STATE OF IOWA, Appellee, vs. LAWRENCE EUGENE WALKER, Appellant.
No. 18–0457
IN THE SUPREME COURT OF IOWA
Filed November 22, 2019
On review from the Iowa Court of Appeals. Appeal from the Iowa District Court for Scott County, John D. Telleen (trial) and Patrick A. McElyea (sentencing), Judges.
Mark C. Smith, State Appellate Defender (until withdrawal), and Nan Jennisch, Assistant Appellate Defender, for appellant.
Thomas J. Miller, Attorney General, Timothy M. Hau, Assistant Attorney General, Mike Walton, County Attorney, and Kimberly Shepherd, Assistant County Attorney, for appellee.
McDONALD, Justice.
Following a jury trial, Lawrence Walker was convicted of sexual abuse in the second degree, in violation of
I.
The offense conduct occurred in June 2016. On the night at issue, Walker babysat his four-year-old niece, E.W., her eight-year-old brother, J.W., and another child. At some point in the evening, Walker took E.W. upstairs to her parents’ bedroom. He cuddled in bed with her. He removed her underwear, removed his pants, put her on his lap, bounced her up and down, and rubbed the child‘s genitals with his hand.
The next day E.W. made statements to her mother that prompted an emergency room visit. At the emergency room, sexual assault nurse examiner Elsa Durr-Baxter interviewed E.W. and E.W.‘s mother separately. E.W.‘s statements to Durr-Baxter inculpated Walker for sexual abuse of E.W. Durr-Baxter conducted a physical and forensic examination of E.W. Division of Criminal Investigation (DCI) tests of the samples showed the presence of a sperm cell in E.W.‘s external anal swab and foreign DNA in the crotch of E.W.‘s underwear and on her back. The samples were too weak for reliable comparison to an individual for matching purposes.
Approximately a week after E.W‘s appointment with Dr. Harre, Detective Maureen Hammes conducted a video-recorded interview with Walker. Walker initially denied any wrongdoing, but then he admitted to the offense conduct. Walker admitted to taking E.W. upstairs and laying in bed with her. He said he took off her panties and took off his pants. He said he “cuddled with her.” He later admitted he put E.W. on his lap while in the bed. He admitted to rubbing his hand against E.W.‘s vagina. Walker was arrested and charged thereafter.
The jury found Walker guilty as charged, and Walker timely filed this appeal. The court of appeals affirmed Walker‘s convictions, and we granted Walker‘s application for further review.
II.
A.
We turn to Walker‘s first evidentiary challenge. At trial, Walker sought to admit evidence concerning the victim‘s eight-year-old brother, J.W. Specifically, Walker wanted to introduce into evidence statements
Our review is for an abuse of discretion. See State v. Tipton, 897 N.W.2d 653, 691 (Iowa 2017) (“The district court rulings on relevance of evidence are reviewable for abuse of discretion, as are challenges to the admission of evidence under
It is arguable whether the evidence is even relevant. Evidence is relevant when “[i]t has any tendency to make a fact more or less probable than it would be without the evidence” and “[t]he fact is of consequence in determining the action.”
Here, Walker failed to make an offer of proof establishing there was in fact an encounter between J.W. and E.W. Instead, at best, the record reflects the parents had concerns J.W. may have been a victim of sexual abuse. There is no evidence J.W. sexually abused E.W. or otherwise had an encounter with E.W. The defendant‘s argument is simply speculation. See State v. Gorman, 468 S.W.3d 428, 432 (Mo. Ct. App. 2015) (affirming decision to exclude evidence of other abuse to establish mistaken identity where it was mere speculation).
Even if the evidence were marginally relevant, the district court did not abuse its discretion in excluding the evidence on the ground that it was unduly prejudicial. Walker contends the evidence falls outside the scope of
If Walker had made an offer of proof establishing a sexual encounter between J.W. and E.W., the proposed evidence would have fallen within the scope of
Here, the district court found the defendant failed to file a timely motion and held the evidence was inadmissible. The defendant does not contest the finding. Nor does the defendant seek to excuse his failure to timely file notice. See id. (requiring fourteen-day notice “unless the court determines that the evidence is newly discovered and could not have been obtained earlier through the exercise of due diligence, or that the evidence relates to an issue that has newly arisen in the case, and the court sets a
For these reasons, we conclude the district court did not abuse its discretion in excluding Walker‘s evidence regarding J.W.
B.
Walker next contends the district court erred in allowing Dr. Harre to testify about E.W.‘s statements regarding sexual abuse and identifying Walker as the abuser. Our review is for the correction of legal error. See State v. Smith, 876 N.W.2d 180, 184 (Iowa 2016) (“Although we normally review evidence-admission decisions by the district court for an abuse of discretion, we review hearsay claims for correction of errors at law.“); State v. Jordan, 663 N.W.2d 877, 879 (Iowa 2003); State v. Long, 628 N.W.2d 440, 447 (Iowa 2001) (en banc). While reviewing the district court‘s decision for legal error, the court “give[s] deference to the district court‘s factual findings.” Long, 628 N.W.2d at 447 (stating correction of legal error standard includes deference to factual findings).
As a general rule, hearsay testimony is inadmissible. See
(A) Is made for—and is reasonably pertinent to—medical diagnosis or treatment; and
(B) Describes medical history, past or present symptoms or sensations, or the inception or general cause of symptoms or sensations.
In State v. Tracy we held that a child-declarant‘s identification of an abuser during treatment with a healthcare professional would fall within the exception when “the declarant‘s motive in making the statement [was] consistent with the purposes of promoting treatment” and was of the type “reasonably relied on by a physician in treatment or diagnosis.” 482 N.W.2d 675, 681 (Iowa 1992) (quoting United States v. Renville, 779 F.2d 430, 436 (8th Cir. 1985)). Although testimony of this type is frequently admitted into evidence, there is no categorical rule allowing such testimony. See Smith, 876 N.W.2d at 188 (rejecting the state‘s argument “that statements of identity by victims of domestic abuse should be categorically admissible because such statements are now commonly admitted in cases of child abuse“).
Instead, . . . the trial court must, as with other statements made during medical diagnosis and treatment, apply the test we adopted in Tracy to determine whether the statements made in that case should fall within this exception to the hearsay rule.
Id. at 188–89. “The State, as the proponent of the evidence, has the burden” to establish the testimony comes within the exception to the rule. See id. at 189.
With respect to the first element of the Tracy test, there was sufficient evidence to establish E.W.‘s “motive in making the statement[s] [was] consistent with the purposes of promoting treatment.” Tracy, 482 N.W.2d at 681. In cases of child sexual abuse, ascertaining the identity of the abuser is important for medical purposes because the child‘s age prevents her from implementing self-care and because parents are often
The evidence shows E.W.‘s mother took E.W. to see Dr. Harre for the purposes of treatment. There is no evidence the purpose of the visit was to create evidence or otherwise bolster the State‘s case. Dr. Harre took precautions to ensure E.W. felt comfortable in the setting and unpressured to say anything in particular. Dr. Harre testified she interviewed the child separately from the mother, subtly observed the child‘s developmental stage, and asked open-ended questions. Dr. Harre explained to the child in age-appropriate terms the purpose of the appointment. Dr. Harre explained she cares for kids who have injuries to their bodies and also injuries like hurt feelings. The record shows E.W. understood Dr. Harre‘s role. Dr. Harre testified E.W. expressed she was comfortable with doctors except when they give her shots. From there, Dr. Harre began a review-of-symptoms approach, checking to see “how the child [was] doing overall.” This is sufficient foundation to meet the first part of the Tracy test. See, e.g., State v. Tornquist, 600 N.W.2d 301, 305–06 (Iowa 1999) (concluding “that the circumstances surrounding [the child]‘s statements to [the medical provider] indicated that they were responses in a dialogue initiated for purposes of diagnosis or treatment“), overruled on other grounds by
With respect to the second part of the Tracy test, we conclude the State established E.W.‘s statements were of a type that are “reasonably relied on by a physician in treatment or diagnosis.” Tracy, 482 N.W.2d at 681 (quoting Renville, 779 F.2d at 436). Dr. Harre met with E.W. for healthcare purposes. Dr. Harre testified she offers “comprehensive medical assessments for concerns about medical, behavioral,” and emotional needs of children. She conducted a mental and physical examination of E.W. according to her standard protocol. Further, Dr. Harre testified E.W. was still her patient at the time of the trial. Statements made by patients “in connection with diagnosis or treatment of emotional trauma” can fall within the exception, so long as the statements are made to professionals “sufficiently qualified by training and experience to provide that diagnosis and treatment.” State v. Hildreth, 582 N.W.2d 167, 169 (Iowa 1998).
Walker contends the purpose of the visit was not for medical diagnosis because there was an eighteen-day delay between the assault and E.W.‘s appointment with Dr. Harre. We disagree. Under the circumstances, the delay is not material. In the case of sexual abuse, the victim may suffer from and seek treatment for “emotional and psychological injuries” in addition to physical injuries caused by the abuse. Smith, 876 N.W.2d at 186. The emotional and psychological injuries may linger longer than the physical injuries. Given this fact, an eighteen-day delay between the incident and appointment is of short duration. Or, at least it is not a sufficiently long delay to conclude E.W.‘s
Walker‘s reliance on the Maryland case of Coates v. State, 930 A.2d 1140, 1163 (Md. Ct. Spec. App. 2007), aff‘d, 950 A.2d 114, 124 (Md. 2008), is misplaced. Coates is readily distinguishable. In Coates, there was a fourteen-month delay between the offense conduct and the appointment, no active medical concern, and a finding of an investigatory purpose. Id. In addition, Maryland has specifically rejected the more liberal two-part test we adopted in Tracy. See Cassidy v. State, 536 A.2d 666, 688 (Md. Ct. Spec. App. 1988) (stating “Maryland has rejected” the two-part test).
E.W.‘s statements to Dr. Harre meet the requirements of medical statements for the purpose of diagnosis or treatment; the district court did not err in allowing the testimony at trial.
C.
In his third claim, Walker contends his counsel was ineffective in failing to object to nurse Durr-Baxter‘s testimony recounting E.W.‘s and E.W.‘s mother‘s statements identifying Walker as the abuser. He contends his counsel was also ineffective and further compounded the error by eliciting additional damaging hearsay testimony from Durr-Baxter on cross-examination. Pursuant to State v. Macke, 933 N.W.2d 226, 235 (Iowa 2019), we have the authority to decide Walker‘s claim of ineffective assistance of counsel on direct appeal.
To establish his claim of ineffective assistance of counsel, Walker must show his trial counsel failed to perform an essential duty and counsel‘s failure resulted in constitutional prejudice. See State v. Webster,
On de novo review, we conclude the record is sufficient to resolve these claims on direct appeal. See State v. Tompkins, 859 N.W.2d 631, 637 (Iowa 2015) (noting ineffective-assistance claims are generally preserved for postconviction-relief proceedings but may be addressed on direct appeal when the record is sufficiently developed). We elect to bypass the question of whether counsel breached a duty in any of the particulars raised and instead focus on the question of whether the defendant has established constitutional prejudice.
We conclude Walker failed to establish constitutional prejudice. There was overwhelming evidence of his guilt. See State v. Carey, 709 N.W.2d 547, 559 (Iowa 2006) (“The most important factor under the test for prejudice is the strength of the State‘s case.“); State v. Bumpus, 459 N.W.2d 619, 627 (Iowa 1990) (determining prejudice did not result given overwhelming evidence of guilt). Further, Durr-Baxter‘s testimony was merely cumulative of properly admitted testimony. See State v. Schaer, 757 N.W.2d 630, 638 (Iowa 2008) (holding defendant did not establish Strickland prejudice where the challenged testimony was merely cumulative and the prosecutor‘s case was strong). E.W. testified regarding Walker‘s conduct. There were some minor inconsistencies in her
III.
For the foregoing reasons, we affirm the decision of the Court of Appeals and Walker‘s convictions and sentences.
DECISION OF COURT OF APPEALS AND JUDGMENT OF DISTRICT COURT AFFIRMED.
All justices concur except Appel, J., and Wiggins, C.J., who concur specially.
STATE OF IOWA, Appellee, vs. LAWRENCE EUGENE WALKER, Appellant.
No. 18–0457
APPEL, Justice (concurring specially).
I concur in most of the opinion in this case but have a somewhat different view on the evidentiary issues in this case.
Walker sought to introduce evidence tending to show (1) that J.W., a brother of the victim, had been sexually abused at some point; (2) that J.W. would stare inappropriately at the victim‘s, E.W.‘s, body; and (3) that their mother was sufficiently concerned that she wanted to separate the children and make sure that they had clothes on when they were together. The point of the testimony was to suggest that to the extent E.W. had been the victim of sexual abuse, it was her brother J.W., and not Walker, who was the perpetrator of the crime.
The majority‘s narrow application of relevance in this case is concerning, as is its potential to be inappropriately applied in future cases. Under
Although relevant, such evidence is still subject to Iowa Rules of Evidence 5.412 and 5.403. I do not view this potential testimony as barred by
That said, the remaining question is whether the evidence is admissible under
In order to be excluded under
In this case, I find analysis under
Wiggins, C.J., joins this special concurrence.
