State v. Demaray

Decision Date23 September 2005
Docket NumberNo. 04-1613.,04-1613.
Citation704 N.W.2d 60
PartiesSTATE of Iowa, Appellant, v. Jay Edward DEMARAY, Appellee.
CourtIowa Supreme Court

Thomas J. Miller, Attorney General, Kevin Cmelik, Assistant Attorney General, Kasey E. Wadding, County Attorney, and Bryan Barker, Assistant County Attorney, for appellant.

James L. Wagner of Gartelos, Wagner & Ament, Waterloo, for appellee.

CADY, Justice.

This case provides us with an opportunity to examine whether blood test evidence obtained by the State pursuant to a written release of medical records, independent of the implied consent statute, may be admissible at trial in an operating while intoxicated (OWI) case. The district court suppressed the defendant's blood test after concluding that a written release of hospital records executed by the defendant was insufficient to waive the physician-patient privilege. Upon our discretionary review of the district court's ruling, we reverse and remand for further proceedings.

I. Background Facts and Proceedings

In the early evening of February 11, 2004, Jay Demaray lost control of his car on an icy road in Bremer County. The car slid into the ditch and became immobile. After Demaray climbed out of the ditch, another driver lost control of his car and struck him. Demaray was injured.

Deputy Dennis Miller, of the Bremer County sheriff's office, was dispatched to the scene. He spoke to Demaray and noticed the smell of alcohol on his breath. Upon inquiry, Demaray admitted he consumed one beer. Demaray was then taken by ambulance to a hospital in Waterloo because of his injuries. Deputy Miller did not perform sobriety tests on Demaray at the accident scene, and he did not accompany Demaray to the hospital. He was the only deputy on call that evening and remained at the accident scene. However, Deputy Miller made a request for another law enforcement officer to go to the hospital to obtain a blood sample from Demaray.

Between 8:00 and 8:30 p.m., a deputy from the Black Hawk County sheriff's office went to the hospital to invoke implied consent. However, he was unable to see Demaray because a doctor was treating his injuries. Shortly after 11:00 p.m., Deputy Miller arrived at the hospital. Deputy Miller went to see Demaray, who was in the intensive care unit with a fractured pelvis. By that time, almost four hours had passed since he was originally dispatched to the accident scene. Deputy Miller believed it was too late to invoke implied consent, even though Demaray had not been arrested or asked to submit to a preliminary screening test. See Iowa Code § 321J.6(2) ("If the peace officer fails to offer a test within two hours after the preliminary screening test is administered or refused or the arrest is made, whichever occurs first, a test is not required, and there shall be no revocation under section 321J.9." (Emphasis added.)). Deputy Miller instead asked Demaray to give his consent for the hospital to release his medical records, which included results of a blood test the hospital performed for treatment purposes. At 11:06 p.m., Demaray signed a release form presented to him by Deputy Miller, which had been obtained from hospital personnel. The form stated:

I hereby authorize Allen Hospital to disclose and deliver to Deputy Dennis Miller the following requested information regarding Jay Edward Demaray for the purpose of accident investigation[:]. . . All medical information regarding accident on 02/11/04.
I understand that I may revoke this authorization at any time.

Demaray's medical records showed he had a blood-alcohol concentration of .10 when the hospital collected his blood at 8:52 p.m.

On March 1, 2004, the State charged Demaray with OWI, first offense, in violation of Iowa Code section 321J.2. Demaray filed a motion to suppress the medical records obtained by Deputy Miller. Demaray argued that the blood test results were not admissible because the blood sample was not taken in compliance with the implied consent statute. See Iowa Code § 321J.11 ("Only a licensed physician, licensed physician's assistant as defined in section 148C.1, medical technologist, or registered nurse, acting at the request of a peace officer, may withdraw a specimen of blood for the purpose of determining the alcohol concentration or the presence of a controlled substance or other drugs." (Emphasis added.)). The State resisted the motion, arguing that the implied consent statute is not the exclusive means by which an officer can obtain blood test results in OWI cases.

The district court granted the motion to suppress. It held the blood test results were privileged, and that the consent by Demaray "did not constitute a consent" for the medical information to be used against him at trial and did not "constitute a waiver of his physician/patient privileges." The State applied for, and we granted, discretionary review.

II. Standard of Review

"When the admission of evidence depends on the interpretation of a statute, we review for correction of errors of law." State v. Palmer, 554 N.W.2d 859, 864 (Iowa 1996) (citing State v. Kjos, 524 N.W.2d 195, 196 (Iowa 1994)). Accordingly, we review the district court's ruling on Demaray's motion to suppress to determine whether the court correctly interpreted and applied chapter 321J. Id.

III. Merits

Our implied consent law is found in chapter 321J of the Iowa Code. "[T]he general purpose of chapter 321J `is to reduce the holocaust on our highways'" due to drunk drivers, and the implied consent law is one means to achieve this goal. Id. at 860-61 (quoting Severson v. Sueppel, 260 Iowa 1169, 1174, 152 N.W.2d 281, 284 (1967)) (footnote omitted).

To achieve this goal, chapter 321J provides authority for chemical testing of bodily substances from persons suspected of driving while intoxicated. [Section 321J.6] is known as Iowa's implied consent law. The premise underlying implied consent is that "a driver impliedly agrees to submit to a test in return for the privilege of using the public highways." In reality, however, the statute normally requires the express consent of the driver before a test is administered. If the driver refuses the test, the State must revoke his or her driver's license.
Although the laudable goal of reducing deaths caused by drunk drivers could be most easily accomplished by the State's unfettered ability to invoke the implied consent law, the legislature has, nevertheless, placed limitations on the circumstances under which section 321J.6 applies. Only when the requirements of section 321J.6 have been met may the State make a suspected drunk driver choose between chemical testing for the presence of alcohol or the loss of his or her driver's license.
. . . .
. . . Section 321J.6 contains the primary conditions limiting the circumstances under which Iowa peace officers may require submission to chemical testing. To rely on the implied consent authorized by section 321J.6, the State must show (1) the withdrawal of bodily substances and the chemical test were "administered at the written request of a peace officer having reasonable grounds to believe that the [defendant] was operating a motor vehicle in violation of section 321J.2" and (2) one of six specified conditions exists.

Id. at 861-62 (citations omitted; second alteration in original). The six conditions listed in the statute to invoke implied consent are:

a. A peace officer has lawfully placed the person under arrest for violation of section 321J.2.
b. The person has been involved in a motor vehicle accident or collision resulting in personal injury or death.
c. The person has refused to take a preliminary breath screening test provided by this chapter.
d. The preliminary breath screening test was administered and it indicated an alcohol concentration equal to or in excess of the level prohibited by section 321J.2.
e. The preliminary breath screening test was administered to a person operating a commercial motor vehicle as defined in section 321.1 and it indicated an alcohol concentration of 0.04 or more.
f. The preliminary breath screening test was administered and it indicated an alcohol concentration less than the level prohibited by section 321J.2, and the peace officer has reasonable grounds to believe that the person was under the influence of a controlled substance, a drug other than alcohol, or a combination of alcohol and another drug.
g. The preliminary breath screening test was administered and it indicated an alcohol concentration of .02 or more but less than .08 and the person is under the age of twenty-one.

Iowa Code § 321J.6(1)(a)-(g).

The second condition was applicable to Demaray. See id. § 321J.6(1)(b) ("The person has been involved in a motor vehicle accident or collision resulting in personal injury or death."). However, instead of invoking implied consent procedures to obtain a blood sample, Deputy Miller used a means not included within the statute: he asked for consent to obtain the blood test the hospital had taken earlier for treatment purposes. See id. § 321J.11 ("Only a licensed physician, . . . acting at the request of a peace officer, may withdraw a specimen of blood for the purpose of determining the alcohol concentration or the presence of a controlled substance or other drugs." (Emphasis added.)); see also id. § 321J.6(1) (noting that a test under the implied consent statute "shall be administered at the written request of a peace officer" (emphasis added)). Therefore, the first issue we face is whether section 321J.11 is the exclusive means by which law enforcement may obtain a blood sample from a defendant in an OWI case.

Section 321J.18 seemingly answers the exclusive-means question:

This chapter does not limit the introduction of any competent evidence bearing on the question of whether a person was under the influence of an alcoholic beverage or a controlled substance or other drug, including the results of chemical tests of specimens of blood, breath, or urine obtained more than
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