TEXAS COURT OF APPEALS, THIRD DISTRICT, AT AUSTIN
NO. 03-22-00194-CR
Ronald Joseph Frazier, Appellant
v.
The State of Texas, Appellee
FROM THE 368TH DISTRICT COURT OF WILLIAMSON COUNTY NO. 18-2608-K368, THE HONORABLE RICK J. KENNON, JUDGE PRESIDING
MEMORANDUM OPINION
Appellant, Ronald Joseph Frazier, challenges his conviction for continuous sexual
abuse of a young child. Tex. Penal Code § 21.02(b). The jury found Frazier guilty and assessed
punishment at thirty-seven years’ imprisonment. Id. § 21.02(h). Frazier contends in his first
issue that the trial court erred when it admitted a medical report and related testimony that
included hearsay statements. Frazier contends in his second issue that the State committed a
discovery violation. We affirm the trial court’s judgment of conviction.
BACKGROUND
A.O., who was seventeen years old and in the twelfth grade at the time of the trial,
testified that her mother and stepfather, Frazier, married when she was in second grade. She
testified that Frazier began sleeping in her room and sexually abusing her when she was in fifth
grade. She testified that the abuse continued and occurred numerous times throughout fifth and sixth grade and into her seventh-grade year. A.O. testified that during the second half of seventh
grade, she told her sister about the abuse. A.O.’s sister later made a comment in front of their
mother that prompted their mother to ask A.O. a series of questions about the abuse and then
take A.O. to the hospital.
The trial court held a hearing to determine the proper outcry witness. A.O.’s
mother testified at the hearing that at A.O.’s sister’s prompting, A.O. told her mother that Frazier
had touched her. A.O.’s mother then testified that she asked A.O. questions, including “did he
touch your breasts” and “did he touch your private parts,” to which A.O. replied “yes.” The
forensic interviewer from the children’s advocacy center then testified to the details of her
interview with A.O. regarding the abuse. The trial court designated A.O.’s forensic interviewer
as the outcry witness because it determined that the “yes” or “no” responses to A.O.’s mother did
not qualify as an outcry.
Prior to speaking with the forensic interviewer, A.O. and her mother met with a
social worker. The trial court admitted into evidence, on the State’s motion and over Frazier’s
objections, the unredacted medical report from that meeting. The section that Frazier objected to
included the social worker’s notes of statements by A.O.’s mother telling the social worker the
questions she had asked A.O. and A.O.’s answers. The social worker testified that the
information provided by the mother created a medical history timeline that assisted in
determining the type of medical examinations to be conducted. According to the report, the
questions included the mother asking A.O. if certain individuals, including Frazier, had hurt her
and asking if specific acts of sexual abuse had occurred. The trial court determined that the
objected to statements fell within the medical records hearsay exception and admitted the
unredacted report.
2 Frazier testified in his own defense and stated that he never sexually assaulted
A.O. and did not know why she had stated otherwise. After hearing all the evidence, the jury
found Frazier guilty of continuous sexual abuse of a young child and assessed punishment at
thirty-seven years’ imprisonment.
DISCUSSION
Hearsay Testimony
In his first issue, Frazier contends that inadmissible hearsay was admitted into
evidence despite his objection. His complaint centers on the statements by A.O.’s mother to the
social worker regarding what questions the mother had asked A.O. and A.O.’s answers regarding
Frazier’s abuse of A.O. Frazier contends that the testimony was an outcry statement and thus the
medical treatment hearsay exception does not apply and that if it did apply, the hearsay
statements in the report do not qualify under the requirements of the medical
treatment exception.
A trial court’s decision to admit or exclude hearsay evidence under an exception
to the hearsay rule is reviewed for a clear abuse of discretion. Taylor v. State, 268 S.W.3d 571,
579 (Tex. Crim. App. 2008). We will reverse the trial court’s decision only if the trial court’s
ruling was so clearly wrong as to lie outside the zone of reasonable disagreement. Id. We will
affirm if the trial court’s evidentiary ruling is correct under any applicable theory of law.
Johnson v. State, 490 S.W.3d 895, 908 (Tex. Crim. App. 2016).
Hearsay statements—statements not made by the declarant while testifying at the
current trial or hearing that a party offers as evidence to prove the truth of the matter asserted in
the statement—are generally inadmissible. Tex. R. Evid. 801(d); Martinez v. State, 178 S.W.3d
3 806, 810 (Tex. Crim. App. 2005). However, a statement made for medical diagnosis or
treatment is an exception to hearsay. Tex. R. Evid. 803(4). Article 38.072 of the Code of
Criminal Procedure also creates a hearsay exception in the prosecution of certain sexual offenses
committed against children for the admission of a child’s first outcry of sexual abuse to an adult.
See Tex. Code Crim. Proc. art. 38.072.
Frazier contends that Rule of Evidence 101(d) prevents the application of Rule
803(4) in this case. He contends that because Article 38.072 only allows one outcry witness, and
because Rule 101(d) requires exclusion of evidence made otherwise inadmissible by a statute,
the admittance of the complained of evidence under Rule 803(4) is barred by Article 38.072.
However, Article 38.072 does not make a type of evidence that would be admissible under the
rules of evidence inadmissible: rather, it provides an additional exception for hearsay testimony
if the requirements are met and limits this additional hearsay exception to one witness.
Tex. Code Crim. Proc. art. 38.072(b) (“A statement that meets the requirements of Subsection (a)
is not inadmissible because of the hearsay rule . . . .”).
Because the outcry witness statute does not bar admission of evidence under the
medical treatment exception, we turn to Frazier’s contention that the hearsay statements do not
qualify as statements made for medical treatment for purposes of the Rule 803(4) exception.
Specifically, Frazier contends that Rule 803(4) does not apply because A.O.’s statements to her
mother were not for the purpose of medical treatment.
For statements to be admissible under Rule 803(4), they must be “made for—and
reasonably pertinent to—medical diagnosis or treatment” and describe “medical history; past or
present symptoms or sensations; their inception; or their general cause.” Tex. R. Evid. 803(4).
Proving that the statement was made for the purpose of medical treatment requires the proponent
4 of the evidence to show “that the out-of-court declarant was aware that the statements were made
for that purpose and that ‘proper diagnosis or treatment depends upon the veracity of such
statements.’” Taylor, 268 S.W.3d at 589. Establishing that the statement was “pertinent to
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TEXAS COURT OF APPEALS, THIRD DISTRICT, AT AUSTIN
NO. 03-22-00194-CR
Ronald Joseph Frazier, Appellant
v.
The State of Texas, Appellee
FROM THE 368TH DISTRICT COURT OF WILLIAMSON COUNTY NO. 18-2608-K368, THE HONORABLE RICK J. KENNON, JUDGE PRESIDING
MEMORANDUM OPINION
Appellant, Ronald Joseph Frazier, challenges his conviction for continuous sexual
abuse of a young child. Tex. Penal Code § 21.02(b). The jury found Frazier guilty and assessed
punishment at thirty-seven years’ imprisonment. Id. § 21.02(h). Frazier contends in his first
issue that the trial court erred when it admitted a medical report and related testimony that
included hearsay statements. Frazier contends in his second issue that the State committed a
discovery violation. We affirm the trial court’s judgment of conviction.
BACKGROUND
A.O., who was seventeen years old and in the twelfth grade at the time of the trial,
testified that her mother and stepfather, Frazier, married when she was in second grade. She
testified that Frazier began sleeping in her room and sexually abusing her when she was in fifth
grade. She testified that the abuse continued and occurred numerous times throughout fifth and sixth grade and into her seventh-grade year. A.O. testified that during the second half of seventh
grade, she told her sister about the abuse. A.O.’s sister later made a comment in front of their
mother that prompted their mother to ask A.O. a series of questions about the abuse and then
take A.O. to the hospital.
The trial court held a hearing to determine the proper outcry witness. A.O.’s
mother testified at the hearing that at A.O.’s sister’s prompting, A.O. told her mother that Frazier
had touched her. A.O.’s mother then testified that she asked A.O. questions, including “did he
touch your breasts” and “did he touch your private parts,” to which A.O. replied “yes.” The
forensic interviewer from the children’s advocacy center then testified to the details of her
interview with A.O. regarding the abuse. The trial court designated A.O.’s forensic interviewer
as the outcry witness because it determined that the “yes” or “no” responses to A.O.’s mother did
not qualify as an outcry.
Prior to speaking with the forensic interviewer, A.O. and her mother met with a
social worker. The trial court admitted into evidence, on the State’s motion and over Frazier’s
objections, the unredacted medical report from that meeting. The section that Frazier objected to
included the social worker’s notes of statements by A.O.’s mother telling the social worker the
questions she had asked A.O. and A.O.’s answers. The social worker testified that the
information provided by the mother created a medical history timeline that assisted in
determining the type of medical examinations to be conducted. According to the report, the
questions included the mother asking A.O. if certain individuals, including Frazier, had hurt her
and asking if specific acts of sexual abuse had occurred. The trial court determined that the
objected to statements fell within the medical records hearsay exception and admitted the
unredacted report.
2 Frazier testified in his own defense and stated that he never sexually assaulted
A.O. and did not know why she had stated otherwise. After hearing all the evidence, the jury
found Frazier guilty of continuous sexual abuse of a young child and assessed punishment at
thirty-seven years’ imprisonment.
DISCUSSION
Hearsay Testimony
In his first issue, Frazier contends that inadmissible hearsay was admitted into
evidence despite his objection. His complaint centers on the statements by A.O.’s mother to the
social worker regarding what questions the mother had asked A.O. and A.O.’s answers regarding
Frazier’s abuse of A.O. Frazier contends that the testimony was an outcry statement and thus the
medical treatment hearsay exception does not apply and that if it did apply, the hearsay
statements in the report do not qualify under the requirements of the medical
treatment exception.
A trial court’s decision to admit or exclude hearsay evidence under an exception
to the hearsay rule is reviewed for a clear abuse of discretion. Taylor v. State, 268 S.W.3d 571,
579 (Tex. Crim. App. 2008). We will reverse the trial court’s decision only if the trial court’s
ruling was so clearly wrong as to lie outside the zone of reasonable disagreement. Id. We will
affirm if the trial court’s evidentiary ruling is correct under any applicable theory of law.
Johnson v. State, 490 S.W.3d 895, 908 (Tex. Crim. App. 2016).
Hearsay statements—statements not made by the declarant while testifying at the
current trial or hearing that a party offers as evidence to prove the truth of the matter asserted in
the statement—are generally inadmissible. Tex. R. Evid. 801(d); Martinez v. State, 178 S.W.3d
3 806, 810 (Tex. Crim. App. 2005). However, a statement made for medical diagnosis or
treatment is an exception to hearsay. Tex. R. Evid. 803(4). Article 38.072 of the Code of
Criminal Procedure also creates a hearsay exception in the prosecution of certain sexual offenses
committed against children for the admission of a child’s first outcry of sexual abuse to an adult.
See Tex. Code Crim. Proc. art. 38.072.
Frazier contends that Rule of Evidence 101(d) prevents the application of Rule
803(4) in this case. He contends that because Article 38.072 only allows one outcry witness, and
because Rule 101(d) requires exclusion of evidence made otherwise inadmissible by a statute,
the admittance of the complained of evidence under Rule 803(4) is barred by Article 38.072.
However, Article 38.072 does not make a type of evidence that would be admissible under the
rules of evidence inadmissible: rather, it provides an additional exception for hearsay testimony
if the requirements are met and limits this additional hearsay exception to one witness.
Tex. Code Crim. Proc. art. 38.072(b) (“A statement that meets the requirements of Subsection (a)
is not inadmissible because of the hearsay rule . . . .”).
Because the outcry witness statute does not bar admission of evidence under the
medical treatment exception, we turn to Frazier’s contention that the hearsay statements do not
qualify as statements made for medical treatment for purposes of the Rule 803(4) exception.
Specifically, Frazier contends that Rule 803(4) does not apply because A.O.’s statements to her
mother were not for the purpose of medical treatment.
For statements to be admissible under Rule 803(4), they must be “made for—and
reasonably pertinent to—medical diagnosis or treatment” and describe “medical history; past or
present symptoms or sensations; their inception; or their general cause.” Tex. R. Evid. 803(4).
Proving that the statement was made for the purpose of medical treatment requires the proponent
4 of the evidence to show “that the out-of-court declarant was aware that the statements were made
for that purpose and that ‘proper diagnosis or treatment depends upon the veracity of such
statements.’” Taylor, 268 S.W.3d at 589. Establishing that the statement was “pertinent to
treatment” requires a showing that it was reasonable for the health-care provider “to rely on the
particular information contained in the statement in treating the declarant.” Id. at 591. Because
“the treatment of child abuse includes removing the child from the abusive setting,” “the identity
of the abuser is pertinent to the medical treatment of the child.” Fleming v. State, 819 S.W.2d
237, 247 (Tex. App.—Austin 1991, pet. ref’d). Statements made by the parent of an injured
child for purposes of diagnosing or treating the child qualify under the Rule 803(4) exception.
Sandoval v. State, 52 S.W.3d 851, 856–57 (Tex. App.—Houston [1st Dist.] 2001, pet. ref’d); see
also Ponce v. State, 89 S.W.3d 110, 120 (Tex. App.—Corpus Christi-Edinburg 2002, no pet.)
(holding that statements made by mother of victim to examining nurse fall under Rule 803(4)
exception because object of exam was to ascertain whether child had been sexually abused and to
determine whether further medical attention was needed); Barnes v. State, No. 05-16-01184-CR,
2017 WL 5897746, at *6 (Tex. App.—Dallas Nov. 29, 2017, no pet.) (mem. op., not designated
for publication) (holding that mother’s statements to medical providers included in medical
records that detailed what child victim described to mother about incidents of child abuse were
covered by Rule 803(4) exception); Delavega v. State, No. 05-21-00229-CR, 2022 WL 1564548,
at *4 (Tex. App.—Dallas May 17, 2022, no pet.) (mem. op., not designated for publication)
(rejecting appellant’s “double hearsay” contention and concluding “that the medical diagnosis
exception to the hearsay rule includes a statement made by the parent of an injured child made
for the purposes of diagnosing and treat[ing] the child”).
5 Here, the trial court could have reasonably determined that A.O.’s mother was
conveying information to the social worker with an interest in her child receiving proper
diagnosis or treatment. See Ware v. State, 62 S.W.3d 344, 351 (Tex. App.—Fort Worth 2001,
pet. ref’d) (“Parents normally possess this interest in the well-being of their children.”);
Sandoval, 52 S.W.3d at 857 (“In circumstances where the parent is giving the information to
assist in the diagnosis and treatment of the child, we think the reliability of the statements is very
high.”). 1 The trial court could have reasonably determined that the information in the report was
pertinent to medical treatment because the social worker testified that the information provided
by the mother created a medical history timeline that assisted in determining the type of medical
examinations to be conducted. Sandoval, 52 S.W.3d at 857 (noting that discovering both what is
injured and what is not injured are equally pertinent to medical treatment and diagnosis).
We conclude that the trial court did not abuse its discretion by admitting the
unredacted medical records. See Taylor, 268 S.W.3d at 579. Thus, we overrule Frazier’s
first issue.
Discovery
Frazier contends in his second issue on appeal that he received late discovery of
additional facts alleged by A.O. and her mother.
1 Frazier asserts that the trial court chose not to designate A.O.’s mother as the outcry witness because it found the testimony to be unreliable. However, the trial court did not make any statement about the reliability of the mother’s testimony. During the evidentiary hearing on the social worker’s report, defense counsel argued that the trial court did not allow A.O.’s mother to be the outcry witness because “it seemed kind of like a sketchy outcry.” To which the trial court responded, “I didn’t say that. . . . I didn't think it was an outcry at all because the child didn’t make a statement period.” 6 To preserve a complaint for appellate review, (1) a party must have made a
timely, specific objection, request, or motion to the trial court that stated the specific grounds for
the ruling sought by the complaining party, unless the specific grounds were apparent from the
context, and (2) the trial court must have either ruled or refused to rule on the request—in which
case the complaining party must have objected to the trial court’s refusal to rule. Tex. R. App. P.
33.1(a). Preservation of error is a systemic requirement. Haley v. State, 173 S.W.3d 510, 515
(Tex. Crim. App. 2005).
After reviewing the record, we agree with the State that Frazier did not preserve
this complaint because he did not object to any testimony or request a continuance based on the
alleged discovery violation. See Glover v. State, 496 S.W.3d 812, 816 (Tex. App.—Houston
[14th Dist.] 2016, pet. ref’d) (holding that discovery violation complaints are forfeited when
defendant fails to bring them to attention of trial court). Rather, defense counsel chose to
cross-examine A.O. and her mother about the newly discovered evidence in order to attack their
credibility. The first time the record reflects Frazier raising the issue of late discovery was in his
motion for new trial, which was filed after the final judgment was signed, and was overruled by
operation of law. See Tex. R. App. P. 33.1(a) (requiring timely objection). Thus, we do not
address the merits of this issue. See Ford v. State, 305 S.W.3d 530, 532 (Tex. Crim. App. 2009)
(“If an issue has not been preserved for appeal, neither the court of appeals nor this Court should
address the merits of that issue.”); see also Clough v. State, No. 02-02-00234-CR,
2003 WL 2006604, at *1–2 (Tex. App.—Fort Worth May 1, 2003, pet. ref’d) (mem. op., not
designated for publication) (concluding that defendant “did not preserve error by raising” issues
for first time “in his motion for new trial because the motion for new trial did not constitute a
timely request or objection under the facts of this case”).
7 CONCLUSION
Because we overruled Frazier’s first issue and cannot reach his second, we affirm
the trial court’s judgment of conviction.
__________________________________________ Gisela D. Triana, Justice
Before Chief Justice Byrne, Justices Triana and Theofanis
Affirmed
Filed: October 20, 2023
Do Not Publish