16 N.Y.3d 405 (2011)
A child’s statement to a physician during a medical examination is non-testimonial if the primary purpose of the questioning is to facilitate medical diagnosis and treatment, even if the physician also has a secondary motive to investigate potential child abuse.
Summary
The New York Court of Appeals held that a three-year-old child’s statement to a pediatrician (“he wouldn’t let me out”) regarding the cause of his burn injuries was admissible as a non-testimonial statement, despite the defendant’s Confrontation Clause challenge. The Court reasoned that the primary purpose of the pediatrician’s questioning was to determine the mechanism of the injury to render appropriate medical treatment. The Court emphasized that the statement’s admissibility hinges on the physician’s primary purpose, even if there exists a secondary motive, such as fulfilling a mandatory reporting duty.
Facts
The defendant allegedly placed his girlfriend’s three-year-old son’s feet and lower legs in scalding water, causing severe burns. The child’s mother returned home five hours later and took the child to the hospital, where he was examined by a pediatrician. The pediatrician asked the child why he didn’t get out of the tub, and the child responded, “he wouldn’t let me out.” The child did not testify at trial, and the pediatrician’s statement was not in the medical record.
Procedural History
The defendant was convicted of assault in the first degree and endangering the welfare of a child. The Appellate Division affirmed the conviction. The New York Court of Appeals granted leave to appeal to consider whether the pediatrician’s testimony violated the defendant’s Sixth Amendment right to confront witnesses.
Issue(s)
1. Whether the trial court erred in admitting the pediatrician’s testimony about the child’s statement as germane to medical diagnosis and treatment.
2. Whether the admission of the child’s statement violated the defendant’s Sixth Amendment right to confront witnesses against him.
Holding
1. Yes, the trial court properly admitted the statement because it was germane to medical diagnosis and treatment.
2. No, the admission of the statement did not violate the defendant’s Sixth Amendment right to confrontation because the statement was non-testimonial.
Court’s Reasoning
The Court of Appeals affirmed the lower court’s decision, holding that the child’s statement to the pediatrician was admissible as it was primarily intended for medical diagnosis and treatment. The Court applied the “primary purpose” test articulated in Davis v. Washington and Michigan v. Bryant, which distinguishes between testimonial and non-testimonial statements. Statements are non-testimonial when made in the course of interrogation under circumstances objectively indicating that the primary purpose is to meet an ongoing emergency. Statements are testimonial when the circumstances objectively indicate that there is no such ongoing emergency, and the primary purpose of the interrogation is to establish or prove past events potentially relevant to later criminal prosecution.
The Court reasoned that the pediatrician’s primary purpose in asking the child about the injury was to determine the mechanism and timing of the injury to administer appropriate medical treatment. The pediatrician also sought to determine if the child had a predisposing condition that might have prevented him from getting out of the tub. The Court emphasized that even if the pediatrician had a secondary motive to investigate potential child abuse, her paramount duty was to render medical assistance to the injured child.
The Court cited Giles v. California, noting that the Supreme Court has indicated that “statements to physicians in the course of receiving treatment would be excluded, if at all, only by hearsay rules” and not the Confrontation Clause. The Court ultimately concluded that because the statement was non-testimonial, its admissibility was governed by state evidentiary rules, not the Confrontation Clause. The court stated that “[w]hen, as in Davis, the primary purpose of an interrogation is to respond to an ‘ongoing emergency,’ its purpose is not to create a record for trial and thus is not within the scope of the Clause… Where no such primary purpose exists, the admissibility of a statement is the concern of state and federal rules of evidence, not the Confrontation Clause” (quoting Michigan v. Bryant).