse. Section
5920 states, in pertinent part, that once an individual is qualified under
Section 5920(b)(1) as an expert in a criminal proceeding involving, inter alia,
sexual offenses, the expert “may testify to facts and opinions regarding
specific types of victim responses and victim behaviors” but the expert’s
“opinion regarding the credibility of any other witness, including the victim,
shall not be admissible.” 42 Pa.C.S.A. § 5920(b)(2) and (3).
In Jones, our Supreme Court analyzed whether, or not, Section 5920
effectively abrogated its decision in Dunkle, supra. Jones, 240 A.3d at 896.
The Jones Court declined to read its prior holding in Dunkle as being so broad
as to “preclude all expert testimony concerning victim responses and
behaviors to sexual assaults.” Jones, 240 A.3d at 896 (emphasis added).
Rather, the Jones Court held that “[w]hile some testimony on [the topic of
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victim responses and behaviors to sexual assault] may be prohibited for
impermissibly invading the jury’s province of determining [witness]
credibility,” not all testimony was prohibited. Id. at 896-897. The Jones
Court explained that “a properly qualified expert [under Section 5920(b)(1)]
may testify to facts and opinions regarding specific types of victim responses
and behaviors in certain criminal proceedings involving sexual assaults,
provided [the expert does] not offer opinions regarding the credibility of any
witness, including the victim.” Id. at 897, citing 42 Pa.C.S.A. § 5920(b)(3).
Our Supreme Court went on to state that whether, or not, an expert, properly
qualified under Section 5920(b)(1), offers an opinion regarding the credibility
of a witness must be assessed on a case-by-case basis. Id. at 897.
At trial, Appellant objected to a portion of Dr. Azzaro’s report, which
reads as follows:
Common Issues:
Why do victims stay/go back/continue to communicate with their offenders?
• A victim’s response to a traumatic event, such as rape, should not be used as evidence as to whether or not the rape occurred. When the victim knows her assailant[,] her experience of the assault can be complicated by pre-existing love or feelings for the assailant, or even out of fear.
• In some cases, victims try to normalize their experience by sexually re-engaging or continuing a relationship with the offender in an attempt to cope with the assault. It is seen as counterintuitive because the response differs from what the social and cultural norm expects the victim’s response to be.
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• Mainstream and pornographic media reinforce cultural norms that indicate that it is a woman’s “duty” to have sex with her partner. This notion can mislead female victims into blaming themselves for the unwanted sexual encounter or believing they are bad partners because they did not enjoy sex against their will.
• There is a misperception by many mental health and criminal justice providers that people who buy and use drugs cannot be victims of sexual violence.
• The relationship between sexual assault and drug use is bi-directional. Substance use increases an individual’s risk of sexual violence. Commonly, victims use drugs or alcohol as a way of coping with the traumatic experience of sexual assault.
• When a victim is intoxicated by drugs or alcohol, they are unable to give consent. This should not be misunderstood as the cause of the assault.
• Perpetrators often use substances like alcohol or drugs to incapacitate their victims to help make it easier to sexually assault them.
• When targeting victims, perpetrators often seek people who are vulnerable and have less power. These targets include people with addictions or who use drugs or alcohol. Perpetrators target such individuals because they are less likely to report the assault or when they do, they are less likely to be believed or deemed credible.
• Victims respond to trauma in a variety of individual ways. It is not uncommon for victims to demonstrate a limited or full range of emotions. For example, some victims are flat and constricted during interviews/testimony while the same victim may express other emotions[,] i.e.[,] sadness and anger[,] at other times. A common misperception is that victims should respond in a certain manner.
Commonwealth Exhibit 9 at 2-3 (unpaginated).
Appellant argued, at trial, that Dr. Azzaro’s report “create[ed] the
impression for the jury that these things made the person credible and that’s
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expressly what is not allowed by these types of experts.” N.T., 10/23/23, at
166. The trial court responded that “[w]hat experts can’t do is to say I find
this victim credible or that victim credible.” Id. (emphasis added). The trial
court held that Dr. Azzaro’s report “talk[ed] in generalities” and “generalized
statements” and subsequently overruled Appellant’s objection. Id. at
166-167.
Upon review, we concur with the trial court and the record supports that
Dr. Azzaro’s report, and subsequent testimony regarding the opinions outlined
in his report, spoke in generalized terms regarding misconceptions held by the
general public with regard to a victim’s common responses to, and behavior
associated with, sexual assault. See generally, id. at 164-173; see also
Commonwealth Exhibit 9. For example, regarding the statement in Dr.
Azzaro’s report that “[p]erpetrators target such individuals [(referring to
people with addictions or who use drugs and alcohol)] because they are less
likely to report assault or when they do, they are less likely to be believed or
deemed credible,” Dr. Azzaro explained that
Perpetrators of sexual violence and other forms of violence look for vulnerability. And one area of vulnerability is getting people to participate in the use of drugs and alcohol to create such vulnerability and incapacitate them on two different fronts: one, to reduce inhibitions and create opportunity, and the second is also as it pertains to sexual assault. Often times our mantra in society is that if we are under the influence, then a rape didn’t occur. So a lot of times perpetrators will play into that narrative as well.
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N.T., 10/23/23, at 170. Dr. Azzaro did not, at any point during his testimony,
apply his opinions, as outlined in his report, to the sexual assault victim in the
case sub judice. Id. In fact, on cross-examination, Dr. Azzaro testified that
he was unaware of any of the factual allegations of the case sub judice and
that his “testimony [has] nothing to do with what happened in this case[.]”
Id. at 173. Because Dr. Azzaro did not offer an opinion regarding the
credibility of the victim in this case, we discern no error in the trial court’s
decision to overrule Appellant’s objection to the admission of Dr. Azzaro’s
report. See Commonwealth v. Smith, 206 A.3d 551, 562 (Pa. Super. 2019)
(permitting expert testimony where the expert, having never met the victim
or reviewed the records of the case, discussed in general terms victim
responses to sexual assault), appeal denied, 217 A.3d 202 (Pa. 2019); see
also Commonwealth v. Beatty, 335 A.3d 1236, 1250 (Pa. Super. 2025)
(allowing an expert’s opinion where the expert spoke in general terms and
provided the jury with background information regarding the behavior of
victims of sexual assault); Commonwealth v. Cramer, 195 A.3d 594, 608
(Pa. Super. 2018) (stating that, an expert’s general testimony “about the
manner in which victims of sexual abuse respond to an assault” was
permissible because the export did not offer an opinion as to the credibility of
the victim); 42 Pa.C.S.A. § 5920(b).
Next, as part of his second issue, Appellant asserts that the trial court
erred in denying his motion in limine and admitting into evidence the
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laboratory report that revealed the victim tested positive for chlamydia. Id.
at 28-29; see also Commonwealth Exhibit 11.
At the hearing on Appellant’s motion in limine, Appellant argued that
the Confrontation Clause required the Commonwealth to call, as a witness at
trial, the person who analyzed the samples obtained from the victim’s medical
examination and subsequently prepared a report summarizing the laboratory
analysis, or to comply with Pennsylvania Rule of Criminal Procedure 574,
which required the Commonwealth to provide notice, in advance of trial, of its
intent to offer the laboratory report supported by a certification from the
person who performed the analysis and authored the report. Appellant then
asserted that, because the Commonwealth did not intend to call the individual
who analyzed the samples and authored the laboratory report as a witness at
trial and because the Commonwealth did not intend to comply with Rule 574,
admission of the laboratory report violated Appellant’s rights under the
Confrontation Clause. N.T., 10/23/23, at 1-6, 12-13, 16-17, 22-25.
The Commonwealth responded that, because the report did not directly
incriminate Appellant, it neither triggered protections under the Confrontation
Clause nor compelled compliance with Rule 574. Rather, according to the
Commonwealth, the physician’s assistant, who treated the victim at the urgent
care clinic, would testify that she ordered the laboratory analysis and
subsequent report as part of the medical examination of the victim to
determine whether, or not, further treatment for chlamydia was required. As
such, the Commonwealth argued that admission of the laboratory report did
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not violate Appellant’s rights under the Confrontation Clause. Id. at 10-11,
13-15, 22.
Ultimately, the trial court determined that the laboratory report was
non-testimonial and, thus, did not implicate Appellant’s rights under the
Confrontation Clause. Instead, the trial court stated the report would be
admissible under the business records exception to the rule against hearsay,
as discussed in greater detail infra, so long as the Commonwealth called the
physician’s assistant to testify at trial to support application of the hearsay
exception.11 Id. at 19, 25.
It is well-settled that, in reviewing a trial court’s order granting or
denying a motion in limine, “we apply an evidentiary abuse of discretion
standard of review.”12 Commonwealth v. Stokes, 78 A.3d 644, 654
(Pa. Super. 2013) (stating that, “[t]he admissibility of evidence is a matter
11 The “business records” exception to the rule against hearsay is formally referred to as the “records of a regularly conducted activity” exception and is codified at Pennsylvania Rule of Evidence 803(6). For ease of reference, we refer to the records of a regularly conducted activity exception as the business records exception.
12 “Consistent with [Pennsylvania Rule of Evidence] 103(a), a motion in limine
may preserve an objection for appeal without any need to renew the objection at trial, but only if the trial court definitively rules on the motion.” Commonwealth v. Reich, 340 A.3d 997, 1008 (Pa. Super. 2025), citing Blumer v. Ford Motor Co., 20 A.3d 1222, 1232 (Pa. Super. 2011), appeal denied, 49 A.3d 441 (Pa. 2012).
Here, as discussed supra, the trial court definitively ruled on Appellant’s motion in limine regarding the admission of the laboratory report. Therefore, Appellant preserved his claim of error without the need to renew it at trial.
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directed to the sound discretion of the trial court, and an appellate court may
reverse only upon a showing that the trial court abused that discretion”),
appeal denied, 89 A.3d 661 (Pa. 2014). Whether, or not, the admission of
evidence violates the Confrontation Clause, however, raises a question of law
for which our standard of review is de novo and our scope of review is plenary.
Commonwealth v. Brown, 185 A.3d 316, 324 (Pa. 2018).
The Confrontation Clause of the Sixth Amendment, made applicable to the States via the Fourteenth Amendment, provides that in all criminal prosecutions, the accused shall enjoy the right to be confronted with the witnesses against him [or her]. In [Crawford v. Washington, 541 U.S. 36, 51 (2004)], the [United States Supreme] Court held that the Sixth Amendment guarantees a defendant’s right to confront those who bear testimony against him [or her], and defined “testimony” as “a solemn declaration or affirmation made for the purpose of establishing or proving some fact.” The Confrontation Clause, the High Court explained, prohibits out-of-court testimonial statements by a witness unless the witness is unavailable and the defendant had a prior opportunity for cross-examination.
Commonwealth v. Yohe, 79 A.3d 520, 530-531 (Pa. 2013) (citations, some
quotation marks, brackets, ellipsis, and footnotes omitted). Article I,
Section 9 of the Pennsylvania Constitution provides similar protections by
guaranteeing that, in all criminal prosecutions, the accused has a right “to be
confronted with the witnesses against him [or her].”13 PA. CONST. art. I, § 9; ____________________________________________
13 Appellant has not asserted that the Pennsylvania Constitution affords him
greater protections with respect to the right to confrontation than those protections provided by the United States Constitution. As such, our analysis is the same under both the United States Constitution and Pennsylvania Constitution. Commonwealth v. Weeden, 304 A.3d 333, 344 n.18 (Pa. 2023).
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see also Yohe, 79 A.3d at 531 n.10. The ultimate goal of the protection
afforded by the Confrontation Clause “is to ensure reliability of evidence, but
[the protection] is a procedural rather than a substantive guarantee. It
commands, not that evidence be reliable, but that reliability be assessed in a
particular manner by testing in the crucible of cross-examination.” Brown,
185 A.3d at 326 (original quotation marks omitted), quoting Melendez-Diaz
v. Massachusetts, 557 U.S. 305, 317 (2009).
Prior to the decision in Crawford, supra, “the United States Supreme
Court was of the view the Confrontation Clause did not bar the admission of
out-of-court statements that fell within a firmly rooted exception to the
hearsay rule or that bore a particularized guarantee of trustworthiness.”
Brown, 185 A.3d at 324, citing Crawford, 541 U.S. at 40 and Ohio v.
Roberts, 448 U.S. 56, 66 (1980); see also Commonwealth v. Carter, 932
A.2d 1261, 1265 n.3 (Pa. 2007). “In Crawford, however, the [High] Court
sought to align its Confrontation Clause analysis with the original intent of the
framers [of the United States Constitution] who, according to the [High] Court,
were concerned about abuses of the civil-law mode of criminal procedure.”14
Brown, 185 A.3d at 324. The Crawford Court, confronted with the
admissibility of a witness’s recorded statement to police, determined that the ____________________________________________
14 “The primary object of the Confrontation Clause was to prevent depositions
or ex parte affidavits, such as sometimes admitted in civil cases, being used against [a defendant in criminal cases] in lieu of a personal examination and cross-examination of the witness[.]” Weeden, 304 A.3d at 335 (Wecht, J. concurring), quoting Mattox v. United States, 156 U.S. 237 (1895).
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framers “would not have permitted the admission of testimonial statements
of a witness who did not appear at trial, and held that such statements could
be admitted only where the declarant is unavailable, and only where the
defendant has had a prior opportunity to cross-examine.” Id. (original
quotation marks omitted), citing Crawford, 541 U.S. at 59, 62 (stating,
“[w]here testimonial statements are involved, we do not think the [f]ramers
meant to leave the Sixth Amendment’s protection to the vagaries of the rules
of evidence, much less to amorphous notions of ‘reliability’”). Thus, Crawford
refocused Confrontation Clause jurisprudence and declared that the
introduction of extra-judicial statements of a “testimonial” nature implicated
Confrontation Clause protection. See Weeden, 304 A.3d at 357 (Wecht, J.
concurring).
In cases decided after Crawford, the High Court held that out-of-court
statements are “‘testimonial,’ and thus subject to Confrontation Clause
restraints, when their ‘primary purpose’ is to establish or prove past events
for purposes of proof at a criminal trial.” Brown, 185 A.3d at 325, citing
Davis v. Washington, 547 U.S. 813, 822 (2006) (stating that, a statement
is testimonial when, viewed objectively, “the primary purpose of the
[statement] is to establish or prove past events potentially relevant to later
criminal prosecution”). The Crawford Court, however left “for another day
any effort to spell out a comprehensive definition of ‘testimonial’
[statements.]” Crawford, 541 U.S. at 68 (stating that, the term “testimonial”
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“at a minimum” applies to “prior testimony at a preliminary hearing, before a
grand jury, or at a former trial; and to police interrogations”).
Several years later, the United States Supreme Court, in
Melendez-Diaz, supra, considered whether “certificates reporting the
forensic analysis of the composition and quantity of substances seized from
the defendant,” such as cocaine, were “testimonial” and, thus, subject to
Confrontation Clause constraints. Brown, 185 A.3d at 325. The
Melendez-Diaz Court held that forensic “certificates are functionally identical
to live, in-court testimony, doing precisely what a witness does on direct
examination[] and[,] thus[,] were ‘testimonial’ in nature. Moreover, the
[High] Court held [that] admission of the certificates of analysis without the
author’s live testimony violated the Confrontation Clause because the
certificates fell into the core class of testimonial statements identified in
Crawford.” Id. (original quotation marks, citations, and original brackets
omitted), citing Melendez-Diaz, 557 U.S. at 310-311. In extending the reach
of testimonial evidence to include written statements, such as certificates of
analysis, the Melendez-Diaz Court noted that, “[s]ignificantly, the
certificates of analysis were made under circumstances which would lead an
objective witness reasonably to believe that the statement would be available
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for use at a later trial[.]”15 Brown, 185 A.3d at 325 (original quotation marks
omitted), citing Melendez-Diaz, 557 U.S. at 311.
In [Bullcoming v. New Mexico, 564 U.S. 547 (2011)], decided two years after Melendez-Diaz, the High Court reviewed the admissibility of a [blood alcohol content (“BAC”)] report authored and signed by a non-testifying analyst. The report was introduced at trial for the substantive purpose of proving the truth of the matter asserted by its out-of-court author, namely, that the defendant had a [certain] BAC level[,] which was the central question at the defendant’s trial, and was dispositive of his guilt. The report was introduced through the testimony of a surrogate analyst. The New Mexico Supreme Court held [that] the surrogate[’]s testimony was adequate to satisfy the requirements of the Confrontation Clause. The issue before the High Court was “whether the Confrontation Clause permits the prosecution to introduce a forensic laboratory report containing a testimonial certification - made for the purpose of proving a particular fact - through the in-court testimony of a scientist who did not sign the certification or perform or observe the test reported in the certification.” Bullcoming, 564 U.S. at 652[.] The High Court ruled [that] the Confrontation Clause precludes such practice, holding [that] “the Clause does not tolerate dispensing with confrontation simply because [a] court believes that questioning one witness about another’s testimonial statements provides a fair enough opportunity for cross-examination.” Id. at 662[.]
Brown, 185 A.3d at 326. In emphasizing the High Court’s reasoning for
finding that the BAC report was testimonial in nature, Justice Sotomayor, in
her concurring opinion in Bullcoming, supra, “noted the BAC report had a ____________________________________________
15 The Melendez-Diaz Court found that although the documents were identified as “certificates” under Massachusetts law, they were “quite plainly affidavits” in that they were “declarations of facts written down and sworn to by the declarant before an officer authorized to administer oaths.” Melendez-Diaz, 557 U.S. at 310 (brackets omitted). As affidavits, the documents took on the persona of statements that an objective person could reasonably believe would be available for use at a later trial. Id. at 311.
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primary purpose of creating an out-of-court substitute for trial testimony and
opined the formality of the BAC report further suggests its evidentiary
purpose.”16 Brown, 185 A.3d at 326 (original quotation marks omitted),
citing Bullcoming, 564 U.S. at 670 (Sotomayer, J. concurring).
Shortly after Bullcoming, the High Court decided Williams v. Illinois, [567 U.S. 50 (2012)], a divided opinion in which the [High] Court sought to further refine its articulation of the primary purpose test under the alternate factual scenario envisioned only hypothetically in Bullcoming by Justice Sotomayor.[17] Williams involved a rape prosecution in which an expert testified she obtained a [deoxyribonucleic acid (“DNA”)] profile report from an independent [laboratory] based on a semen specimen taken from a vaginal swab of the [assault] victim. The [DNA profile] report was not introduced into evidence. The expert testified she compared the DNA profile contained in the [] report to the defendant’s recorded DNA profile and concluded it was a match. The defendant challenged the expert’s testimony which relied upon the [DNA profile] report on the basis [that reference to the report] without testimony from its author violated the Confrontation Clause.
16 Justice Sotomayor explained that the absence of notarization is not dispositive of the “formality” of a statement. Rather, the fact that an analyst is asked to sign his or her name and certify to both the results and the statements made within the document is sufficient to deem the document a formal statement. Bullcoming, 564 U.S. at 671 (Sotomayer, J. concurring).
17 As discussed supra, the High Court in Bullcoming held that the BAC report,
which was admitted as evidence at trial, was testimonial in nature because its primary purpose was to establish an element of the crime. In her concurring opinion, Justice Sotomayer stated that the High Court “would [have] face[d] a different question [regarding] the constitutionality of allowing an expert witness to discuss others’ testimonial statements if the testimonial statements were not themselves admitted as evidence.” Bullcoming, 564 U.S. at 673 (emphasis added) (Sotomayer, J. concurring). As discussed infra, the Williams Court confronted the alternative scenario envisioned in Justice Sotomayer’s remarks. Williams, 567 U.S. at 67.
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Brown, 185 A.3d at 327 (emphasis added). The plurality opinion in Williams
held that the DNA profile “report was itself non-testimonial, and thus beyond
the reach of the Confrontation Clause, because the report did not identify the
defendant, was not inherently inculpatory, and was created before any
suspect was identified.”18 Id. (original quotation marks omitted), citing
Williams, 567 U.S. at 58. Justice Thomas, while agreeing with the other four
members of the High Court that the DNA profile did not violate the
Confrontation Clause, differed in his reasoning because he believed the
“statements lacked the requisite ‘formality and solemnity’ to be considered
‘testimonial’ for purposes of the Confrontation Clause.” Williams, 567 U.S.
at 104, citing Michigan v. Bryant, 562 U.S. 344 (2011). The dissent would
have held that the DNA profile report was testimonial in nature and “the
independent [laboratory] analyst who prepared the DNA profile report, to
which the defendant’s DNA sample was compared, was a witness against the
defendant whom the defendant had a right to confront.”19 Brown, 185 A.3d
at 327-328, citing Williams, 567 U.S. at 123 (stating that, “the [DNA] report
was made to establish some fact in a criminal proceeding” (original quotation
marks omitted) (Kagan, J. dissenting)) and 125. Due to the plurality
18 The plurality opinion was authored by Justice Alito and was joined by Chief
Justice Roberts, Justice Kennedy and Justice Breyer. Justice Thomas concurred in the judgment.
19 The dissent was authored by Justice Kagan and joined by Justice Scalia, Justice Ginsberg, and Justice Sotomayor.
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composition of the Williams decision, it never attained the status of binding
precedent. Yohe, 79 A.3d at 536 (stating, “[w]hen a fragmented [High] Court
decides a case and no single legal rationale explaining the results garners a
majority, then ‘the holding of the [High] Court may be viewed as that position
taken by those [Justices] who concurred in the judgments on the narrowest
grounds.’” (quoting Marks v. United States, 430 U.S. 188, 193 (1977)); see
also Justin Pidot, Tie Votes in the Supreme Court, 101 Minn. L. Rev. 245, 245
(2016) (stating, “[s]ince at least 1792, the [High] Court has followed the rule
that where the Justices are evenly divided, the lower court’s decision is
affirmed, and the Supreme Court’s order has no precedential effect”).
In light of the non-precedential value of the Williams decision, our
Supreme Court, in subsequent decisions, returned to its own jurisprudence
and the “primary purpose test” under Crawford, Melendez-Diaz, and
Bullcoming for determining whether a statement is testimonial or
non-testimonial. See Weeden, 304 A.3d at 350 n.23 (stating, “[w]hile[]
Williams arguably invoked a new primary purpose test[,] this innovation was
endorsed by only a plurality of the [High] Court; accordingly, we will adhere
to the primary purpose test set out in the [High] Court’s decisions spanning
from Crawford to Bullcoming”).
[In Yohe, supra, our Supreme Court] addressed whether the admission of a toxicology report in a [driving under the influence (“DUI”)] case violated the defendant’s rights under the Confrontation Clause[. In Yohe, the] defendant’s blood sample was tested three times by several analysts from one [laboratory] using two different methods, as per routine [laboratory] practice. Dr. Blum, a toxicologist, and the assistant [laboratory] director
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responsible for the [laboratory’s] quality assurance controls, received the raw data from the analysts who performed the tests, reviewed the demographic information, verified the appropriate tests were conducted, evaluated the chain of custody, and compared the individual test results to arrive at a BAC result which he set forth in a toxicology report summarizing the test results. Yohe, 79 A.3d at 523-[5]24. Dr. Blum signed the report electronically, certifying its content and his own participatory role in reviewing the data and ensuring its accuracy. Id. at 524. At Yohe’s trial, the report showing his BAC [] was admitted into evidence through Dr. Blum’s expert testimony. Yohe objected to the admission of the report and to Dr. Blum’s testimony on the basis they violated his right to confrontation because the specific [laboratory] technicians who actually performed the tests did not testify. The objections were overruled, and Yohe was convicted of DUI and sentenced. On post-sentence motions, however, the trial court held the toxicology report was a testimonial statement requiring production at trial of the analysts who actually performed the underlying tests so that the defendant could confront them. Id. at 525-[5]26. The Commonwealth appealed to [this Court], arguing Dr. Blum was[,] in fact[,] the analyst who derived the actual BAC result from his comparison of the readings of the underlying tests conducted under differing methods. [This Court] agreed Dr. Blum (rather than the original [laboratory] technicians) was the witness the defendant had a right to confront, and reversed the grant of a new trial.
On appeal, [our Supreme] Court analyzed the relevant precedent from the High Court, viewing “with caution” the “fragmented” decision in Williams where there was no single rationale to explain the result which garnered a majority. [Id.] at 536. [The Yohe] Court noted the narrowest ground for the decision in Williams was the conclusion that the DNA profile report from the independent [laboratory] was not testimonial. However, four Justices disagreed with that conclusion and the remaining Justices could not agree about why the report was not testimonial. Thus, [the Yohe] Court considered whether Dr. Blum’s toxicology report was testimonial by comparing it to “the facts of the testimonial statements considered in Melendez-Diaz and Bullcoming,” id. at 537, and easily concluded the toxicology report was testimonial. Id. The Yohe Court then considered whether Dr. Blum was the appropriate analyst to appear at trial for purposes of protecting Yohe’s rights under the Confrontation Clause. [Our Supreme] Court noted Dr. Blum had extensive supervisory
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involvement in utilizing the information supplied by his subordinates and highlighted his unique role as the only individual who engaged in the critical comparative analysis of the results of the various tests performed to determine the defendant’s actual BAC. Id. at 540. The Yohe Court surmised the facts distinguished the case from Bullcoming where the surrogate witness had no opinion concerning the defendant’s BAC, “rather the testifying witness merely read the analyst’s report into evidence and offered no independent opinion about the defendant’s blood alcohol levels.” Id. at 541, citing Bullcoming, 564 U.S. at 662[.] Thus, the Yohe Court determined the defendant’s rights under the Confrontation Clause were not violated because the “author” of the toxicology report was the analyst who testified at trial and was available for cross-examination. [Yohe, 79 A.3d at 541.]
Brown, 185 A.3d at 328-329 (original brackets omitted).
In Brown, our Supreme Court considered “whether the challenged
autopsy report - presented without accompanying testimony by its
author[ - ]was testimonial in nature such that Brown’s Sixth Amendment right
to confront the witnesses against him was violated by its admission at trial.”
Id. at 329. Our Supreme Court recognized
cases from a number of jurisdictions hold autopsy reports are non-testimonial because they are not created primarily for presentation in a criminal trial and thus, the admission of the report without the supporting testimony of its author in criminal trials does not raise Confrontation Clause concerns. Pennsylvania law[, however,] requires the preparation of autopsy reports in all cases of sudden, violent, and suspicious deaths, or deaths by other than natural causes, and in such cases, the autopsy and subsequent report are designed to determine whether the death occurred as the result of a criminal act. Moreover, the law requires the coroner or medical examiner charged with conducting and reporting the results of such autopsies to consult and advise the local district attorney to the extent practicable.
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Id. (citation omitted). The Brown Court concluded that an autopsy report is
testimonial because
the primary purpose for preparation of an autopsy report under these circumstances is to establish or prove past events potentially relevant to a later criminal prosecution and that any person creating the report would reasonably believe it would be available for use at a later criminal trial.
Id. The Brown Court further explained that “[b]ecause the autopsy report []
was testimonial in nature, under the Crawford, Melendez–Diaz,
Bullcoming[,] and Yohe precedents, the report could properly be introduced
into evidence without [the author’s] accompanying testimony only if [its
author] was unavailable and Brown had a prior opportunity to cross-examine
[the author].” Id. (original quotation marks and citation omitted). Since
Brown had no prior opportunity to cross-examine the author of the autopsy
report, the Brown Court held that the admission of the report into evidence
was error. Id.
To date, much has been decided in Pennsylvania with regard to whether
BAC reports within DUI cases should be viewed as testimonial statements that
implicate Confrontation Clause protections. Despite this, whether a laboratory
report that contains the results of a STI test performed on a victim of sexual
assault qualifies as a testimonial statement appears to be an issue of first
impression for Pennsylvania courts.
Under Crawford, Yohe, and their progeny, we are able to glean that
when a laboratory report is generated for the primary purpose of medical
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diagnosis and treatment, the laboratory report reflecting test results is
non-testimonial and, therefore, is not subject to the protections of the
Confrontation Clause. See, e.g., Commonwealth v. Banko, 268 A.3d 484,
492 (Pa. Super. 2022) (finding that the BAC test results were obtained for the
primary purpose of medical treatment after the defendant was transported to
the hospital following the automobile accident because the defendant reported
to be diabetic and complaining of pain; the test results were not obtained to
establish or prove past events relevant to a later criminal prosecution), appeal
denied, 279 A.3d 1176 (Pa. 2022); see also Commonwealth v.
McCullough, 324 A.3d 582, 587 (Pa. Super. 2024) (finding that medical
records containing objective information regarding the procedures performed
and the victim’s responses to treatment were not testimonial because they
were not created for the primary purpose of future litigation);
Commonwealth v. Dougan, 317 A.3d 619, 2024 WL 1267674, at *6
(Pa. Super. filed Mar. 26, 2024) (unpublished memorandum) (finding that
because the BAC test results were obtained for the primary purpose of medical
treatment and not at the request of law enforcement, the test results were
non-testimonial). In some instances, however, a laboratory report is
testimonial in nature and, therefore, subject to the protections of the
Confrontation Clause when medical tests are performed on patients and the
laboratory report reflecting the test results is subsequently generated for the
primary purpose of proving elements of a crime in contemplation of criminal
prosecution. See, e.g., Commonwealth v. Barton-Martin, 5 A.3d 363, 368
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(Pa. Super. 2010), appeal denied, 30 A.3d 486 (Pa. 2011) (finding that BAC
test results obtained for the primary purpose of establishing an element of the
crime were testimonial); see also Commonwealth v. Kearns, 332 A.3d
1267, 2024 WL 5245135, at *7 (Pa. Super. filed Dec. 30, 2024) (unpublished
memorandum) (finding that because the defendant was taken to the hospital
for the primary purpose of developing evidence of his prior drug use, the test
results were testimonial), appeal denied, ___ A.3d ___, 2025 WL 2527393
(Pa. filed Sept. 3, 2025) (slip copy).
In the case sub judice, whether, or not, the laboratory report containing
the victim’s STI test results (Commonwealth Exhibit 11) is testimonial in
nature requires us to examine the primary purpose for which the laboratory
report was generated. Brown, 185 A.3d at 329, relying on Crawford,
supra, Melendez-Diaz, supra, Bullcoming, supra, and Yohe, supra. If
the primary purpose of the laboratory report reflecting the victim’s STI test
results was to prove past events potentially relevant to a later criminal
prosecution, then the laboratory report is testimonial in nature and subject to
the protections of the Confrontation Clause. Conversely, if the laboratory
report reflecting the victim’s STI test results was primarily generated for
medical treatment purposes, then the laboratory report is non-testimonial
and, therefore, is not subject to the protections of the Confrontation Clause.
Based upon a review of the record presently before us, we find that the
primary purpose of the laboratory report showing the victim’s STI test results
was to determine whether a medical condition existed and, if so, to allow the
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physician’s assistant to prescribe a necessary course of medical treatment.
The facts in the case sub judice show (1) that the victim stated that she knew
the perpetrator of the sexual assault and the STI test results were not used
for identification (unlike, for example, a DNA test); (2) the victim expressed
no interest in prosecution but, instead, sought treatment at the urgent care
clinic to determine her medical condition, i.e., was she pregnant, had she been
drugged, or was she infected with an STI; and (3) the STI test was conducted
at the request of a physician’s assistant by a medical laboratory and not a
criminal forensic facility. As such, the laboratory report was not created for
the primary purpose of proving past events relevant to a later criminal
prosecution for sexual assault crimes and, therefore, was non-testimonial in
nature. The fact that the Commonwealth later attempted to link Appellant to
the perpetration of the sexual assault against the victim by establishing,
through use of the laboratory report, that both Appellant and the victim tested
positive for chlamydia does not change the non-testimonial nature of the
evidence. Rather, we examine the circumstances under which the statement
was prepared to determine the primary purpose of the statement, without
regard for the ultimate use to which the statement is later put.
In reaching our conclusion that a laboratory report showing the STI test
results of the victim in the case sub judice is non-testimonial in nature because
it was generated for the primary purpose of medical treatment and not in
contemplation of future criminal prosecution, we are persuaded by the
decisions of other state courts that were faced with similar circumstances and
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tasked with determining whether, or not, statements made during a sexual
assault examination were testimonial in nature.20
In State v. Burke, 478 P.3d 1096 (Wash. 2021) (en banc), cert. denied,
142 S.Ct. 182 (2021), the Washington Supreme Court analyzed whether, or
not, statements a victim made to a sexual assault nurse examiner during the
course of a sexual assault examination were testimonial in nature.21 In Burke
the victim sought treatment in the emergency room of a hospital after she
was raped in a nearby park. Burke, 478 P.3d at 1102-1103. As part of the
examination, the sexual assault nurse examiner recorded verbatim certain
information provided by the victim as part of the patient history which
included, inter alia, the victim’s description of the location of the assault and
the assailant’s appearance, as well as the victim’s answers to specific
questions about penetration, ejaculation, contraception, her position during
the assault, strangulation, grasping, grabbing, or holding, and the victim’s
level of pain. Id. at 1103. The sexual assault nurse examiner stated that the
answers provided by the victim “guid[ed] her to look for injuries as well as
evidence.” Id. Burke objected that the admission of the victim’s statements
20 “This Court may cite to the decisions of other states for persuasive authority.” Commonwealth v. Rosendary, 313 A.3d 236, 244 n.9 (Pa. Super. 2024) (citation omitted).
21The Washington Supreme Court explained that “[s]exual assault nurse examiners are medical professionals with specialized evidence-collecting skills and training that supplement their medical training.” Burke, 478 P.3d at 1109.
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vis-à-vis the sexual assault nurse examiner’s trial testimony violated his right
to confront the victim because the victim’s statements were testimonial.22 Id.
at 1106. The Washington Supreme Court, applying the primary purpose test
under Crawford, held that
[w]ith the exception of one statement describing the assailant[,] the primary purpose of [the victim’s] statements during the sexual assault exam[ination] was to receive medical care. Thus, the statements were non[-]testimonial and their admission did not violate the [C]onfrontation [C]lause.
Id. at 1112. In reaching its conclusion, the Burke Court recognized that while
the victim’s statements served both forensic and medical purposes, the
Confrontation Clause “requires [courts] to identify a singular dominant
purpose to determine whether statements are testimonial.” Id. at 1108
(emphasis added), relying on Davis, 547 U.S. at 822. The Burke Court
explained that “[t]he role of the person the declarant is speaking to is
significant to determining the primary purpose of a statement” and that,
although a sexual assault nurse examiner “shares features with both medical
providers [(duty to provide medical care)] and law enforcement [(duty to
collect evidence)], sexual assault nurse examiners are not “principally charged
with uncovering and prosecuting criminal behavior.” Burke, 478 P.3d at
22 From our review of Burke, supra, we glean that the sexual assault victim
did not testify in the criminal trial against Burke. See generally, Burke, 478 P.3d at 1102-1106. As such, the victim’s statements describing the sexual assault were admitted solely through the medical examination report and testimony of the sexual assault nurse examiner. Id. at 1105.
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1108, relying on Ohio v. Clark, 576 U.S. 237, 249 (2015). A sexual assault
nurse examiner’s “specialized evidence-collecting skills and training that
supplement their medical training” “does not transform a class of medical
professionals into agents of the police[.]” Burke, 478 P.3d at 1109. As such,
the Burke Court reasoned that the victim’s statements to the nurse, as
contained in the medical examination report, were “significantly less likely to
be testimonial than [if the] statements [had been] given to law enforcement
officers[] because medical personnel are not principally charged with
uncovering and prosecuting criminal behavior.” Id. at 1110 (citation and
original quotation marks omitted). The Burke Court found that
[m]ost of [the victim’s] statements had either two purposes (medical and forensic) or an exclusive medical purpose. For example, questions about contraception and ejaculation indicated whether and where DNA evidence might be collected, but they were also necessary to determine whether the patient needed medication to treat [STIs] or prevent pregnancy. Additionally, while the possibility of strangulation and the patient’s position during the assault indicated the degree of force (which would bear on what crime the perpetrator could be charged with), that information also revealed where the patient had additional injuries that needed treatment.
Id. at 1111. Therefore, the Burke Court held that, with the exception of the
victim’s statement regarding the description of the assailant (because it did
not “provide guidance for medical treatment”), the victim’s remaining
statements provided in the context of the sexual assault examination had the
primary purpose of guiding medical treatment and were “not to provide an
out-of-court substitute for trial testimony.” Id. at 1112. Consequently, the
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“statements were non[-]testimonial and their admission did not violate the
[C]onfrontation [C]lause.” Id.
A similar conclusion was reached by the Supreme Court of Virginia in
Sanders v. Commonwealth, 711 S.E.2d 213 (Va. 2011), which held that a
laboratory report created for medical diagnosis and treatment purposes was
non-testimonial and did not implicate the Confrontation Clause. Id. at 220.
In Sanders, Sanders argued that allowing a doctor “to state the conclusion of
the unknown laboratory technician as expressed in [a] laboratory report
indicating that the [child-victim] had contracted chlamydia violated his right
to confront and cross-examine” the laboratory technician who authored the
report. Id. at 216. Sanders asserted that because the child-victim had been
“referred” to the doctor based on allegations of sexual abuse and the doctor
knew about the alleged sexual abuse allegations from the victim’s mother and
the police prior to examining the child-victim, “an objective person could
reasonably expect that the test results provided to the doctor would be used
in a later criminal prosecution.” Id. at 217. The Commonwealth responded
that the primary purpose of the laboratory testing, and the subsequent
reporting of the test results, was for medical treatment and not to prove past
events potentially relevant to later criminal prosecution. Id.
Ultimately, the Virginia Supreme Court held that the laboratory report,
and by extension the doctor’s testimony regarding the contents of the report,
did not violate Sanders’ rights under the Confrontation Clause. Id. at 220. In
reaching its conclusion, the Sanders Court focused on whether, or not, the
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laboratory report “was created for medical treatment purposes or forensic
investigation purposes.”23 Id. at 218. The Sanders Court concluded that the
doctor’s “medical examination of [the child-victim] served a dual purpose: (1)
to gather forensic information to investigate and potentially prosecute a
defendant for the alleged offenses and (2) to obtain information necessary for
medical diagnosis and treatment of the victim.” Id. at 219. A test for
chlamydia, the Sanders Court explained, “is a diagnostic test used to
determine whether a ‘medical condition’ exists. The test determines whether
the individual has the infection, but that, unlike a DNA test, the test does not
provide information identifying the source of the infection.”24 Id. As such,
the primary purpose of the laboratory report reflecting the results of the STI
test, according to the Sanders Court, “was for medical treatment purposes
as it was created to permit [the doctor] to medically diagnose and treat [the
child-victim] for [chlamydia]” and, therefore, was non-testimonial. Id. “The
fact that the Commonwealth sought [later] to use the laboratory report in a
criminal prosecution does not change its non[-]testimonial character. In order
to determine if a statement is testimonial, the statement must be evaluated
23 The “laboratory report in question was never admitted into evidence at trial.” Sanders, 717 S.E.2d at 218.
24 A person contracts chlamydia “by having vaginal, anal, or oral sex without
a condom with someone who has the infection.” https://www.cdc.gov/chlamydia/about/index.html (last visited Dec. 16, 2025). Also, “[a] pregnant woman with chlamydia can give the infection to her baby during childbirth.” Id.
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as to whether the statement was made under circumstances which would lead
an objective witness reasonably to believe that the statement would be
available for use at a later trial.” Id. at 219 (original quotation marks
omitted), citing Crawford, 541 U.S. at 52. The Sanders Court found that,
in objectively evaluating the circumstances under which the laboratory report
regarding the child-victim’s STI test results was prepared, “there is no basis
presented for concluding that the ‘primary purpose’ of [conducting the
analysis or preparing the report] would reasonably have been understood by
the laboratory technicians [] to be the development of a statement for use at
trial.” Id. at 219-220.
The record [] reflects that the independent laboratory performed the testing after receiving the samples from the [medical treatment] clinic. [U]nlike a crime laboratory testing for narcotics or DNA, there are any number of typically non-prosecutorial reasons to test urine and vaginal discharge, such as for infections arising from both consensual sexual and non[-]sexual exposure to pathogens. Thus, under these circumstances, a laboratory technician would not have reason to believe or suspect that the results of his or her testing would be used in a later trial.
Id. at 220.
In the case sub judice, the physician’s assistant who examined the
victim testified that, on October 2, 2022, the victim presented herself to the
urgent care clinic due to a “concern for a sexual assault” and a need “to be
tested and treated.” N.T., 10/23/23, at 177; see also Commonwealth Exhibit
10 (stating, “[p]atient is a [] female [] who presents complaining of dysuria[
and] rectal pain after being a victim of sexual assault last evening”). The
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physician’s assistant also stated in the progress notes from the medical
examination that the victim “knows who the perpetrator was and [that she] is
interested in drug screening [and] STI screening.” Commonwealth Exhibit 10.
The victim informed the physician’s assistant that “[s]he is not interested in
involving the police or pressing charges.” Id.
The physician’s assistant testified that, based upon the victim’s
complaint of “pain with urination and rectal pain,” the victim “was given a
[urinalysis test], a urine pregnancy test[,] and then also screened for STIs.”
N.T., 10/23/23, at 177. The physician’s assistant stated that, preliminarily,
the “urine sample showed the presence of leukocytes and nitrites, which is
typical with a bladder infection” so she treated the victim for “what looked like
a bladder infection.” Id. The physician’s assistant also stated that she
“empirically treated for gonorrhea[, a type of STI,] with an injection of
ceftriaxone, which is an antibiotic.” Id. at 178. The physician’s assistant
explained that she treated for gonorrhea without knowing the results of the
STI tests because “if [a person tests] positive [for gonorrhea], it requires a
repeat office visit to get the injection of medicine[.]” Id. The victim was also
“prescribed some steroid cream that she could apply rectally to help with
discomfort there.” Id. The physician’s assistant stated that, as part of the
medical evaluation, the victim’s urine sample was sent to a laboratory for
further analysis. Id. at 179. As part of the care and treatment plan, the
physician’s assistant stated that she would “alter [the] treatment plan
depending on [the] STI screening results.” Commonwealth Exhibit 10.
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The physician’s assistant testified that the results of the victim’s
urinalysis were made a part of the patient’s medical records and that the
results showed, inter alia, that she tested positive for chlamydia and a bladder
infection but tested negative for gonorrhea. N.T., 10/23/23, at 179-180; see
also Commonwealth Exhibits 11 and 12. Based upon the positive test result
for chlamydia, the physician’s assistant prescribed additional antibiotics to
treat the STI. N.T., 10/23/23, at 180.
Under these circumstances, the primary purpose of the STI test and the
subsequent laboratory report confirming the results of that test was for
medical diagnosis and, if necessary, follow-up treatment. As the physician’s
assistant stated in her progress notes, the victim already knew the identity of
the perpetrator and did not wish to involve law enforcement. Instead, the
victim sought treatment for the pain and discomfort she was experiencing and
due to a concern that she may have contracted a STI or become pregnant.
Unlike DNA tests which may be used to identify a particular person, tests for
gonorrhea, chlamydia, and pregnancy are regularly used to diagnose a
person’s medical condition regardless of whether the medical inquiry is the
result of a sexual assault or because the person had unprotected sexual
contact with a person whose medical status is unknown. There is no basis in
the record upon which to conclude, when viewed objectively, that the
laboratory technician understood that these routine tests were being
requested for any reason other than for routine medical diagnosis. As such,
we conclude that the laboratory report that identified the victim as having
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tested positive for chlamydia (Commonwealth Exhibit 11) was non-testimonial
and, therefore, did not implicate Appellant’s rights under the Confrontation
Clause.
When a statement is non-testimonial in nature, as is the laboratory
report in the case sub judice, “the admissibility of a statement is the concern
of state and federal rules of evidence, not the Confrontation Clause.”25
Commonwealth v. Allshouse, 36 A.3d 163, 174 (Pa. 2012), quoting
Bryant, 562 U.S. at 359; see also Crawford, 541 U.S. at 68 (stating,
“[w]here non[-]testimonial hearsay is at issue, it is wholly consistent with the
Framers’ design to afford the States flexibility in their development of hearsay
law”).
25 To the extent that Appellant asserts that the Commonwealth violated Rule
574 by failing to attach proper certification to the laboratory report in lieu of expert testimony, we find this argument moot in light of our decision that the laboratory report was non-testimonial and did not implicate the Confrontation Clause. Rule 574 provides a notice and demand mechanism by which the Commonwealth may introduce a forensic laboratory report that constitutes testimonial evidence without calling as a witness at trial the person who authored the report as a means of satisfying the defendant’s rights under the Confrontation Clause. Pa.R.Crim.P. 570 Comment (stating, “This rule was adopted in 2014 to address the issues raised by the [United States] Supreme Court’s decision in Melendez-Diaz[, supra,] that held that the 6th Amendment confrontation right precluded presentation of laboratory reports without a live witness testifying in the trial. In Melendez-Diaz, the [High] Court noted with approval the use of ‘notice and demand’ procedures as a means of permitting routine laboratory reports to be admitted without the expense of supporting the admission by live expert testimony while protecting a defendant’s confrontation rights. This rule provides a “notice and demand” procedure for Pennsylvania.” (emphasis added; formatting modified)).
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Here, the trial court found that the laboratory report was admissible
under the business records exception to the rule against hearsay provided that
the physician’s assistant testified. N.T., 10/23/23, at 19, 25; see also Pa.R.E.
803(6).
Hearsay “is an out-of-court statement offered to prove the truth of the
matter asserted in the statement.” Commonwealth v. Laich, 777 A.2d
1057, 1060 (Pa. 2001); see also Pa.R.E. 801(c)(1) and (2). A hearsay
statement is not admissible unless the proffered statement falls within an
established hearsay exception. Commonwealth v. Fitzpatrick, 25 A.3d
452, 471 (Pa. 2021); see also Pa.R.E. 802.
Pennsylvania Rule of Evidence 803(6), commonly referred to as the
“business records exception,” states that, regardless of whether the declarant
is available as a witness, “[a] record (which includes a memorandum, report,
or data compilation in any form) of an act, event[,] or condition” is excludable
from the rule against hearsay if:
(A) the record was made at or near the time by - or from information transmitted by - someone with knowledge;
(B) the record was kept in the course of a regularly conducted activity of a “business”, which term includes business, institution, association, profession, occupation, and calling of every kind, whether or not conducted for profit;
(C) making the record was a regular practice of that activity;
(D) all these conditions are shown by the testimony of the custodian or another qualified witness, or by a certification that complies with Rule 902(11) or (12) or with a statute permitting certification; and
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(E) the opponent does not show that the source of information or other circumstances indicate a lack of trustworthiness.
Pa.R.E. 803(6). For purpose of the business records exception, a “qualified
person” is an individual who is able to “provide sufficient information relating
to the preparation and maintenance of the records to justify a presumption of
trustworthiness[.]” Keystone Dedicated Logistics, LLC v. JGB Enter.,
Inc., 77 A.3d 1, 13 (Pa. Super. 2013) (original quotation marks and citation
omitted); see also In re Indyk’s Est., 413 A.2d 371, 373 (Pa. 1979).
It is well-established that “[m]edical records are admissible under the
hearsay rules as evidence of facts contained therein but not as evidence of
medical opinion or diagnosis.” Folger Ex Rel. Folger v. Dugan, 876 A.2d
1049, 1055 (Pa. Super. 2005), relying on Commonwealth v. Green, 380
A.2d 798, 799-801 (Pa. Super. 1977), appeal denied, 897 A.2d 458 (Pa.
2006). This Court in Commonwealth v. Xiong, 630 A.2d 446 (Pa. Super.
1993), appeal denied, 630 A.2d 446 (Pa. 1994), explained that the
justification for allowing medical records to be admitted as an exception to the
rule against hearsay was because “the manner in which hospital records are
maintained carries safeguards at least as substantial as the guarantees of
reliability of the records of business establishments and []these recorded facts
are routinely used to make decisions upon which the health and life of the
patient depend.” Xiong, 630 A.2d at 453 (citation and original quotation
marks omitted).
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“In general, when the record reveals what is or is not present in the
patient, or that a test occurred, the record reflects facts.” Folger, 876 A.2d
at 1056. “On the other hand, when the record reflects what the presence or
absence of something means, the record more likely reflects a medical
diagnosis or opinion.” Id. (footnote omitted).
In Folger, this Court held that a medical report reflecting a positive
result for the presence of herpes in a patient’s spinal fluid was a “fact” because
the test results revealed what was, or was not, present in the patient. Id. at
1056-1057. Similarly, this Court in Commonwealth v. Nieves, 582 A.2d
341 (Pa. Super. 1990), appeal denied, 600 A.2d 952 (Pa. 1991), held that a
medical report showing positive test results for gonorrhea was properly
admitted into evidence under the business records exception to the hearsay
rule. Nieves, 582 A.2d at 344.
Here, the physician’s assistant testified that, as part of her medical
evaluation of the victim, she ordered several tests, including a urinalysis, a
urine pregnancy test, and a STI test for, inter alia, chlamydia. N.T., 10/23/23,
at 178-179. The physician’s assistant explained that the laboratory report
reflecting the STI test results had the victim’s name and the date the test was
performed marked at the top of the report. Id. at 179; see also
Commonwealth Exhibit 11. The physician’s assistant stated that the report
indicated that the victim tested positive for chlamydia. N.T., 10/23/23, at
179; see also Commonwealth Exhibit 11 (indicating that the bacteria causing
chlamydia (chlamydia trachomitis) was detected in the analysis of the victim’s
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urine sample). Upon receiving the laboratory report, and the results contained
therein, the physician’s assistant testified that she prescribed antibiotics to
treat the victim’s chlamydia infection. N.T., 10/23/23, at 180.
Based upon a review of the record, we discern no error or abuse of
discretion in the trial court’s decision to admit the laboratory report reflecting
the victim’s positive test rest for chlamydia (Commonwealth Exhibit 11) into
evidence. The report contained only a medical fact, namely that the bacteria
which caused chlamydia was present in the victim’s urine. Folger, 876 A.2d
at 1056; see also Nieves, 582 A.2d at 344. Moreover, the physician’s
assistant provided sufficient information regarding preparation of the
laboratory report to justify the presumption of trustworthiness, and Appellant
provided no evidence to overcome this presumption. As such, the laboratory
report was properly admitted into evidence under the business records
exception to the rule against hearsay.26 See Pa.R.E. 803(6). ____________________________________________
26 To the extent that Appellant asserts that the trial court erred in permitting
the sexual assault nurse examiner and Appellant’s wife from referring to the laboratory report results which showed that the victim tested positive for chlamydia on the grounds that the test results constituted hearsay, we find this argument to be of no avail. See Appellant’s Brief at 28-29 (stating, “any use of the [STI test] results was hearsay”). As discussed supra, the laboratory report showing the positive test result was properly admitted under the business records exception to the rule against hearsay. Moreover, Appellant’s motion in limine preserved his challenge to the admission of the laboratory report without further objection. The motion in limine, however, did not object to testimony that was potentially being offered by the Commonwealth’s witnesses. Therefore, in order to preserve a particular objection to the testimony of a witness, such as the sexual assault nurse examiner or Appellant’s wife, Appellant needed to lodge a specific objection on the record
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In his final issue, Appellant claims that the trial court erred when it
permitted the Commonwealth to impeach its own witness, namely Appellant’s
wife. Appellant’s Brief at 31-32.
Pennsylvania Rule of Evidence 607 states as follows:
Rule 607. Who May Impeach a Witness, Evidence to Impeach a Witness
(a) Who May Impeach a Witness. Any party, including the party that called the witness, may attack the witness’s credibility.
(b) Evidence to Impeach a Witness. The credibility of a witness may be impeached by any evidence relevant to that issue, except as otherwise provided by statute or these rules.
Pa.R.E. 607.
On cross-examination, Appellant’s counsel asked Appellant’s wife if she
told law enforcement, during an interview after the incident, that she would
not lie for her husband, to which Appellant’s wife responded “Yes. I told them
[(referring to the law enforcement officers)] that I would not lie for him. It
would put my kids in jeopardy.” N.T., 10/24/23, at 99. On re-direct, the
Commonwealth asked Appellant’s wife, “Just to clarify, you wouldn’t lie for
your husband?” Id. at 100. Appellant’s wife responded, “No. I would not.”
at the time of the testimony. A review of the notes of testimony demonstrates that when the sexual assault nurse examiner and Appellant’s wife testified about the victim testing positive for chlamydia, Appellant failed to lodge a specific objection to the testimony. See Commonwealth v. McGriff, 160 A.3d 863, 866-868 (Pa. Super. 2017) (finding that, although McGriff lodged an anticipatory objection in his motion in limine, he failed to make a specific objection at the time the testimony was offered at trial), appeal denied, 176 A.3d 853 (Pa. 2017).
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Id. Over objection by Appellant’s counsel, the Commonwealth then played
an audio recording in which Appellant’s wife was heard stating that she “would
do whatever it takes” to help her husband. Id. at 103. Appellant’s wife, when
asked if she heard the statement she made in the recording, stated “Yes, but
I do not mean that.” Id.
As the trial court noted, and we concur, Appellant’s counsel questioned
Appellant’s wife “regarding [her willingness to lie] for her husband[] and[,
therefore[,] opened the door for [] further questions regarding her
[willingness to undertake such conduct].” Trial Court Opinion, 1/21/25, at 8.
The Commonwealth did not move to impeach its witness until after she stated
that she would not lie for Appellant. Once Appellant’s counsel elicited this
testimony through his cross-examination, and Appellant’s wife offered her
response, Rule 607 permitted the Commonwealth to impeach its own witness.
Therefore, we discern no error or abuse of discretion in the trial court’s
decision to allow the Commonwealth to conduct redirect examination to
impeach Appellant’s wife during her trial testimony.
For the reasons set forth herein, we affirm Appellant’s judgment of
sentence.
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Judgment of sentence affirmed.
Judgment Entered.
Benjamin D. Kohler, Esq. Prothonotary
Date: 1/15/2026
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