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                                 IN THE COURT OF APPEALS OF THE STATE OF ALASKA                                                                
CORRINA  I.  McCORD,  
                                                                                                                                                                 
                                                                                                                  Court of Appeals No. A-10982  
                                                                                                                                                                                
                                                            Appellant,                                         Trial Court No. 3PA-10-1743 CR  
                                             v.  
                                                                                                                                 O  P  I  N  I  O  N  
                                                                                                                                                                  
STATE  OF  ALASKA,  
                                                            Appellee.                                              No. 2537 - February 3, 2017  
                                                                                                                                                                         
                              Appeal from the District Court, Third Judicial District, Palmer,  
                                                                                                                                                     
                              William L. Estelle, Judge.  
                                                                        
                              Appearances:                      Callie Patton Kim, Assistant Public Defender,  
                                                                                                                                               
                              and  Quinlan  Steiner,  Public  Defender,  Anchorage,  for   the  
                                                                                                                                                             
                              Appellant.  Mary A. Gilson, Assistant Attorney General, Office  
                                                                                                                                                       
                              of Special Prosecutions and Appeals, Anchorage, and Michael  
                                                                                                                                                  
                              C. Geraghty, Attorney General, Juneau, for the Appellee.  
                                                                                                                                                        
                              Before:  Mannheimer, Chief Judge, Allard, Judge, and Hanley,  
                                                                                                                                                     
                              District Court Judge.*  
                                                                              
                                            
                              Judge MANNHEIMER.  
                              Corrina I. McCord appeals her conviction for driving under the influence.                                                                                             
McCord's blood alcohol level was not over the statutory limit, but testing of McCord's                                                                                      
        *      Sitting    by   assignment   made   pursuant   to   Article   IV,   Section   16   of   the   Alaska  
Constitution and Administrative Rule 24(d).                                     
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blood showed that she had four different medications in her blood when she was driving.                                                                                                                                                      
These medications                                  were tramadol(a                               pain medication sold under the name Ultram, among                                                                        
others) and three members of the                                                                benzodiazepine family:                                             quetiapine (also known as                                          
Seroquel),   clonazepam,   and 7-aminoclonazepam (a clonazepam metabolite,                                                                                                                                          which is   
itself a separate benzodiazepine).                                                           
                                     McCord was charged with violating the first subsection of Alaska's DUI                                                                                                                     
statute, AS 28.35.030(a)(1).                                                    This provision forbids a person from operating a motor                                                                                   
vehicle if they are "under the influence of an alcoholic beverage,                                                                                                                       intoxicating liquor,   
inhalant,   or any controlled substance                                                                , singly or in combination".                                                    (Emphasis added.)                                     
Even though McCord's blood showed                                                                           the presence of four medications, only one of                                                                             
these medications - clonazepam - is a "controlled substance" under state or federal                                                                                                                                      
             1       Thus,  the  State  needed  to  prove  that  McCord  was  under  the  influence  of  
law.                                                                                                                                                                                                                                 
clonazepam.  
                                    
                                     In this appeal,  McCord argues that the district court violated  her  Sixth  
                                                                                                                                                                                                                              
Amendment  right  of  confrontation  by  allowing  the  State  to  prove  the  presence  of  
                                                                                                                                                                                                                                     
clonazepam through hearsay testimony.  For the reasons explained here, we agree that  
                                                                                                                                                                                                                                  
McCord's  right  of  confrontation  was  violated,  and  we  therefore  reverse  McCord's  
                                                                                                                                                                                                               
conviction.  
                                
                   Underlying facts, and the district court's ruling  
                                                                                                                                     
                                     At McCord's trial, the State established the presence and the concentrations  
                                                                                                                                                                                                     
of the four substances in McCord's blood through the testimony of Lisa Noble, a forensic  
                                                                                                                                                                                                                     
toxicologist employed as an analyst at the Washington State Toxicology Lab.  
                                                                                                                                                                                                                   
          1       See  AS 11.71.170(b)(5).                                          
                                                                                                                - 2 -                                                                                                            2537
  
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                                                                 Noble conducted the initial drug screening of McCord's blood sample, and                                                                                                                                                                                                                                                                           
 she performed the specific test that confirmed the presence (and the concentration) of the                                                                                                                                                                                                                                                                                                                            
tramadol.   But another analyst, Sarah Swenson, performed the test that confirmed the                                                                                                                                                                                                                                                                                                                                 
presence   and   concentrations   of   the   three   benzodiazepines   in   McCord's   blood   -  
including the clonazepam.                                                                                                             (Swenson performed this testing because Noble was not                                                                                                                                                                                                                         
certified to conduct the benzodiazepine test.)                                                                                                                                                                               
                                                                  Because Noble was the primary analyst assigned to McCord's case, she                                                                                                                                                                                                                                                                             
reviewed Swenson's test results, and she compiled the final lab report.                                                                                                                                                                                                                                                                              This final report                                 
included the results of Swenson's testing for                                                                                                                                                                                  benzodiazepines.    In particular, Noble's                                                                                                                     
 final report                                               recited Swenson's findings regarding the presence and concentration of                                                                                                                                                                                                                                                                                        
clonazepam in McCord's blood.                                                                                                                                   
                                                                 At McCord's trial, when the prosecutor indicated that Noble would testify                                                                                                                                                                                                                                                             
about Swenson's findings, McCord's attorney objected that Noble should not be allowed                                                                                                                                                                                                                                                                                                            
to testify about the clonazepam in McCord's blood, or about any of the other results of                                                                                                                                                                                                                                                                                                                                   
the benzodiazepine testing conducted by Swenson.                                                                                                                                                                                                            The defense attorney argued that,                                                                                                                  
because Swenson had done the testing, he was entitled to cross-examine Swenson about                                                                                                                                                                                                                                                                                                                      
her findings.                                                 
                                                                  McCord's attorney specifically relied on the United States Supreme Court's                                                                                                                                                                                                                                                      
decision in                                        Melendez-Diaz v. Massachusetts                                                                                                                                   , a case where a defendant was charged with                                                                                                                                                  
trafficking cocaine.                                                                             2             In  Melendez-Diaz,  the  Supreme  Court  ruled  that,  under  the  
                                                                                                                                                                                                                                                                                                                                                                                                                    
confrontation clause of the Sixth Amendment, the government was required to present  
                                                                                                                                                                                                                                                                                                                                                                                                 
live testimony from the laboratory technician who tested the substance at  issue and  
                                                                                                                                                                                                                                                                                                                                                                                                                  
concluded that it was cocaine.  
                                                                                                                                                     
                 2               557 U.S. 305, 310-11; 129 S.Ct. 2527, 2532; 174 L.Ed.2d 314 (2009).                                                                                                                                                                                                                                                                       
                                                                                                                                                                                                         - 3 -                                                                                                                                                                                                     2537
  
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                    But the trial judge concluded that Melendez-Diaz was distinguishable from  
                                                                                                                                  
McCord's case.  The judge noted that, in Melendez-Diaz, the government was trying to  
                                                                                                                           
prove the presence  of  a  particular substance (cocaine).   According to the trial judge,  
                                                                                                                                  
McCord's case was different because the State's task was not to prove the presence  of  
                                                                                                                                 
any specific substances, but rather to prove that McCord was under the influence of  
                                                                                                                                
controlled substances.  Thus, the judge reasoned, the presence and concentrations of the  
                                                                                                                           
various  substances  in  McCord's  blood  was  simply  the  underlying data  that  would  
                                                                                                                               
provide the basis for Noble's opinion as  to  whether McCord was impaired when she  
                                       
drove the motor vehicle.  
                                                                                                                   
                    Relying   on          this     analysis,       the     district     court      overruled        McCord's  
                                                                                                                                 
confrontation clause objection and decided that Noble could properly testify about all of  
                                                                                                                          
the  test  results  described  in  her  lab  report  -  including  the  results  of  the  testing  
                                                                                                                   
performed by Swenson, which showed the presence and the concentration of clonazepam  
                                 
in McCord's blood.  
                                                                                                     
           Why the district court's ruling violated McCord's right of confrontation  
                                                                                                                         
                    To prove that McCord was guilty of driving under the influence as defined  
                                                                                                                                
in AS 28.35.030(a)(1), the State had to show not only that McCord was impaired, but  
                                                                                                                        
more specifically that her impairment was a direct result of her ingestion of "an alcoholic  
                                                                                                                                 
beverage,  intoxicating  liquor,  inhalant,  or  any  controlled  substance,  singly  or  in  
                                                                                                                     
combination".  See Adams v. State, 359 P.3d 990, 994 (Alaska App. 2015).  
                                                                                                                      
                    Of the various medications detected in McCord's blood, the only controlled  
                                                                                                                     
substance was the clonazepam.  Thus, the State was required to prove that McCord's  
                                                                                                
impairment was a direct result of her ingestion of clonazepam.  
                                                               - 4 -                                                          2537
  
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                    Swenson performed the testing that detected clonazepam in McCord's  
                                                                                                                     
blood.  Noble was aware of the clonazepamonly because Swenson's lab report described  
                                                                                                                            
her test results.  For this reason, Melendez-Diaz controls, and McCord's attorney was  
                                                                                                                              
entitled  to  cross-examine  Swenson  regarding  the  presence  and  concentration  of  
                                                    
clonazepam in McCord's blood.  
                                                                                                                     
                    Accordingly, the district court erred when it allowed the State to introduce  
                                                                                                                   
this evidence  through Noble's testimony, and we must reverse McCord's conviction  
                                  
because of this error.  
                                                                    
          McCord's motion for a judgement of acquittal  
                                                                                                                               
                    During the trial,  McCord  asked the court to grant her a judgement of  
                                                                                                                              
acquittal.       McCord  argued that even if the State validly introduced evidence of the  
                                                                                                                       
presence and level of clonazepam in her blood, the State's proof of the crime charged  
                                                                                                                             
(driving under  the  influence)  was  still legally  deficient.                         The  trial judge  denied  this  
                                                                                                                        
motion,  and on appeal McCord renews her attack on the  sufficiency of the State's  
                
evidence.  
                                                                                            
                    There are two aspects to McCord's argument.  
                                                                                                                              
                    McCord first argues that the State failed to present any evidence that the  
                                                                                                                      
concentration of clonazepam found in her blood was capable of impairing her capacity  
                         
to drive safely.  
                                                                                                                          
                    As we have explained, under Alaska's DUI statute, the State must prove  
                                                                                                                     
that the driver was impaired and that this impairment was a direct  result of ingesting  
                                                                                                                                
alcoholic beverages,  inhalants,  or controlled substances.                             Of the four drugs found in  
                                                                                                                 
McCord's body, only one of them - the clonazepam - was a controlled substance.  
                                                              - 5 -                                                         2537
  
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                    McCord  asserts  that  the  evidence  presented  at  her  trial  was  legally  
                                                                                                                                
insufficient  to  prove  that  the  amount  of  clonazepam  in  her  blood  was  capable  of  
                                                                                                                            
impairing her.  This assertion is mistaken; the State did present evidence that the level  
                                                                                                                                 
of clonazepam found in McCord's blood was capable of impairing a person's ability to  
            
drive.  
                                                                                                                        
                     Specifically,  Noble testified that clonazepam affects the central nervous  
                                                                                                                         
system in ways quite similar to alcohol:  a person on clonazepam may exhibit slurred  
                                                                                                                              
speech,  difficulty with balance and walking, double vision, loss of finger control, and  
                                                                                                                                 
impaired judgement.  Noble also testified that the concentration of clonazepam found in  
                                                                                                                   
McCord's  blood  was within the therapeutic range for that drug, and that therapeutic  
                                                                                                                                 
levels of clonazepam are sufficient  to cause impairment.   Although Noble declined to  
                                                                                                                        
offer an opinion as to whether McCord was in fact impaired at the time of her driving,  
                                                                                                                       
Noble testified that the symptoms of impairment which the police observed in McCord  
                                                                                                          
when they stopped her vehicle were consistent with the side effects of benzodiazepines.  
                                                                                                                           
                    Because of Noble's testimony on these subjects, the State's case was legally  
                                                                                                                                
sufficient to support a verdict that McCord was impaired as a result of her ingestion of  
                                                                                                                                
clonazepam.   This  remains true even though Noble should not have been allowed to  
                                                                                               
testify about the presence of clonazepam in McCord's blood.  
                                                                                                                             
                    Both the United States Supreme Court and this Court have held that, even  
                                                                                                                            
in cases where a portion of the government's evidence should have been excluded from  
                                                                                                               
a defendant's trial, an appellate court must still consider the entirety of the government's  
                                                                                                                      
evidence - including the portion that should have been excluded - when the appellate  
                                                                                                                 
court assesses the legal sufficiency of the evidence to support the verdict.  
                                                                                                                              
                    See Lockhart v. Nelson, 488 U.S. 33, 39-41; 109 S.Ct. 285, 290-91; 102  
                                                                                                                         
L.Ed.2d 265 (1988); Langevin v. State, 258 P.3d 866,  873-74  (Alaska App. 2011);  
                                                                                                                              
Houston-Hult v. State, 843 P.2d 1262, 1265 n. 2 (Alaska App. 1992).  In general, see  
                                                              - 6 -                                                          2537
  
----------------------- Page 7-----------------------
 LaFave, Israel, King, and Kerr,                                                          Criminal Procedure                                         (4th ed. 2015), § 25.4(c), Vol. 6,                                                     
 pp. 841-45.                       
                                      In other words, even if particular evidence should have been excluded from                                                                                                                     
 the defendant's trial, and even if the government's remaining evidence was insufficient                                                                                                                           
 to support the                             defendant's conviction,                                                the double jeopardy clause does not bar the                                                                          
 government from retrying the defendant if the                                                                                      entire  evidence (including the evidence                                             
 that should have been kept out of the trial) was sufficient to support the defendant's                                                                                                                         
 conviction.   Lockhart,  488 U.S. at 39-40, 109 S.Ct. at 290.                                                                                                          
                                      The reason for the                                 Lockhart  rule is that, had the State known that a portion                                                                          
 of   its   intended   evidence   was   inadmissible,   the   State   might   have   restructured   its  
                                                                                                                                                                                        3    In McCord's case,  
 presentation to compensate for the unavailability of this evidence.                                                                                                                                                                
 for instance, the record shows that the prosecutor had made tentative arrangements to  
                                                                                                                                                                                                                                            
 bring both Noble and Swenson to Alaska to testify, and that the prosecutor refrained  
                                                                                                                                                                                                                        
 from bringing Swenson to Alaska only after the district court ruled that Noble would be  
                                                                                                                                                                                                                                           
 allowed to testify  concerning all aspects of the Washington State Toxicology Lab's  
                                                                                                                                                                                                                                 
 testing (including Swenson's test results).  
                                                                                                                      
                                      We therefore conclude that the State's evidence was sufficient to allow the  
                                                                                                                                                                                                                                          
jury to conclude that the amount of clonazepam in McCord's blood was capable of  
                                                                                                                                                                                                                                           
 impairing her.  
                                         
                                      The second aspect of McCord's argument for a judgement of acquittal is  
                                                                                                                                                                                                                                             
 her claim that, even if the State's evidence was sufficient to show that the amount of  
                                                                                                                                                                                                                                           
 clonazepam found in McCord's blood could have impaired her ability to drive, the State  
                                                                                                                                                                                                                                    
 nevertheless failed to prove that McCord's impairment was due solely to the clonazepam,  
                                                                                                                                                                                                                
          3        See Lockhart                        , 488 U.S. at 42, 109 S.Ct at 291-92.                                      
                                                                                                                   - 7 -                                                                                                              2537
  
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as opposed to the other drugs found in McCord's blood (drugs that were not controlled  
                                                                                                                                      
substances) and her unrelated physical condition at the time (e.g., her emotional state).  
                                                                                                                        
                     When the trialjudge addressed this argument at McCord's trial, he correctly  
                                                                                                                          
perceived that the argument was not really an attack on the sufficiency of the State's  
                                                                                                      
evidence, but was rather an argument about the law of causation.  
                                                                                                                                
                     As we have explained, the State presented sufficient evidence to justify the  
                                                                                                                               
conclusion that McCord was impaired as a result of her ingestion of clonazepam.  But  
                                                                                                                            
McCord argues that even if the clonazepam in her body could have impaired her ability  
                                                                                                                            
to drive, the State nevertheless was required to prove that her impairment was due solely  
                               
to the clonazepam.  
                                                                                                                               
                     This contention is incorrect.  As this Court explained in Adams v. State , 359  
                                                                                                                                
P.3d 990, 994 (Alaska App. 2015), when a defendant is prosecuted for driving under the  
                                                                                                                      
influence, Alaska law does not require the State to prove that the alcohol or controlled  
                                                                                                                                 
substances in the defendant's body were the sole cause of the defendant's impairment -  
                                                                                                                                
only that the alcohol or controlled substances were a "substantial factor" in causing the  
                                        
defendant's impairment.  Ibid.  
                                                                                                                                 
                     Thus, McCord is wrong when she argues that the State was required to  
                                                                                                                                      
show that the other substances in her blood played no role in causing her impairment.  
                                                                                                                             
The jury could properly find that McCord was under the influence of clonazepam even  
                                                                                                                        
if the jurors believed that the other substances in her blood, or her unrelated physical  
                                                                                                                             
condition, also contributed in some manner to her impairment, so long as the jurors were  
                                                                                                                                
convinced that McCord's ingestion of clonazepam was a substantial factor in causing her  
                    
impairment.  
                                                                                                                                  
                     Accordingly,  the  trial  judge  correctly  denied  McCord's  motion  for  a  
                                     
judgement of acquittal.  
                                                               - 8 -                                                          2537
  
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Conclusion  
                 McCord's conviction is REVERSED, but McCord can be retried.                                                                                                             
                                                                                       - 9 -                                                                                                    2537
  
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