23CA2191 Peo v McKain 05-29-2025
COLORADO COURT OF APPEALS
Court of Appeals No. 23CA2191 El Paso County District Court No. 22CR5894 Honorable Erin Sokol, Judge
The People of the State of Colorado,
Plaintiff-Appellee,
v.
Matthew McKain,
Defendant-Appellant.
ORDER AFFIRMED
Division VI Opinion by JUDGE SULLIVAN Tow and Yun, JJ., concur
NOT PUBLISHED PURSUANT TO C.A.R. 35(e) Announced May 29, 2025
Philip J. Weiser, Attorney General, Trina K. Kissel, Senior Assistant Attorney General and Assistant Solicitor General, Denver, Colorado, for Plaintiff-Appellee
Megan A. Ring, Colorado State Public Defender, Amanda Bishop, Deputy State Public Defender, Colorado Springs, Colorado, for Defendant-Appellant ¶1 Defendant, Mathhew McKain, appeals the district court’s order
awarding restitution to Lillie Graber, the victim in this case. We
affirm.
I. Background
¶2 In 2023, a jury found McKain guilty of third degree assault
and harassment of Graber. A division of this court affirmed
McKain’s convictions. People v. McKain, (Colo. App. No. 23CA1074,
Feb. 13, 2025) (not published pursuant to C.A.R. 35(e)) (McKain I).
¶3 Following the November 2022 assault, Graber sought medical
treatment for her injuries. The prosecution requested restitution
for Graber’s medical treatment, prompting the district court to hold
a hearing on this request. The prosecution provided the court and
McKain with an itemized electronic billing record for the treatment
Graber received, which included, among other things, a tetanus
shot and intravenous (IV) therapy.
¶4 At the restitution hearing, McKain objected to the cost of the
tetanus shot and the IV therapy, asserting that his conduct wasn’t
the proximate cause of those procedures. Graber testified that her
medical provider decided that (1) a tetanus shot was necessary
because she sustained an open wound, and (2) the IV therapy was
1 necessary to give her fluids before she underwent a CT scan to
check for any internal injuries. The court found Graber’s testimony
credible and awarded restitution in the amount of $15,742.36 —
almost the exact amount that the electronic billing record reflected
for Graber’s medical treatment.
¶5 McKain now appeals. He contends that the court (1) violated
Crim. P. 16 and his right to confrontation by not requiring the
prosecution to disclose Graber’s medical records during discovery;
(2) erred by allowing Graber to testify at the restitution hearing
despite her violation of an ongoing sequestration order; and
(3) erred by awarding restitution for the tetanus shot and IV therapy
because McKain didn’t proximately cause either treatment and
because the treatments weren’t awardable categories of restitution.
We disagree with these contentions and affirm.
II. Disclosure of Medical Records
A. Crim. P. 16
¶6 In McKain I, McKain contended, as he does here, that the
district court violated Crim. P. 16 by not requiring the prosecution
to obtain and disclose Graber’s medical records. The McKain I
division rejected his argument, explaining that the prosecution bore
2 no obligation to disclose Graber’s medical records because they
weren’t within its possession or control. McKain I, slip op. at ¶¶ 69-
70 (citing Crim. P. 16(I)(a)(1)(III)). Nor did the prosecution need to
obtain Graber’s medical records, the division determined, because it
proved her injuries at trial through her testimony and by admitting
photos depicting her injuries. Id. at ¶ 70.
¶7 We agree with the McKain I division and conclude that its
reasoning applies equally to the sentencing phase when the court
considers restitution.
¶8 McKain’s argument turns on the district court’s interpretation
of a rule of criminal procedure. Our review is therefore de novo.
See People v. Dye, 2024 CO 2, ¶ 34.
¶9 Crim. P. 16(I)(a)(1)(III) states that the prosecuting attorney
shall make available to the defense any “reports or statements of
experts made in connection with the particular case, including
results of physical or mental examinations and of scientific tests,
experiments, or comparisons.” But this obligation applies only if
the materials are “within the possession or control of the
prosecuting attorney.” Crim. P. 16(I)(a)(1). Because the prosecution
didn’t possess or control Graber’s medical records, it had no
3 obligation to disclose them either before trial or during the
sentencing phase. See McKain I, slip op. at ¶ 70; see also People In
Interest of E.G., 2016 CO 19, ¶ 14 (“Crim. P. 16 ensures that a
defendant has access to material and information in the
government’s possession or control, but it does not address a
defendant’s ability to access material and information held by
private third parties.”).
¶ 10 We aren’t persuaded otherwise by McKain’s argument that the
prosecution was responsible for obtaining Graber’s medical records
from her medical provider. McKain points us to nothing in the
record to suggest that the Graber’s provider either “participated in
the investigation” or “reported” to the prosecution about the case,
either of which may have triggered the prosecution’s obligation to
seek Graber’s medical records from the provider and disclose them
to McKain. Crim. P. 16(I)(a)(3); see People v. Grant, 2021 COA 53,
¶ 30.
B. Confrontation
¶ 11 The McKain I division also considered and rejected McKain’s
contention, raised again here, that the district court violated his
Confrontation Clause rights by not requiring the prosecution to
4 produce Graber’s medical records. McKain I, slip op. at ¶¶ 78-82.
The division explained that the right to confrontation is a trial right
that doesn’t extend to securing access to every possible source of
relevant information in pretrial discovery. Id. at ¶ 79 (citing People
v. Spykstra, 234 P.3d 662, 670 (Colo. 2010)).
¶ 12 We review a possible Confrontation Clause violation de novo.
People v. Hernandez, 2021 CO 45, ¶ 18.
¶ 13 We agree with the McKain I division that a defendant’s right to
confrontation is a trial right. McKain I, slip op. at ¶ 79. Consistent
with its holding and those from other divisions of this court, the
right doesn’t extend to sentencing when the court considers
restitution. See People v. Vasseur, 2016 COA 107, ¶ 19 (“[T]he right
of confrontation does not apply to restitution hearings because
restitution is part of the sentencing proceeding.”).
¶ 14 Accordingly, the district court didn’t violate Crim. P. 16 or
McKain’s Confrontation Clause rights by not requiring the
prosecution to produce Graber’s medical records.
III. Sequestration Order
¶ 15 McKain next contends that the district court erred by allowing
Graber to testify at the restitution hearing after she observed a
5 colloquy between the court and counsel at the beginning of the
hearing. According to McKain, Graber’s presence at the hearing
before she testified violated an “ongoing” sequestration order and
allowed her to tailor her later testimony to address a concern about
causation that the court raised during its discussion with counsel.
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23CA2191 Peo v McKain 05-29-2025
COLORADO COURT OF APPEALS
Court of Appeals No. 23CA2191 El Paso County District Court No. 22CR5894 Honorable Erin Sokol, Judge
The People of the State of Colorado,
Plaintiff-Appellee,
v.
Matthew McKain,
Defendant-Appellant.
ORDER AFFIRMED
Division VI Opinion by JUDGE SULLIVAN Tow and Yun, JJ., concur
NOT PUBLISHED PURSUANT TO C.A.R. 35(e) Announced May 29, 2025
Philip J. Weiser, Attorney General, Trina K. Kissel, Senior Assistant Attorney General and Assistant Solicitor General, Denver, Colorado, for Plaintiff-Appellee
Megan A. Ring, Colorado State Public Defender, Amanda Bishop, Deputy State Public Defender, Colorado Springs, Colorado, for Defendant-Appellant ¶1 Defendant, Mathhew McKain, appeals the district court’s order
awarding restitution to Lillie Graber, the victim in this case. We
affirm.
I. Background
¶2 In 2023, a jury found McKain guilty of third degree assault
and harassment of Graber. A division of this court affirmed
McKain’s convictions. People v. McKain, (Colo. App. No. 23CA1074,
Feb. 13, 2025) (not published pursuant to C.A.R. 35(e)) (McKain I).
¶3 Following the November 2022 assault, Graber sought medical
treatment for her injuries. The prosecution requested restitution
for Graber’s medical treatment, prompting the district court to hold
a hearing on this request. The prosecution provided the court and
McKain with an itemized electronic billing record for the treatment
Graber received, which included, among other things, a tetanus
shot and intravenous (IV) therapy.
¶4 At the restitution hearing, McKain objected to the cost of the
tetanus shot and the IV therapy, asserting that his conduct wasn’t
the proximate cause of those procedures. Graber testified that her
medical provider decided that (1) a tetanus shot was necessary
because she sustained an open wound, and (2) the IV therapy was
1 necessary to give her fluids before she underwent a CT scan to
check for any internal injuries. The court found Graber’s testimony
credible and awarded restitution in the amount of $15,742.36 —
almost the exact amount that the electronic billing record reflected
for Graber’s medical treatment.
¶5 McKain now appeals. He contends that the court (1) violated
Crim. P. 16 and his right to confrontation by not requiring the
prosecution to disclose Graber’s medical records during discovery;
(2) erred by allowing Graber to testify at the restitution hearing
despite her violation of an ongoing sequestration order; and
(3) erred by awarding restitution for the tetanus shot and IV therapy
because McKain didn’t proximately cause either treatment and
because the treatments weren’t awardable categories of restitution.
We disagree with these contentions and affirm.
II. Disclosure of Medical Records
A. Crim. P. 16
¶6 In McKain I, McKain contended, as he does here, that the
district court violated Crim. P. 16 by not requiring the prosecution
to obtain and disclose Graber’s medical records. The McKain I
division rejected his argument, explaining that the prosecution bore
2 no obligation to disclose Graber’s medical records because they
weren’t within its possession or control. McKain I, slip op. at ¶¶ 69-
70 (citing Crim. P. 16(I)(a)(1)(III)). Nor did the prosecution need to
obtain Graber’s medical records, the division determined, because it
proved her injuries at trial through her testimony and by admitting
photos depicting her injuries. Id. at ¶ 70.
¶7 We agree with the McKain I division and conclude that its
reasoning applies equally to the sentencing phase when the court
considers restitution.
¶8 McKain’s argument turns on the district court’s interpretation
of a rule of criminal procedure. Our review is therefore de novo.
See People v. Dye, 2024 CO 2, ¶ 34.
¶9 Crim. P. 16(I)(a)(1)(III) states that the prosecuting attorney
shall make available to the defense any “reports or statements of
experts made in connection with the particular case, including
results of physical or mental examinations and of scientific tests,
experiments, or comparisons.” But this obligation applies only if
the materials are “within the possession or control of the
prosecuting attorney.” Crim. P. 16(I)(a)(1). Because the prosecution
didn’t possess or control Graber’s medical records, it had no
3 obligation to disclose them either before trial or during the
sentencing phase. See McKain I, slip op. at ¶ 70; see also People In
Interest of E.G., 2016 CO 19, ¶ 14 (“Crim. P. 16 ensures that a
defendant has access to material and information in the
government’s possession or control, but it does not address a
defendant’s ability to access material and information held by
private third parties.”).
¶ 10 We aren’t persuaded otherwise by McKain’s argument that the
prosecution was responsible for obtaining Graber’s medical records
from her medical provider. McKain points us to nothing in the
record to suggest that the Graber’s provider either “participated in
the investigation” or “reported” to the prosecution about the case,
either of which may have triggered the prosecution’s obligation to
seek Graber’s medical records from the provider and disclose them
to McKain. Crim. P. 16(I)(a)(3); see People v. Grant, 2021 COA 53,
¶ 30.
B. Confrontation
¶ 11 The McKain I division also considered and rejected McKain’s
contention, raised again here, that the district court violated his
Confrontation Clause rights by not requiring the prosecution to
4 produce Graber’s medical records. McKain I, slip op. at ¶¶ 78-82.
The division explained that the right to confrontation is a trial right
that doesn’t extend to securing access to every possible source of
relevant information in pretrial discovery. Id. at ¶ 79 (citing People
v. Spykstra, 234 P.3d 662, 670 (Colo. 2010)).
¶ 12 We review a possible Confrontation Clause violation de novo.
People v. Hernandez, 2021 CO 45, ¶ 18.
¶ 13 We agree with the McKain I division that a defendant’s right to
confrontation is a trial right. McKain I, slip op. at ¶ 79. Consistent
with its holding and those from other divisions of this court, the
right doesn’t extend to sentencing when the court considers
restitution. See People v. Vasseur, 2016 COA 107, ¶ 19 (“[T]he right
of confrontation does not apply to restitution hearings because
restitution is part of the sentencing proceeding.”).
¶ 14 Accordingly, the district court didn’t violate Crim. P. 16 or
McKain’s Confrontation Clause rights by not requiring the
prosecution to produce Graber’s medical records.
III. Sequestration Order
¶ 15 McKain next contends that the district court erred by allowing
Graber to testify at the restitution hearing after she observed a
5 colloquy between the court and counsel at the beginning of the
hearing. According to McKain, Graber’s presence at the hearing
before she testified violated an “ongoing” sequestration order and
allowed her to tailor her later testimony to address a concern about
causation that the court raised during its discussion with counsel.
We disagree for two reasons.
¶ 16 First, we conclude that McKain waived this contention.
Waiver is the intentional relinquishment of a known right or
privilege. People v. Rediger, 2018 CO 32, ¶ 39. At the start of the
restitution hearing, both the court and the prosecution
acknowledged that Graber was present. Despite being made aware
of her presence, defense counsel continued to engage in the
colloquy with the court and the prosecutor. Defense counsel never
requested that the court sequester Graber until she testified. As a
result, McKain waived this contention. See Forgette v. People, 2023
CO 4, ¶ 34 (defendant waived objection to a sleeping juror when
defense counsel was “fully aware of the sleeping juror but did not
object or ask the court to take any action to address the issue”);
Rediger, ¶ 40 (waiver “extinguishes” error and appellate review).
6 ¶ 17 Second, even if McKain didn’t waive the issue, the court’s
sequestration order wasn’t “ongoing” as McKain asserts. At trial,
the court mentioned multiple times that its sequestration order
remained in effect only until the witness was released from their
subpoena, if any. At the conclusion of Graber’s testimony on the
second day of trial, the court confirmed with counsel that she could
be excused and wasn’t under subpoena. The court never gave any
indication that Graber remained under an “ongoing” sequestration
order that continued beyond the trial and into the sentencing
phase.
¶ 18 Accordingly, the court didn’t err by permitting Graber to testify
at the restitution hearing.
IV. Proximate Cause and Restitution for Medical Procedures
¶ 19 McKain last contends that (1) he didn’t proximately cause
Graber’s need for either the tetanus shot or IV therapy; and (2) the
cost of those two procedures wasn’t awardable as restitution
because neither constituted a “medical test[]” or “treatment
prescribed” under section 18-1.3-602(3)(a.5), C.R.S. 2024. We
discern no basis to reverse.
7 ¶ 20 A convicted defendant must generally pay full restitution to
those harmed by their misconduct, including any pecuniary loss
proximately caused by the defendant. See §§ 18-1.3-601(1)(b),
-602(3)(a), -603(1), C.R.S. 2024. Proximate cause refers to any
“cause which in natural and probable sequence produced the
claimed injury.” People v. Stewart, 55 P.3d 107, 116 (Colo. 2002)
(quoting CJI-Crim. 9:10, 9(3) (1983)).
¶ 21 We review for clear error the district court’s determination that
the defendant proximately caused the victim’s losses. Martinez v.
People, 2024 CO 6M, ¶ 32.
¶ 22 In awarding restitution, the district court found that McKain
proximately caused Graber’s need for both the tetanus shot and the
IV therapy. The record supports this finding. Graber testified that
her medical provider decided that she “needed” a tetanus shot
because she sustained an open wound from McKain’s assault.
Graber explained she hadn’t received a tetanus shot since 2016, six
years earlier. She also testified that she received fluids through the
IV so that medical staff could insert the ink that was necessary to
perform a CT scan to check for internal injuries. According to
8 Graber, her medical provider informed her that she “could not get
the CT scan without having the IV.”
¶ 23 Based on Graber’s testimony that both medical procedures
were necessary to treat the injuries she sustained from McKain, we
perceive no error, let alone clear error, in the district court’s
proximate cause determination. While McKain asserts that
Graber’s testimony contradicted the physical evidence introduced at
trial, the district court found Graber credible. As an appellate
court, we may not revisit issues of witness credibility or the weight
of the evidence. See People v. Rodriguez-Morelos, 2022 COA 107M,
¶ 91 (“Because the [district] court acts as the fact finder during a
restitution hearing, it has the authority ‘to determine the weight of
the evidence [and] the witnesses’ credibility.’”) (second alteration in
original) (citation omitted).
¶ 24 Finally, we aren’t persuaded by McKain’s contention that the
cost of Graber’s tetanus shot and IV therapy weren’t awardable
under section 18-1.3-602(3)(a.5). Regardless of whether such
procedures constituted “medical tests” or “treatment prescribed”
under that subsection of the restitution statute, a different
provision expressly authorized the court’s award. Specifically,
9 section 18-1.3-602(3)(a) authorizes the court to award restitution
for “any pecuniary loss suffered by a victim.” (Emphasis added.);
see also Colo. State Bd. of Acct. v. Raisch, 931 P.2d 498, 500 (Colo.
App. 1996) (“The term ‘any’ is an inclusive term often used
synonymously with the terms ‘every’ and ‘all.’” (quoting Black’s Law
Dictionary 94 (rev. 6th ed. 1990))). Based on this expansive
language, we discern no error in the court’s decision awarding
restitution for the cost of Graber’s tetanus shot and IV therapy.
V. Disposition
¶ 25 We affirm the restitution order.
JUDGE TOW and JUDGE YUN concur.