                           NOT DESIGNATED FOR PUBLICATION

                                               No. 119,673

               IN THE COURT OF APPEALS OF THE STATE OF KANSAS

                                          STATE OF KANSAS,
                                              Appellee,

                                                     v.

                                       MAUREEN E. MULALLY,
                                           Appellant.


                                    MEMORANDUM OPINION

        Appeal from Wyandotte District Court; AARON T. ROBERTS, judge. Opinion filed July 17, 2020.
Affirmed.


        Rick Kittel, of Kansas Appellate Defender Office, for appellant.


        Daniel G. Obermeier and David Greenwald, assistant district attorneys, Mark A. Dupree Sr.,
district attorney, and Derek Schmidt, attorney general, for appellee.


Before BUSER, P.J., SCHROEDER and WARNER, JJ.


        BUSER, J.: Maureen E. Mulally appeals her conviction of aggravated battery while
driving under the influence of drugs in violation of K.S.A. 2016 Supp. 21-5413(b)(3)(A).
Mulally raises several issues challenging the sufficiency of the evidence supporting her
conviction, the admissibility of evidence, and jury instructions. Upon our review of the
appellate briefs, the record on appeal, and oral arguments, we find no error and, as a
result, affirm the conviction.




                                                     1
                        FACTUAL AND PROCEDURAL BACKGROUND

        On the afternoon of February 1, 2017, Carla Smith was driving home from work
on a two-lane street when she noticed an oncoming Jeep Cherokee traveling in her lane
and moving towards her. The driver of the Jeep seemed to be looking down, because
Smith could only see the top of her head and not her face. The Jeep appeared to
accelerate as it approached Smith. Smith waited for the driver to raise her head and see
that she was in Smith's lane, but the driver did not look up. As a result, Smith took her
foot off the accelerator and braced herself for the impending collision.


        At 4:31 p.m., after the Jeep struck Smith's vehicle, Officer Brian Lynn was
dispatched to the scene. Upon arrival, Officer Lynn observed the very violent collision.
The vehicles were totaled. Officer Lynn identified Mulally as the driver and only
occupant of the Jeep. After Mulally and Smith were extricated from their vehicles, they
were transported to Overland Park Regional Hospital for treatment.


        As part of Officer Lynn's investigation, he went to the hospital to speak with
Mulally and Smith. When he arrived, an emergency room nurse, Hallie Thompson,
handed him a small clear plastic baggie that was found in Mulally's bra. Officer Lynn
recognized the baggie as a type commonly used to contain illegal narcotics. The officer
observed some type of residue in the baggie but it was not tested for the presence of
drugs. At trial, Officer Lynn explained there was not enough residue to perform such a
test.


        Officer Lynn spoke with Mulally at the hospital. Mulally told Officer Lynn that at
the time of the collision she was driving to Lawrence and a man named Darren was in the
vehicle. Officer Lynn believed this statement was nonsensical because at the time of the
collision, Mulally was traveling east and Lawrence was west of her location.
Additionally, Officer Lynn informed her that nobody else was found in the Jeep.

                                              2
       Officer Lynn wanted to obtain a blood sample from Mulally due to the baggie
found on her. She initially agreed to the procedure but after the officer read an implied
consent advisory to Mulally, she refused to consent to the blood draw. Officer Lynn
arrested Mulally for possession of drug paraphernalia and traffic violations. She was then
released to the care of the hospital.


       While in the emergency room, Thompson administered the opiate, Dilaudid, to
Mulally on three occasions between 5:18 p.m. and 6:25 p.m. Hospital records showed
that after Thompson left the hospital at 7 p.m., a dose of Dilaudid and Ativan—
benzodiazepines—were administered to Mulally at 7:23 p.m. and 7:36 p.m. At a
physician's direction, hospital staff performed a urine drug screen on Mulally. The urine
specimen was collected at 9:10 p.m. and it revealed that Mulally tested positive for
opiates, benzodiazepines, and amphetamines.


       Detective James Gunzenhauser, an accident reconstruction specialist, investigated
the collision. The detective obtained a search warrant for Mulally's medical records
regarding her treatment at the hospital. Upon executing the search warrant, Detective
Gunzenhauser received Mulally's drug screen results.


       A week after the collision, on February 8, 2017, Detective Gunzenhauser went to
the hospital and interviewed Mulally. The conversation was recorded. Before
interviewing Mulally, Detective Gunzenhauser did not advise her of Miranda rights. See
Miranda v. Arizona, 384 U.S. 436, 86 S. Ct. 1602, 16 L. Ed. 2d 694 (1966). The detective
made sure that Mulally was able to talk intelligently with him. He told Mulally that she
could stop talking at any time and he was not going to take her to jail no matter what was
discussed.


       During Detective Gunzenhauser's interview, Mulally stated that she would
cooperate to the best of her ability, unless the matter would incriminate her because she

                                             3
knew enough about the law to realize "when to shut up." Mulally explained that she did
not remember anything regarding the accident, but she was driving to pick up her friend,
Darren Curtis, from his worksite. Mulally denied drinking alcoholic beverages on the day
of the accident but acknowledged that she had taken the prescription medications
Klonopin, Levothyroxine, and Celexa about eight-and-a-half hours before the accident.


       In her conversation with Detective Gunzenhauser, Mulally said she was unsure
why her urine tested positive for amphetamines. She denied using methamphetamine on
the day of the accident and explained that she was not prescribed Adderall. When
Mulally stated that she was done talking, Detective Gunzenhauser terminated the
interview and did not arrest her.


       Subsequently, the State charged Mulally in an amended information with
aggravated battery while operating a vehicle under the influence of any drug or
combination of drugs to a degree that rendered her incapable of safely driving a vehicle
(aggravated battery while DUI).


       Immediately before trial, Mulally objected to the admission of the plastic baggie
found in her bra. The district court overruled Mulally's objection.


       At trial, an eyewitness to the collision, Theresa Henre, testified that she was
driving westbound when she saw a Jeep travel towards her on the wrong side of the road.
Henre could not see the driver's face because the driver of the Jeep was looking down. To
avoid a collision, Henre swerved onto the grass beside the road and honked her horn.
When Henre honked, the Jeep "just kind of swayed back over" towards its proper lane.
But as Henre watched in her rearview mirror, the Jeep moved back over into the
oncoming lane of traffic and collided with Smith's vehicle.




                                              4
       Smith also testified regarding the collision. According to her, Mulally crossed over
into her lane, was driving with her head down, and never looked up before she collided
with Smith's vehicle. Smith, who testified from a wheelchair, described her injuries from
the collision. She sustained a "crushed" right ankle and a 2-inch laceration to her arm.
Smith's injuries required a month-long hospitalization and five weeks in a rehabilitation
facility. At the time of trial, despite four surgeries, Smith could not walk due to her
injuries. An upcoming fifth surgery was scheduled to help her walk again.


       Officer Lynn testified regarding his on-scene investigation. He determined that
Mulally had struck Smith's vehicle because Mulally's vehicle was in Smith's lane of
traffic. Without objection, the officer discussed the baggie found on Mulally. Officer
Lynn testified, "In my experience as a Law Enforcement Officer, I'm aware that this
particular type of Ziploc bag is usually used to hold and contain illegal narcotics."


       Officer Lynn discussed his attempt to obtain a blood draw from Mulally. The
officer explained that Mulally initially said she would submit to a blood test. The
prosecutor asked what Mulally's response was after Officer Lynn read her the implied
consent advisory. At trial, Mulally objected on Fourth Amendment grounds. The State
responded that Officer Lynn had probable cause to request the blood test and "[Mulally]
read her rights, and she refused to take it." The district court overruled Mulally's
objection.


       On cross-examination, Officer Lynn was asked to read from his accident narrative.
He read that Mulally was arrested for possession of drug paraphernalia and traffic
violations and then released to the care of the hospital. There was no objection to this
testimony.


       Detective Gunzenhauser testified regarding his investigation and discussed the
medical records he received from Overland Park Regional Hospital regarding Mulally's

                                              5
care and treatment. Without objection, the detective explained that the drug screen results
from the hospital showed that Mulally tested positive for opiates, amphetamines, and
benzodiazepines. According to Detective Gunzenhauser, amphetamines can remain in a
person's system for about 7 to 14 days.


       The State offered Detective Gunzenhauser's recorded interview of Mulally in
evidence. Mulally objected, claiming the recording was inadmissible because the
detective failed to advise Mulally of her Miranda rights before the interview. The district
court ruled that the interview was not custodial and that, as a result, Miranda warnings
were not required. The objection was overruled.


       The State also sought admission of Exhibit No. 4, the document memorializing the
drug screen results. Mulally objected, arguing the State lacked a foundation to admit the
printout because defense counsel could not cross-examine Detective Gunzenhauser about
it and admission of the printout would violate the Confrontation Clause of the Fifth
Amendment to the United States Constitution. After the State suggested that Thompson
could testify about the drug screen results, the district court took the matter under
advisement pending her testimony.


       Next, Thompson testified regarding her encounter with Mulally at the hospital.
When Thompson cut off Mulally's bra, she found a very small plastic baggie. Thompson
gave the baggie to Officer Lynn because she believed it looked like drug paraphernalia.
The State moved to admit the baggie in evidence, Mulally renewed her objection, and
then the district court admitted it.


       Thompson also testified regarding Mulally's drug screen results. Without
objection, she testified that Mulally's drug screen came back positive for opiates,
benzodiazepines, and amphetamines. Thompson acknowledged that the doses of Dilaudid
she administered to Mulally would explain the positive result for opiates. However,

                                              6
Mulally received no drug from the hospital which could have resulted in the positive
result for amphetamines. Moreover, Thompson pointed out there would be no medical
reason to give Mulally amphetamines after the collision.


       Regarding the positive drug screen result for benzodiazepines, Thompson
described them as muscle relaxers commonly known as Klonopin and Ativan. Thompson
confirmed that ingestion of Klonopin—a medication that Mulally was prescribed—would
result in a positive screen for benzodiazepines. Thompson explained that a person taking
Klonopin should not drive a vehicle because the medication can cause sleepiness. She
further stated that it would be "very unsafe" for a person to drive having ingested both
Klonopin and amphetamines into that person's system. Thompson acknowledged that
Mulally's hospital records showed that another nurse administered Ativan to Mulally
before the drug screen was performed.


       After Thompson's testimony regarding Mulally's drug screen results, the State
moved to admit Mulally's hospital records—Exhibit No. 7—which included a printout of
Mulally's drug screen results. Mulally did not object to the introduction of the hospital
records.


       At the close of evidence, the district court addressed Exhibit No. 4—the printout
of Mulally's drug screen which the State sought to introduce after Detective
Gunzenhauser's testimony. The State withdrew this exhibit, noting that the same printout
was included in Mulally's hospital records admitted in evidence as Exhibit No. 7. The
district court ruled that Mulally could still object to the drug screen as a part of Exhibit
No. 7. Mulally reprised her argument that the drug screen printout was inadmissible
under the Confrontation Clause. The district court admitted the drug screen portion of
Mulally's hospital records over her objection, ruling that the document was not
testimonial in nature.


                                               7
       The jury found Mulally guilty of aggravated battery while DUI. Smith died after
Mulally's trial. At sentencing, the State explained that "[Smith] went to the hospital to get
the final surgery on her ankle, foot, to try to get it so she could walk again and she died."
The district court sentenced Mulally to 122 months in prison.


       Mulally appeals.


            SUFFICIENCY OF EVIDENCE OF AGGRAVATED BATTERY WHILE DUI

       Mulally first contends there was insufficient evidence presented at trial to support
her conviction of aggravated battery while DUI. In particular, she asserts:


               "Based on the paucity of evidence presented about the quantity of drugs in [her]
       system, the specific identities of the drugs in [her] system, and the effect that a specific
       drug in a specific quantity would have had on [her], it was impossible for the jury to
       legally conclude that it was drugs that affected [her] driving."


       When the sufficiency of evidence is challenged in a criminal case, our court
reviews all evidence in the light most favorable to the State. State v. Chandler, 307 Kan.
657, 668, 414 P.3d 713 (2018). The conviction will be upheld if the court is convinced
that a rational fact-finder could have found the defendant guilty beyond a reasonable
doubt based on that evidence. In determining whether there is sufficient evidence to
support a conviction, an appellate court generally will not reweigh the evidence or
reassess witness credibility. 307 Kan. at 668. Lastly, a verdict may be supported by
circumstantial evidence if that evidence provides a basis for a reasonable inference by the
fact-finder on the fact in issue. To be sufficient, circumstantial evidence need not exclude
every other reasonable conclusion. State v. Logsdon, 304 Kan. 3, 25, 371 P.3d 836
(2016).




                                                     8
       Mulally was charged and convicted of aggravated battery in violation of K.S.A.
2016 Supp. 21-5413(b)(3)(A). This subsection provides that an aggravated battery
includes driving under the influence "when great bodily harm to another person or
disfigurement of another person results from such act." K.S.A. 2016 Supp. 21-
5413(b)(3)(A). To establish that Mulally committed an aggravated battery while DUI, the
State was required to prove that she was operating the vehicle "under the influence of a
drug or combination of drugs to a degree that rendered her incapable of safely driving a
vehicle." See K.S.A. 2016 Supp. 8-1567(a)(4).


       Mulally does not contest that Smith suffered great bodily harm or disfigurement
from the collision. She also admits "there was evidence of drugs in Mulally's system."
Mullaly's complaint is that the "specific identities" and "precise levels of any drugs in
Mulally's system" were not proven.


       We are persuaded that, in the light most favorable to the State, there was sufficient
evidence for a rational jury to conclude beyond a reasonable doubt that Mulally operated
a vehicle while under the influence of drugs to a degree that rendered her incapable of
safely driving her vehicle. The following evidence—considered in its totality—was
sufficient for the jury to render a guilty verdict:


           • Moments before the collision, Henre observed Mulally looking down while
              driving, traveling on the wrong side of the road, and approaching her
              oncoming vehicle. After honking her horn and avoiding a head-on collision,
              Henre saw Mulally's car return to its proper lane of traffic only to see it
              cross over again into the oncoming lane and collide with Smith's vehicle.
              "Obviously, evidence of unsafe driving can suggest intoxication." City of
              Wichita v. Molitor, 301 Kan. 251, 268, 341 P.3d 1275 (2015).




                                               9
• Immediately before the collision, Smith observed Mulally's vehicle cross
   over into the oncoming lane of traffic. Mulally's head was down and she
   never looked up before impact. Mullally's driving behavior after the near
   collision with Henre—returning to the proper lane of traffic but then
   promptly crossing over and striking Smith's oncoming vehicle—suggests
   that Mulally's dangerous driving was not the result of simple inattentiveness
   or falling asleep, but the result of being under the influence of drugs which
   rendered her incapable of safely driving the vehicle.

• Trial evidence showed that Mulally had Klonopin in her system at or about
   the time of the collision which could result in an individual being unable to
   safely drive a vehicle. Mulally informed Detective Gunzenhauser that she
   took Klonopin about eight hours prior to the collision. Thompson testified
   that Klonopin can cause sleepiness and a person should not drive a vehicle
   while taking that medication.


• There was evidence that Mullaly had amphetamines in her system at or
   about the time of the collision, which Thompson said could not be
   explained by any drug administered at the hospital. Although Detective
   Gunzenhauser testified that amphetamines may stay in a person's system for
   about 7 to 14 days, evidence suggested that Mulally recently ingested
   illegal drugs before the collision. Thompson found a small plastic baggie—
   which she suspected was drug paraphernalia—inside Mulally's bra. Based
   on his training and experience, Officer Lynn confirmed that the baggie,
   which contained residue, was typically utilized by users of illegal drugs to
   hold narcotics. Lastly, Thompson opined that it would be "very unsafe" to
   drive while taking Klonopin and amphetamines together.




                                   10
       Contrary to Mulally's claim, there was evidence showing the specific drugs that
Mulally had ingested prior to the collision. There was also evidence as to the adverse
effect these drugs would have on safe driving behavior. Moreover, Mulally does not
favor us with any caselaw that requires the State to prove the quantifiable amounts of
drugs a person ingested prior to the collision.


       Additionally, contrary to Mulally's claims, the jury was not required to engage in
improper inference stacking to find her guilty. The jury heard direct evidence of
Mulally's usage of prescribed and/or illicit drugs before the collision. Evidence was
presented that the use of these drugs could adversely affect a person's ability to safely
operate a motor vehicle. There was also eyewitness testimony regarding Mulally's
dangerous driving which caused the violent collision.


       Mulally's failure to drive in the proper lane after being alerted by Henre honking
her vehicle's horn, along with her positive drug results, her admission to using
prescription medications known to cause drowsiness, and the suspected drug
paraphernalia located in her bra, leads to a fair inference that Mulally's inattentiveness
and unsafe driving was related to the effects of a drug or combination of drugs. And
Mulally's inability to operate her car within the proper lane is persuasive evidence that
the influence of drugs was strong enough to render her incapable of safely driving.


       Having reviewed all the evidence in the light most favorable to the State, we are
convinced that a rational fact-finder could have found Mulally guilty beyond a reasonable
doubt of aggravated battery while DUI.


                     ADMISSION OF PLASTIC BAGGIE INTO EVIDENCE

       Mulally makes four claims of error regarding the district court's admission of the
small plastic baggie into evidence. First, Mulally argues the baggie should not have been

                                             11
admitted because it was not relevant to a material issue at trial. Second, even if the baggie
was relevant, its admission was unduly prejudicial. Third, Mulally asserts the baggie was
improperly admitted as K.S.A. 60-455 prior crimes evidence. Fourth, despite this error,
the district court should have submitted a K.S.A. 60-455 limiting jury instruction.


       Our court employs a two-step process to review a district court's decision to admit
evidence. State v. Lowery, 308 Kan. 1183, 1226, 427 P.3d 865 (2018). First, we
determine whether the challenged evidence is relevant. If so, we review the district
court's application of the statutory provisions and legal principles governing evidence.
308 Kan. at 1226. "Appellate review of the trial court's application of the applicable legal
rules and principles depends upon whether the rule or principle permits the trial court to
exercise its discretion (abuse of discretion review) or whether the rule raises questions of
law (unlimited review)." State v. Miller, 308 Kan. 1119, 1166, 427 P.3d 907 (2018).


Relevance of the Plastic Baggie

       Mulally claims the "baggie was not relevant because it had no tendency in reason
to prove any material fact." She asserts the plastic baggie does not indicate she was under
the influence of drugs when the accident occurred because the State produced no
evidence that drugs were in the baggie.


       To be relevant, evidence must be both material and probative. Lowery, 308 Kan. at
1226. Evidence is material when the fact it supports is in dispute and has a legitimate
bearing on the outcome of the case. 308 Kan. at 1226. "Evidence is probative if it has any
tendency to prove any material fact." Miller, 308 Kan. at 1167. The district court's ruling
on materiality is reviewed de novo, but probativity is reviewed for abuse of discretion.
Lowery, 308 Kan. at 1226. A judicial action constitutes an abuse of discretion if (1) no
reasonable person would take the view adopted by the judge; (2) it is based on an error of



                                             12
law; or (3) it is based on an error of fact. State v. Ingham, 308 Kan. 1466, 1469, 430 P.3d
931 (2018).


       Here, the district court ruled that the plastic baggie "provide[s] a relevant link in
the chain of evidence leading to this DUI related aggravated battery offense." The district
court found the baggie was probative, noting that it could explain why Mulally had
amphetamine in her system and a jury could see the empty baggie as evidence that
Mulally had recently used the drug before the collision.


       Whether Mulally was under the influence of drugs at the time of the collision was
a material issue in the case. See K.S.A. 2016 Supp. 21-5413(b)(3)(A); K.S.A. 2016 Supp.
8-1567(a)(4). As the district court determined, the empty plastic baggie found inside
Mulally's bra tended to prove that she ingested drugs before the collision. Officer Lynn
and Thompson recognized the baggie as drug paraphernalia, and Officer Lynn testified
that the baggie was a type commonly used to contain illegal narcotics.


       Although the State presented no direct evidence that drugs had been in the plastic
baggie, its possession (and the fact it was secreted in Mulally's undergarment) made it
more probable that Mulally had recently used illegal narcotics than it would be without
the evidence. The baggie also made it more likely that Mulally's positive drug screen for
amphetamines was the result of illegal drug usage before the accident, rather than drugs
administered at the hospital or a false positive on her drug screen.


       A reasonable person could find that the plastic baggie tended to prove that Mulally
was under the influence of drugs at the time of the collision. Since Mulally's drug use was
a material fact in the case, the district court did not err by finding that the baggie was
relevant evidence.




                                              13
       More Probative than Prejudicial


       Mulally also argues that if the plastic baggie was relevant, the district court abused
its discretion by refusing to find the prejudicial effect of the baggie greatly outweighed
any probative value. Mulally asserts the admission of the baggie was unduly prejudicial
because it suggested that she was a criminal and user of illegal drugs.


       A district court has discretion to exclude relevant evidence when it finds its
probative value is outweighed by the potential for producing undue prejudice. K.S.A. 60-
445. See State v. Boysaw, 309 Kan. 526, 540, 439 P.3d 909 (2019). In this case, the
district court concluded that the plastic baggie's probative value was not outweighed by
the potential for undue prejudice. Our court reviews the district court's determination that
the probative value of evidence outweighs its potential for producing undue prejudice for
an abuse of discretion. Ingham, 308 Kan. at 1469. "No set test exists for weighing
probative value against prejudicial effect." Boysaw, 309 Kan. at 541. However, "the
exclusion of relevant evidence is an extraordinary remedy that should be used sparingly."
State v. Seacat, 303 Kan. 622, 640, 366 P.3d 208 (2016).


       As previously discussed, the small plastic baggie was probative of whether
Mulally was under the influence of drugs at the time of the collision. The closing
arguments show that this material fact was the primary issue in the case. Mulally argued
the drugs causing the positive result for amphetamines could have been ingested seven to
14 days before the collision and the positive result did not show she was impaired.
Mulally then proposed that a medical condition may have caused her unsafe driving. The
empty baggie concealed in Mulally's bra, however, was probative of her recent use of
illegal narcotics, consistent with her impairment at the time of the collision.


       In comparison to its probative value, there was little risk of undue prejudice.
Undue prejudice does not turn on "whether the evidence is damaging but on whether the

                                             14
evidence is likely to contribute to an improper jury verdict or distract from the central
issues at trial." State v. Dern, 303 Kan. 384, 395, 362 P.3d 566 (2015). The admission of
the plastic baggie was unlikely to contribute to an improper jury verdict. While Mulally
complains that the baggie insinuated she was an illegal drug user, her recent drug use
before the collision was a central issue at trial and an element of the crime that the State
was required to prove. And the baggie only suggested that Mulally used illegal drugs near
the time of the collision, not that she had a history of drug use unrelated to the collision.


       In sum, the small plastic baggie was probative to a material fact and likely did not
distract the jury from the central issues in the case. Moreover, the district court did not
abuse its discretion by ruling the evidence's probative value was not outweighed by
undue prejudice.


Admissibility of the Plastic Baggie Under K.S.A. 60-455

       Next, Mulally contends the district court erred by admitting the plastic baggie in
evidence because the State failed to give the required statutory notice that it intended to
offer evidence of prior crimes, and the district court failed to consider the admissibility of
the baggie under K.S.A. 60-455. Mulally also claims the district court erred by failing to
give a K.S.A. 60-455 limiting instruction regarding the baggie.


       Generally, all relevant evidence is admissible unless prohibited by statute,
constitutional provision, or court decision. See K.S.A. 60-407(f); Nauheim v. City of
Topeka, 309 Kan. 145, 153, 432 P.3d 647 (2019). Under K.S.A. 2019 Supp. 60-455(a),
evidence of a person's prior crimes or civil wrongs may not be admitted to prove that the
person has the tendency to commit certain crimes. But the statute also provides that
evidence of prior crimes or civil wrongs is admissible if it proves a material fact other
than the propensity to commit crimes, such as motive or intent. K.S.A. 2019 Supp. 60-
455(b). If the State intends to offer K.S.A. 60-455 evidence, the prosecuting attorney

                                              15
must disclose the evidence to the defendant "at least 10 days before the scheduled date of
trial or at such later time as the court may allow for good cause." K.S.A. 2019 Supp. 60-
455(e).


       While on appeal Mulally claims the plastic baggie was evidence of another crime
used to establish an improper propensity inference, she did not object on that basis at
trial. Instead, Mulally objected because the prejudicial effect of the baggie outweighed
any probative value. Importantly, Mulally never argued that the admission of the baggie
violated either K.S.A. 2019 Supp. 60-455(a) or (e).


       Under K.S.A. 60-404, a defendant must make a timely and specific objection to
the admission of evidence at trial to preserve the issue for appeal. Additionally, a party
may not object at trial to the admission of evidence on one ground and then argue a
different ground on appeal. See State v. McCormick, 305 Kan. 43, 47, 378 P.3d 543
(2016). "The contemporaneous objection rule applies to evidence alleged to be admitted
in violation of K.S.A. 60-455." State v. Gaona, 293 Kan. 930, 956, 270 P.3d 1165 (2012);
also see State v. Yaeger, No. 112,692, 2015 WL 6835257, at *1-2 (Kan. App. 2015)
(unpublished opinion) (requiring a contemporaneous objection to preserve an argument
that the prosecuting attorney failed to timely disclose K.S.A. 60-455 evidence).


       Since Mulally failed to make an objection under K.S.A. 60-455 at trial, she failed
to preserve the admissibility issue for appellate review.


Failure to Give a K.S.A. 60-455 Limiting Instruction

       In addition to erroneously admitting K.S.A. 60-455 evidence, Mulally contends
the district court erred by failing to give a limiting instruction regarding the plastic
baggie.



                                              16
       At the outset, Mulally's instructional argument is not waived by her failure to
object to the alleged K.S.A. 60-455 evidence at trial. State v. Breeden, 297 Kan. 567,
582-83, 304 P.3d 660 (2013) ("[T]he right to challenge the lack of a [K.S.A. 60-455]
limiting instruction is not based on whether a party has objected to the admission of the
evidence that is the subject of the instruction."). As a result, a defendant may challenge
the lack of a limiting instruction as clearly erroneous even if the defendant did not object
to the admission of the prior crimes evidence at trial. 297 Kan. at 583.


       When reviewing jury instruction issues, our court determines (1) whether the issue
was preserved for appellate review; (2) whether the instruction was legally and factually
appropriate; and (3) whether any error was harmless. State v. Barrett, 309 Kan. 1029,
1036-37, 442 P.3d 492 (2019). Whether a party preserved the jury instruction issue
affects the reversibility inquiry at the third step. State v. McLinn, 307 Kan. 307, 317, 409
P.3d 1 (2018). Since Mulally did not request a K.S.A. 60-455 limiting instruction, we
evaluate her claim under the clearly erroneous standard. K.S.A. 2019 Supp. 22-3414(3).
An instruction is clearly erroneous only if the defendant firmly convinces the appellate
court that the jury would have returned a different verdict if the instruction had been
given. State v. Solis, 305 Kan. 55, 65, 378 P.3d 532 (2016).


       Turning to whether the instruction was appropriate, our Supreme Court has noted
that a limiting instruction is not legally proper when the evidence of prior bad acts or
crimes is not subject to K.S.A. 60-455. State v. Gonzalez, 307 Kan. 575, 597, 412 P.3d
968 (2018).


       When evidence of prior bad acts or crimes is admitted at trial under K.S.A. 60-
455, our Supreme Court requires the district court to give a limiting instruction informing
the jury of the specific purpose for its admission. State v. Gunby, 282 Kan. 39, 48, 144
P.3d 647 (2006). But K.S.A. 60-455 does not apply when the evidence at issue relates to
crimes or civil wrongs committed concurrently with the events surrounding the crimes for

                                             17
which the defendant is on trial. State v. King, 297 Kan. 955, 963-64, 305 P.3d 641 (2013).
Applying King, our Supreme Court has found that "K.S.A. 60-455 does not prohibit the
admission of evidence regarding other crimes and civil wrongs if the evidence relates to
acts committed as part of the events surrounding the crimes or civil wrongs at issue in the
trial." (Emphasis added.) State v. Charles, 304 Kan. 158, 175-76, 372 P.3d 1109 (2016),
abrogated on other grounds by State v. Huey, 306 Kan. 1005, 399 P.3d 211 (2017).


       In this case, the plastic baggie was found on Mulally after the collision for which
she was on trial. The baggie was admitted to show that Mulally was under the influence
of drugs when the collision occurred. While the baggie was evidence of the crime of
possessing drug paraphernalia, this crime was committed concurrent with the events
surrounding the aggravated battery while DUI for which Mulally was on trial. Under
King, K.S.A. 60-455 does not apply to Mulally's contemporaneous possession of the
baggie as drug paraphernalia. As a result, a limiting instruction was not legally or
factually appropriate, and the district court did not err by failing to give the instruction.


                  ADMISSION OF INTERVIEW RECORDING INTO EVIDENCE

       Mulally contends the district court erred by admitting into evidence the recording
of her interview with Detective Gunzenhauser. Mulally argues her statements to
Detective Gunzenhauser were not admissible because she was subjected to a custodial
interrogation and was not read her Miranda rights before making incriminating
statements. In support of this assertion, Mulally claims that Detective Gunzenhauser's
interview was custodial because she was arrested by Officer Lynn on the day of the
accident.


       When the State requested admission of the recording of Mulally's interview with
Detective Gunzenhauser, she objected and argued the recording was inadmissible
because Detective Gunzenhauser failed to advise her of Miranda rights before the

                                              18
interview. After the State engaged in a brief inquiry with the detective regarding the
nature of the interview, the district judge ruled that it "was not a custodial interrogation
and Miranda does not apply, and over defense objection, I will admit [the recording] and
allow it to be published into evidence." In short, this issue was preserved for appellate
review. See State v. Ballou, 310 Kan. 591, 613-14, 448 P.3d 479 (2019) (noting a timely
objection comes between the introduction of the evidence and its admission).


       Statements made during a custodial interrogation must be excluded under the Fifth
Amendment to the United States Constitution unless the State demonstrates it used
procedural safeguards—Miranda warnings—to secure the defendant's privilege against
self-incrimination. State v. Regelman, 309 Kan. 52, 59, 430 P.3d 946 (2018). But the
Miranda safeguards are triggered only when the accused is in custody and subject to
interrogation. 309 Kan. at 59.


       "A custodial interrogation is defined as questioning initiated by law enforcement
officers after a person has been taken into custody or otherwise deprived of his or her
freedom in any significant way." State v. Lewis, 299 Kan. 828, 834, 326 P.3d 387 (2014).
A custodial interrogation differs from an investigatory interrogation, which occurs as a
routine part of the fact-finding process before an investigation reaches the accusatory
stage. Regelman, 309 Kan. at 59.


       The United States Supreme Court in Miranda emphasized that these constitutional
protections applied only to custodial interrogations, not to "general on-the-scene police
questioning of a suspect in the fact-finding process." State v. Vanek, 39 Kan. App. 2d
529, 532, 180 P.3d 1087 (2008). In particular, the Supreme Court noted:


               "Our decision is not intended to hamper the traditional function of police officers
       in investigating crime. . . . General on-the-scene questioning as to facts surrounding a
       crime or other general questioning of citizens in the fact-finding process is not affected


                                                    19
       by our holding. . . . In such situations, the compelling atmosphere inherent in the process
       of in-custody interrogation is not necessarily present. [Citations omitted.]" Miranda, 384
       U.S. at 477-78.


       In making the determination of whether questioning is investigatory or custodial,
an objective standard is used. State v. Jacques, 270 Kan. 173, 186, 14 P.3d 409 (2000).
"The proper analysis is how a reasonable person in the suspect's position would have
understood the situation." 270 Kan. 173, Syl. ¶ 6.


       The Kansas Supreme Court has identified eight factors for courts to consider in
determining whether police questioning of an individual is investigative or custodial.
These factors include:


       "(1) the interrogation's time and place; (2) its duration; (3) the number of law
       enforcement officers present; (4) the conduct of the officer and the person questioned; (5)
       the presence or absence of actual physical restraint or its functional equivalent, such as
       drawn firearms or a stationed guard; (6) whether the person is being questioned as a
       suspect or a witness; (7) whether the person questioned was escorted by officers to the
       interrogation location or arrived under his or her own power; and (8) the interrogation's
       result, e.g., whether the person was allowed to leave, was detained further, or was
       arrested after the interrogation." Regelman, 309 Kan. at 59.


       When considering these eight factors, no single factor outweighs another, and the
factors are not treated as if each one bears equal weight. Each case must be analyzed on
its own particular facts. 309 Kan. at 59. We will analyze each factor separately.


       The material facts related to Detective Gunzenhauser's interview of Mulally are
not in dispute. Accordingly, our court uses a de novo standard of review to determine
whether, under the totality of the circumstances, a reasonable person in Mulally's position



                                                    20
would have felt free to terminate the interrogation and disengage from the encounter. See
309 Kan. at 60.


The Time and Place of the Interrogation

       "Generally, other things being equal, a person questioned in familiar, or at least
neutral, surroundings does not face the same pressures as one questioned in a police-
dominated atmosphere and this factor weighs against a conclusion that an interview was
custodial." State v. Warrior, 294 Kan. 484, 497, 277 P.3d 1111 (2012). In Warrior, the
Kansas Supreme Court found that police interviews which occurred in the defendant's
hospital room were investigatory, not custodial in nature. 294 Kan. at 497-503. In
reaching this conclusion, the court noted that "'a hospital room does not produce the aura
of police authority that a police department interview room does.'" 294 Kan. at 497-98
(quoting People v. Vasquez, 393 Ill. App. 3d 185, 191, 913 N.E.2d 60 [2009]).


       Like the location in Warrior, the interview here occurred in a hospital room, and it
took place at a reasonable time—at 10:18 in the morning. Given that the interview was
done at a neutral location and at a reasonable time, this factor weighs in favor of a finding
that Mulally was not in custody.


Duration of the Interview

       Detective Gunzenhauser's interview lasted only about eight minutes. Before
questioning, the detective informed Mulally that she could stop the interview at any time,
which she did shortly after it began.


The Number of Law Enforcement Officers Present

       Detective Gunzenhauser was the only officer present during the interview.


                                             21
The Conduct of the Officer and the Person Questioned

       Detective Gunzenhauser began the interview by telling Mulally that he was not
going to take her to jail regardless of what was discussed during the interview. He also
told her that she could terminate the interview at any time. Mulally responded that she
would cooperate to the best of her ability, but that she was not going to incriminate
herself and knew "enough about the law [to know] when to shut up."


       During the interview, Detective Gunzenhauser did not use coercive threats or
hostile language. After he began asking Mulally why she tested positive for
amphetamines and whether she used methamphetamine, Mulally stated that she was done
answering questions and terminated the interview.


Actual Physical Restraint or Its Functional Equivalent

       Mulally was unable to leave the hospital due to her injuries at the time of the
interview. However, "physical incapacity resulting from forces outside the control of law
enforcement does not amount to custody." Warrior, 294 Kan. at 498. As a result, "a law
enforcement interview of an accident victim at a hospital is not a custodial interrogation
unless the victim's confinement is instigated by law enforcement or controlled for
custodial purposes." 294 Kan. at 498.


       Mulally argues that she was in custody at the hospital because Officer Lynn
arrested her for possession of drug paraphernalia on the day of the collision. While
Officer Lynn arrested Mulally for possessing drug paraphernalia on February 1, 2017, he
promptly released her from custody so that she could be taken to the hospital for
treatment. During her hospitalization, Mulally was not restrained by law enforcement
officers, nor was there any evidence that officers exercised any care, custody, or control
over her. As a result, Officer Lynn's prior arrest and release from custody does not show


                                            22
that Mulally was in custody when Detective Gunzenhauser interviewed her one week
later about a different criminal offense. See People v. Goff, No. C043862, 2004 WL
2011459, at *5 (Cal. App. 2004) (unpublished opinion).


Whether the Person Is Being Questioned as a Suspect or a Witness

       Before Detective Gunzenhauser interviewed Mulally, he was aware of the small
plastic baggie found on Mulally. The detective also received the drug screen results
which were positive for opiates, amphetamines, and benzodiazepines. Given Detective
Gunzenhauser's questions regarding her use of methamphetamine on the day of the
collision and Mulally's prompt termination of the interview, it is apparent that she
understood she was being interviewed as a suspect. "But the fact a suspect is the focus of
an investigation, standing alone, does not trigger the need for Miranda warnings."
Warrior, 294 Kan. at 503.


How the Person Arrived at the Location of the Interview

       About one week prior to the interview, Mulally was transported by ambulance to
the hospital for treatment, not by order of law enforcement.


The Result of the Interrogation

       As promised by Detective Gunzenhauser, Mulally was not arrested or detained
after the interview. The interview took place on February 8, 2017, and Mulally was not
charged with aggravated battery while DUI until February 27, 2017.


Conclusion

       The totality of the circumstances shows that a reasonable person in Mulally's
position would have felt free to terminate the interview and disengage from the

                                            23
encounter. Indeed, that is exactly what Mulally did. Given that Detective Gunzenhauser
told Mulally she could stop the questioning at any point, the short duration of the
interview, the neutral location of where the interview took place, the lack of any
restraints, the detective's nonaccusatory interview style, and that he was the only officer
to conduct the interview, we are persuaded Mulally was not deprived of her freedom in
any significant way. Additionally, Detective Gunzenhauser's assurance that Mulally
would not be taken to jail following the interview conveyed he was still in the fact-
finding process.


         Considering together the eight factors listed in Regelman, we are persuaded that
Detective Gunzenhauser engaged in investigative questioning of Mulally and she was not
in custody at the time of the interview. As a result, Detective Gunzenhauser was not
required to advise Mulally of her Miranda rights and obtain a waiver of those rights prior
to questioning. The district court did not err by overruling Mulally's objection and
admitting the recording of her interview into evidence.


                   ADMISSION OF DRUG SCREEN PRINTOUT INTO EVIDENCE

         Mulally claims the district court erred by admitting the results of her drug screen
printout into evidence. She asserts the drug screen results recorded on the printout were
inadmissible because: (1) the results were irrelevant; (2) the State failed to establish a
foundation for the admission of scientific evidence; (3) the State failed to establish a
chain of custody; and (4) the prejudicial effect of the results outweighed any probative
value.


         At trial, Mulally objected to the drug screen printout and argued that its admission
violated her rights under the Fifth Amendment's Confrontation Clause. The district court
overruled Mulally's objection, finding the drug screen results memorialized on the
printout were not testimonial. Since Mulally does not reprise her Confrontation Clause

                                              24
argument on appeal, she has abandoned that issue. See State v. Arnett, 307 Kan. 648, 650,
413 P.3d 787 (2018) (noting that an issue not briefed is deemed waived or abandoned).


       Importantly, Mulally did not object to the drug screen printout at trial based on the
four reasons she raises for the first time on appeal. As a result, Mulally failed to preserve
these arguments for appellate review. See McCormick, 305 Kan. at 47 (A party may not
object at trial to the admission of evidence on one ground and then on appeal argue a
different ground.).


       Moreover, assuming Mulally preserved her arguments for appellate review and
one of them was meritorious, any error in admitting the drug screen printout would be
harmless. "Assuming error and assuming that it is of a constitutional dimension, this
court may find the error harmless so long as there was no reasonable possibility that it
affected the outcome of the trial." Ingham, 308 Kan. at 1472.


       In the case on appeal, Detective Gunzenhauser and Thompson testified extensively
about Mulally's drug screen results and, without objection from Mulally, explained that
her drug screen was positive for opiates, benzodiazepines, and amphetamines. As a result,
any error in admitting the drug screen printout was harmless because the same evidence
was admitted through witness testimony without objection. See Lowery, 308 Kan. at
1235-36 (finding error harmless when evidence contained in potentially inadmissible
hearsay came in through other testimony without objection).


       The district court did not err in admitting the drug screen printout into evidence.


                ADMISSION OF REFUSAL TO CONSENT TO A BLOOD DRAW

       Mulally contends the State violated her constitutional rights by admitting evidence
that she refused a blood draw. Relying on Doyle v. Ohio, 426 U.S. 610, 96 S. Ct. 2240,

                                             25
49 L. Ed. 2d 91 (1976), Mulally argues that the State committed reversible error by
calling attention to her refusal of the blood draw and using that refusal as evidence of her
guilt.


         Appellate review of whether a defendant's constitutional rights were violated by
the State's introduction of evidence is a question of law subject to unlimited review. State
v. Fisher, 304 Kan. 242, 248, 373 P.3d 781 (2016). Both parties frame this issue solely as
an evidentiary claim. Evidentiary claims—including claims related to the State's
questioning of a witness—must be preserved for appellate review by a contemporaneous
objection. State v. King, 288 Kan. 333, 349, 204 P.3d 585 (2009).


         At trial, Officer Lynn testified that he wanted to obtain a blood draw from
Mulally. Officer Lynn explained that "I originally asked her if she would submit to a
blood draw and initially she said that she would." But before a blood draw was taken,
Officer Lynn read Mulally an implied consent advisory. The implied consent advisory
stated, in relevant part, that Kansas law required Mulally to complete a breath, blood, or
urine test to determine if she was under the influence of alcohol and/or drugs. The
advisory also informed Mulally that her refusal to submit to testing may be used against
her at any trial arising out of the operation of a vehicle while under the influence of
alcohol/drugs.


         After Officer Lynn testified that Mulally initially agreed to complete a blood draw,
the prosecutor asked, "And after you had read her the implied consent, what was her
response?" Before Officer Lynn could answer, Mulally's attorney objected to the question
under Fourth Amendment grounds and cited State v. Ryce, 303 Kan. 899, 368 P.3d 342
(2016) (Ryce I), aff'd on reh'g 306 Kan. 682, 396 P.3d 711 (2017) (Ryce II). The State
responded that Officer Lynn had probable cause to request a blood test and explained—
apparently within the jury's hearing—that Mulally refused to complete the blood draw.
The district court overruled Mulally's objection to the State's questioning. However, the

                                              26
State then changed subjects and Officer Lynn never actually testified that Mulally refused
the blood draw.


       While no testimony was presented that Mulally refused the blood draw, both
parties treat the State's recitation of this fact in its argument as admitted evidence.
Accordingly, we will consider Mulally's refusal to consent to a blood draw as evidence
admitted over her timely objection.


       During closing argument, the State relied on Mulally's refusal to consent to a
blood draw and argued it suggested she was under the influence of drugs:


       "He goes on and on about testing. Well, guess what? The State of Kansas wanted to test
       her. They read her all of her rights. The Officer said she followed along. Initially she said
       she would take the test, and then when it got to will you take it? No.
               ". . . She could have got her own test. But guess what? She said no, no, no.
       Because why? Because there's only one reason this crash happened. And it's because she
       was under the influence."


       On appeal, Mulally does not favor us with on-point legal authority in support of
her contention. However, she mentions our Supreme Court's decision in Ryce I to support
her argument that the State violated her Fourth Amendment rights when it presented
testimony that she refused to submit to a warrantless blood test.


       Mulally's argument presents an issue similar to one our court addressed in State v.
Arellano, No. 116,448, 2018 WL 1352571 (Kan. App. 2018) (unpublished opinion). In
Arellano, this court determined that the admission of a defendant's refusal to take a
breath-alcohol test did not violate the defendant's rights under the Fourth Amendment.
2018 WL 1352571, at *3-4. Like the admitted breath test in Arellano, we are persuaded
that the State's evidence that Mulally refused to consent to a blood draw did not violate
her Fourth Amendment rights. See State v. Rajda, 208 Vt. 324, 332-44, 196 A.3d 1108
                                                    27
(2018) (providing an extensive analysis on why the Fourth Amendment does not bar
admission of a defendant's refusal to submit to a warrantless blood draw).


       The Fourth Amendment to the United States Constitution and § 15 of the Kansas
Constitution Bill of Rights protects citizens from unreasonable searches and seizures. All
warrantless searches are per se unconstitutional, subject only to a few specific and well-
established exceptions. State v. Estrada-Vital, 302 Kan. 549, 556, 356 P.3d 1058 (2015).
"The exceptions to the warrant requirement are: '"consent; search incident to a lawful
arrest; stop and frisk; probable cause plus exigent circumstances; the emergency doctrine;
inventory searches; plain view or feel; and administrative searches of closely regulated
businesses."'" 302 Kan. at 556 (quoting State v. Sanchez-Loredo, 294 Kan. 50, 55, 272
P.3d 34 [2012]).


       A blood draw conducted by police constitutes a search under the Fourth
Amendment. Ryce I, 303 Kan. at 910. In this case, Mulally did not submit to a blood
draw following the collision so there was no warrantless search. Instead, her argument
focuses on the theory that by using evidence of her refusal at trial, the State punished her
for exercising her Fourth Amendment right to refuse to consent to a warrantless search.
In this respect, Mulally likens the State's use of her refusal to a Doyle violation—a Fifth
Amendment issue—which occurs when the State seeks to impeach a defendant with his
or her post-Miranda silence. See Fisher, 304 Kan. at 248.


       At the time Mulally refused the blood draw, the Kansas implied consent law
allowed an individual's refusal of a blood test to be admissible as evidence against that
individual. K.S.A. 2016 Supp. 8-1001(n). Even after subsequent revisions, Kansas law
currently provides that a person's refusal to submit to a blood draw "shall be admissible in
evidence against the person at any trial on a charge arising out of the alleged operation or
attempted operation of a vehicle while under the influence of alcohol or drugs, or both."
K.S.A. 2019 Supp. 8-1001(n). Importantly, our Supreme Court has upheld the

                                             28
constitutionality of a former version of this provision and allowed refusal evidence to be
admitted at trial. State v. Compton, 233 Kan. 690, 694, 664 P.2d 1370 (1983).


       Contrary to Mulally's argument, Ryce I does not support her claim that the State's
proof of her refusal to consent to a blood test violated her constitutional rights. In Ryce I,
our Supreme Court held that K.S.A. 2014 Supp. 8-1025—which imposed criminal
penalties on an individual who refused to submit to any test that is deemed consented
to—was facially unconstitutional because it criminalized an individual's right to
withdraw consent to a warrantless search. 303 Kan. at 963. Using a due process analysis,
the Supreme Court agreed that the State had a compelling interest to prevent drunk
driving, but ultimately held that K.S.A. 2014 Supp. 8-1025 was not narrowly tailored to
serve those compelling interests. 303 Kan. at 963. In this analysis, the court noted that
other constitutional penalties—such as suspension of driving privileges—encouraged
suspects to provide consent to testing. 303 Kan. at 958-63. Nothing in Ryce I suggests it
overruled Compton or otherwise forbade prosecutors from offering evidence of a test
refusal against a defendant.


       In addition to our Supreme Court, the United States Supreme Court has upheld
similar laws and approved using refusal evidence as evidence of guilt at a criminal trial.
The United States Supreme Court in South Dakota v. Neville, 459 U.S. 553, 554, 564,
103 S. Ct. 916, 74 L. Ed. 2d 748 (1983), held that admitting evidence of a defendant's
refusal to submit to a blood-alcohol test does not offend the Fifth Amendment right
against self-incrimination. In so holding, the Neville Court distinguished its ruling in
Doyle, where it held the Due Process Clause forbids the State from using a defendant's
post-Miranda silence to impeach the defendant's testimony at trial. Neville, 459 U.S. at
564-66.


       First, the Court reasoned that the right to silence post-Miranda warnings "is one of
constitutional dimension, and thus cannot be unduly burdened," whereas the right to

                                              29
refuse the blood-alcohol test "is simply a matter of grace bestowed by the South Dakota
legislature." 459 U.S. at 565. The Court then noted that, unlike the Miranda warnings'
explicit assurance that a suspect's silence will not be used against the suspect, the implied
consent warnings contain no such assurances and suspects are told that repercussions will
result from a refusal. 459 U.S. at 565-66.


       More recently, the United States Supreme Court has expressed approval of implied
consent laws because they secure consensual testing, in part, by allowing refusals to be
used against defendants in criminal prosecutions. In Missouri v. McNeely, 569 U.S. 141,
156, 133 S. Ct. 1552, 185 L. Ed. 2d 696 (2013), the Court held that whether exigent
circumstances existed so as to preclude the necessity of obtaining a warrant for a
nonconsensual blood test should be decided on a case-by-case basis after considering the
totality of the circumstances. In its reasoning, the Court pointed out that states have legal
tools to secure consensual blood-alcohol concentration (BAC) testing, including using
evidence of a refusal at trial:


       "States have a broad range of legal tools to enforce their drunk-driving laws and to secure
       BAC evidence without undertaking warrantless nonconsensual blood draws. For
       example, all 50 States have adopted implied consent laws that require motorists, as a
       condition of operating a motor vehicle within the State, to consent to BAC testing if they
       are arrested or otherwise detained on suspicion of a drunk-driving offense. Such laws
       impose significant consequences when a motorist withdraws consent; typically the
       motorist's driver's license is immediately suspended or revoked, and most States allow the
       motorist's refusal to take a BAC test to be used as evidence against him in a subsequent
       criminal prosecution. [Citations omitted.]" 569 U.S. at 160-61.


       Next, in Birchfield v. North Dakota, 579 U.S. ___, 136 S. Ct. 2160, 2184-85, 195
L. Ed. 2d 560 (2016), the United States Supreme Court held that the Fourth Amendment
permits warrantless breath tests incident to arrests for drunk driving, but not warrantless
blood tests. Relevant to this appeal, the Court also confirmed that McNeely and Neville

                                                   30
approved "the general concept of implied-consent laws that impose civil penalties and
evidentiary consequences on motorists who refuse to comply." (Emphasis added.) 136 S.
Ct. at 2185. The Birchfield Court noted that its decision cast no doubt on the
constitutionality of such laws. 136 S. Ct. at 2185. Relying on this language in Birchfield,
several state courts have held that the Fourth Amendment does not bar admission of a
defendant's refusal to submit to a warrantless blood draw. See Rajda, 208 Vt. 338-40
(listing cases).


       Based on this precedent from the United States Supreme Court and our Supreme
Court, we hold the State did not violate Mulally's constitutional rights by offering
evidence that she refused to consent to a blood draw at trial. The district court did not err
by overruling Mulally's objection and allowing evidence of her refusal to be considered
by the jury.


                   AGGRAVATED BATTERY WHILE DUI JURY INSTRUCTION

       Next, Mulally contends the district court committed clear error by failing to
instruct the jury on a culpable mental state required to prove she committed aggravated
battery while DUI.


       Once again, when reviewing jury instruction issues, our court determines (1)
whether the issue was preserved for appellate review; (2) whether the instruction was
legally and factually appropriate; and (3) whether any error was harmless. Barrett, 309
Kan. at 1036-37. Since Mulally failed to object at trial to a lack of a mental state in the
aggravated battery while DUI instruction, our court evaluates her claim under the clearly
erroneous standard. K.S.A. 2019 Supp. 22-3414(3). An instruction is clearly erroneous
only if the defendant firmly convinces the appellate court that the jury would have
returned a different verdict if the instruction had been given. Solis, 305 Kan. at 65.



                                             31
       In this case, the district court instructed the jury that Mulally was charged with
aggravated battery while DUI, which required the State to prove: "The defendant drove
under the influence and great bodily harm to or disfigurement of Carla Smith resulted
from that act." The jury instructions also provided that the State needed to prove the
following to establish that Mulally drove under the influence: (1) "The defendant
operated a vehicle" and (2) "The defendant, while operating, was under the influence of a
drug or combination of drugs to a degree that rendered her incapable of safely driving a
vehicle."


       Was the aggravated battery while DUI instruction clearly erroneous because it
omitted the essential element of a culpable mental state required for an aggravated battery
while DUI conviction?


       A district court has a duty to "'inform the jury of every essential element of the
crime that is charged.'" State v. Butler, 307 Kan. 831, 847, 416 P.3d 116 (2018) (quoting
State v. Richardson, 290 Kan. 176, 181, 224 P.3d 553 [2010]). This duty stems from a
defendant's right to a public trial guaranteed by the state and federal Constitutions. 307
Kan. at 847. Our court examines jury instructions as a whole, without focusing on any
single instruction, to determine whether they fairly state the applicable law or reasonably
misled the jury. State v. James, 309 Kan. 1280, 1298, 443 P.3d 1063 (2019).


       At the outset, the aggravated battery while DUI instruction provided to the jury in
this case mirrors the language contained in the Pattern Instructions for Kansas (PIK). The
pattern instruction for an aggravated battery while DUI provides that the State must
prove: "The defendant drove under the influence and (great bodily harm to)
(disfigurement of) insert name resulted from that act." PIK Crim. 4th 54.310 (2016
Supp.). Our Supreme Court strongly recommends using the PIK instructions, which
knowledgeable committees develop to bring accuracy, clarity, and uniformity to
instructions. Butler, 307 Kan. at 847.

                                             32
       K.S.A. 2016 Supp. 21-5202(b) provides that the relative degrees of culpable
mental states are classified as intentionally, knowingly, and recklessly. Unless otherwise
provided, a culpable mental state is an essential element of every crime defined by the
Kansas Criminal Code. K.S.A. 2016 Supp. 21-5202(a). "If the definition of a crime does
not prescribe a culpable mental state, a culpable mental state is nevertheless required
unless the definition plainly dispenses with any mental element." K.S.A. 2016 Supp. 21-
5202(d).


       That said, K.S.A. 2016 Supp. 21-5203 lists crimes which do not require any
culpable mental state. One of these crimes is driving under the influence under K.S.A. 8-
1567. K.S.A. 2016 Supp. 21-5203(c). The statute also provides that a felony does not
require a culpable mental state when the "statute defining the crime clearly indicates a
legislative purpose to impose absolute liability for the conduct described." K.S.A. 2016
Supp. 21-5203(b).


       Mulally was charged with aggravated battery while DUI in violation of K.S.A.
2016 Supp. 21-5413(b)(3)(A), which forbids "committing an act described in K.S.A. 8-
1567, and amendments thereto, when great bodily harm to another person or
disfigurement of another person results from such act." The statute referred to in this
subsection—K.S.A. 8-1567—is the statute outlawing driving under the influence, which
includes operating any vehicle while "under the influence of any drug or combination of
drugs to a degree that renders the person incapable of safely driving a vehicle." K.S.A.
2016 Supp. 8-1567(a)(4).


       We next must consider whether aggravated battery while DUI in violation of
K.S.A. 2016 Supp. 21-5413(b)(3)(A) is a strict liability offense which requires no
culpable mental state.




                                            33
       The most fundamental rule of statutory construction is that the intent of the
Legislature governs if that intent can be ascertained. State v. LaPointe, 309 Kan. 299,
314, 434 P.3d 850 (2019). An appellate court must first attempt to ascertain legislative
intent through the statutory language enacted, giving common words their ordinary
meanings. See State v. Ayers, 309 Kan. 162, 163-64, 432 P.3d 663 (2019).


       Although aggravated battery while DUI is not specifically listed as a crime with
no mental culpability under K.S.A. 2016 Supp. 21-5203, the statute provides that a
person may be guilty of a crime without a culpable mental state if the statute defining the
crime clearly indicates a legislative purpose to impose strict liability. K.S.A. 2016 Supp.
21-5203(b).


       Liability for aggravated battery while DUI is predicated on two showings: (1) the
defendant was DUI in violation of K.S.A. 2016 Supp. 8-1567, a strict liability offense,
and (2) the result is that another person suffered great bodily harm or disfigurement.
K.S.A. 2016 Supp. 21-5413(b)(3)(A). The language of K.S.A. 2016 Supp. 21-
5413(b)(3)(A) shows that aggravated battery while DUI is an extension of DUI designed
to impose additional punishment for causing great bodily harm or disfigurement to
another. By predicating liability on the commission of a strict liability offense, the
Legislature indicated a desire to also impose absolute liability for the crime of aggravated
battery while DUI. See State v. Kelly, No. 114,563, 2017 WL 1295354, at *12-13 (Kan.
App.) (unpublished opinion) (finding that involuntary manslaughter while DUI is a strict
liability offense for the same reason), rev. denied 306 Kan. 1325 (2017).


       Our interpretation is further supported by the language of the DUI statute, which
treats aggravated battery while DUI as a subspecies of the strict liability crime. Under
K.S.A. 2016 Supp. 8-1567(i)(2), a conviction for aggravated battery while DUI is used to
determine whether a person's DUI conviction is a first, second, third, fourth, or
subsequent conviction for sentencing purposes.

                                             34
       Since the language of K.S.A. 2016 Supp. 21-5413(b)(3)(A) reveals that aggravated
battery while DUI is an absolute liability offense, a culpable mental state is not an
essential element of the crime. Accordingly, the district court did not commit clear error
by omitting a culpable mental state when instructing the jury on aggravated battery while
DUI.


       On a related issue, Mulally reframes her argument and contends her due process
rights were violated because the jury convicted her of aggravated battery while DUI
without finding every essential element of the crime. Mulally claims the jury could not
have found the essential element that she possessed the requisite culpable mental state to
support her aggravated battery while DUI conviction because the jury was never
instructed on any mental state.


       The Fifth and Sixth Amendments to the United States Constitution "require
criminal convictions to rest upon a jury determination that the defendant is guilty of every
element of the crime with which he is charged, beyond a reasonable doubt." United States
v. Gaudin, 515 U.S. 506, 509-10, 115 S. Ct. 2310, 132 L. Ed. 2d 444 (1995). Whether a
defendant's due process rights were violated is a question of law subject to unlimited
review. State v. Hayes, 307 Kan. 537, 538, 411 P.3d 1225 (2018).


       As we have determined earlier, aggravated battery while DUI is an absolute
liability offense and a culpable mental state is not an essential element of the crime. As a
result, the jury was not required to find beyond a reasonable doubt that Mulally possessed
a culpable mental state. Accordingly, Mulally's due process rights were not violated.


                                     CUMULATIVE ERROR

       Finally, Mulally contends that her conviction should be reversed because the
cumulative effect of the trial errors denied her a fair trial.

                                               35
       When evaluating cumulative error, the test is whether the totality of the
circumstances establish that the defendant was substantially prejudiced by all the trial
errors and was denied a fair trial. In assessing the cumulative effect of trial errors, the
appellate court examines the errors in the context of the entire record, considering how
the district court dealt with the errors as they arose; the nature and number of errors and
their relationship, if any; and the overall strength of the evidence. State v. Holt, 300 Kan.
985, 1007, 336 P.3d 312 (2014).


       Without any error, however, there are no errors to contribute to a cumulative error
analysis and there is no basis for reversal. State v. Barlett, 308 Kan. 78, 91, 418 P.3d
1253 (2018).


       Affirmed.




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