Montana DUI Blood Tests: Hospital Employment Does Not Establish Supervision, and Objections Must Be Timely

Case: State v. D. Rogers, 2026 MT 259, No. DA 24-0252
Court: Supreme Court of Montana
Decided: November 4, 2026

1. Introduction

In State v. D. Rogers, the Montana Supreme Court distinguished a blood drawer’s professional qualifications from the medical supervision required by statute. Certification and hospital employment, the Court held, do not alone establish that a phlebotomist acted under the supervision and direction of a licensed physician or registered nurse. Nevertheless, a four-justice majority affirmed Donald Paul Rogers’s conviction because it considered his objection to that missing foundation untimely.

The decision also upheld Rogers’s felony sentence. His certified driving record supplied competent evidence of at least three prior DUI convictions, and he offered no direct evidence contradicting those convictions. The State was not required to produce the original judgments as its exclusive means of proof.

The central controversy concerned preservation of an evidentiary objection. Rogers objected before the toxicology report and its numerical results entered evidence, but after the phlebotomist’s testimony and blood-test request form had been admitted without objection. The majority regarded that sequence as fatal. Three dissenting justices considered the objection timely because it challenged the forthcoming test results, not the earlier collection evidence.

2. Background and Procedural History

Montana Highway Patrol Trooper Luke Jester stopped Rogers on March 18, 2022, after observing a malfunctioning taillight and a vehicle crossing the fog line. Jester smelled marijuana, and Rogers acknowledged smoking marijuana before leaving home. Following field sobriety testing and arrest, Rogers consented to a blood draw at Bitterroot Health.

Certified phlebotomist Cassandra Bedsaul collected the sample. At trial, she described her education, certification, hospital employment, and standard blood-draw procedures. However, she did not testify that a physician or registered nurse supervised or directed her work. No other evidence established that relationship.

The sequence of admission was decisive:

  1. Collection testimony: Bedsaul testified about drawing Rogers’s blood without a defense objection based on missing supervision.
  2. Collection form: The court admitted Exhibit 2, the Blood Test Request Form, without objection. It contained collection information, not toxicology results.
  3. Witness release: Defense counsel did not object to Bedsaul’s release from her subpoena.
  4. Initial toxicology objection: Before forensic toxicologist April Sheets answered whether she had tested Rogers’s sample, defense counsel objected to testimony and reports concerning the sample, identifying the statutory supervision deficiency.
  5. Report and results: Counsel maintained that objection when the State offered Exhibit 1, the toxicology report. The court admitted it, and Sheets then disclosed the numerical results.

The report showed delta-9 THC at 8.9 ng/ml, plus or minus 1.2 ng/ml. It separately reported THC-COOH at 119 ng/ml. The charged per se offense depended on the concentration of delta-9 THC, excluding inactive metabolites, rather than the combined total of these substances.

The jury convicted Rogers of operating a vehicle with a THC concentration of at least 5 ng/ml and related misdemeanors, while acquitting him of the taillamp charge. At sentencing, the District Court relied on his certified driving history to treat the DUI-related offense as a fourth or subsequent offense and impose felony sentencing.

3. Summary of the Opinion

Chief Justice Cory J. Swanson wrote the majority opinion. Its principal conclusions were:

  • The statutory foundation was deficient. The State proved Bedsaul’s qualifications but did not establish the required physician or registered-nurse supervision.
  • The District Court abused its discretion. It improperly inferred the statutory supervisory relationship from certification and hospital employment.
  • Rogers did not preserve that objection. Under the majority’s analysis, he needed to challenge the collection testimony and form when introduced, or seek to strike the earlier evidence. His later objection to the toxicology evidence was insufficient.
  • The sentencing evidence was adequate. The certified driving record satisfied the State’s initial evidentiary burden, and Rogers did not directly rebut it.

The Court therefore affirmed the conviction and felony sentence. The affirmance did not establish that the missing supervision evidence was unnecessary or that the resulting admission error was harmless. Rather, the majority held that Rogers had waived the objection.

Justice Katherine M. Bidegaray dissented, joined by Justices Ingrid Gustafson and Laurie McKinnon. The dissent agreed that the statutory foundation was missing, but would have reversed the THC per se conviction because Rogers objected before the challenged results entered evidence and those results supplied the only proof of the required THC concentration.

4. Analysis: Legal Reasoning and Precedents Cited

A. Statutory Framework and Standards of Review

Three statutory provisions operated together:

  • Section 61-8-1002(1)(d), MCA: Establishes the THC per se offense, including the threshold of 5 ng/ml of delta-9 THC, excluding inactive metabolites.
  • Section 61-8-1018(1)(b)(ii), MCA: Conditions admission of a blood-test report on qualifying laboratory analysis and collection by a person competent under § 61-8-1019(1), MCA.
  • Section 61-8-1019(1), MCA: Permits an officer-requested blood draw by a licensed physician, registered nurse, or another qualified person acting under the supervision and direction of a physician or registered nurse.

The Court treated the question whether the evidence established supervision as an evidentiary-foundation issue, rather than a purely abstract question of statutory interpretation. This distinction determined the standard of review.

Precedents governing review

State v. James, 2022 MT 177, and State v. Jenkins, 2011 MT 287, supplied the abuse-of-discretion standard for evidentiary rulings. A district court abuses that discretion when its decision is arbitrary, lacks conscientious judgment, or exceeds the bounds of reason and results in substantial injustice.

State v. Pol, 2008 MT 352, specifically recognizes that deciding whether an adequate foundation exists rests within the trial court’s sound discretion. State v. Strizich, 2021 MT 306, reinforced the same appellate approach. These authorities supported rejecting Rogers’s request to characterize the foundational ruling as subject entirely to de novo review.

For sentencing, State v. Holder, 2020 MT 61, distinguished legal and factual review: whether a prior conviction may enhance a sentence is reviewed de novo, while underlying factual findings are reviewed for clear error.

The decision illustrates that deferential review is not automatic approval. Even under abuse-of-discretion review, the trial court could not substitute an unsupported assumption about hospital organization for evidence of the statutory relationship.

B. Qualification and Supervision Are Separate Requirements

The Court’s substantive evidentiary holding rests on the statute’s cumulative requirements. For an “other qualified person,” professional competence does not eliminate the additional need for physician or registered-nurse supervision and direction.

Bedsaul’s certification, training, experience, and routine collection practices established that she was qualified. They did not establish who supervised her or whether the required relationship existed. Likewise, the request form’s collection, labeling, and sealing checklist did not supply the missing medical oversight.

Importantly, the Court did not determine that Bedsaul actually worked without supervision. It determined that the State failed to prove supervision on this record. Absence of adequate proof is not necessarily proof that the underlying relationship did not exist.

Precedents defining permissible supervision

State v. Merry, 2008 MT 288, involved a licensed practical nurse who testified that she worked under superior staff’s supervision and direction. The facility’s chief executive also testified that a registered nurse was on call whenever a licensed practical nurse was on duty. That evidence established a supervisory arrangement without requiring an RN to observe the draw.

State v. Zakovi, 2005 MT 91, involved a phlebotomist who testified that she remained under an emergency-room registered nurse’s supervision and was required by hospital policy to follow that nurse’s orders. Its significance was the evidentiary connection between the blood drawer and an authorized supervisor.

State v. Allport, 2015 MT 349, permitted a medical technologist to draw blood while working alone. The record nevertheless described laboratory-manager supervision and oversight by an offsite physician. The decision recognized the legislative purpose of allowing qualified hospital personnel to perform blood draws without imposing a strict physical-presence requirement.

Together, these precedents establish a flexible conception of supervision, not an exemption from proving it. The District Court relied on their rejection of mandatory in-room supervision but overlooked that each case contained evidence of an actual supervisory relationship.

State v. McDonald, 215 Mont. 340, 697 P.2d 1328 (1985), supplied the broader principle that blood-test evidence must satisfy both statutory conditions and evidentiary foundation requirements. The dissent also relied on it to connect the blood drawer’s qualification to admissibility of the resulting test evidence, while expressly declining to rely on its discussion of repealed administrative provisions.

Limits of the holding

The Court did not require a supervisor’s signature, physical attendance, individual approval of each draw, or any particular verbal formula. Direct or circumstantial evidence may establish the relationship. What was impermissible was treating hospital employment alone as a sufficient substitute.

Bedsaul’s labeling mistake—placing the trooper’s name on the vials—did not change this analysis. The Court explained that a supervised employee could make such an error. Any separate challenge to sample identification or handling would require its own argument; the supervision ruling did not resolve those questions.

C. The Majority’s Preservation Rule

The majority affirmed because it located the relevant objection point during Bedsaul’s testimony and admission of Exhibit 2. By the time she left the stand, her contribution to the evidentiary chain had been admitted without objection.

Under Montana Rule of Evidence 103(a)(1), a party ordinarily must make a timely, specific objection or motion to strike. Rogers had declined to stipulate to foundation before trial, but that general position did not substitute for a contemporaneous objection to the evidence as introduced.

The majority characterized the later toxicology objection as an attempt to challenge the already-admitted collection evidence through a different witness. Because Rogers neither objected during Bedsaul’s testimony nor moved to strike the earlier evidence, the majority considered the missing-foundation argument waived.

Precedents supporting contemporaneous objection

State v. Paoni, 2006 MT 26, established the general requirement of a timely objection to preserve appellate review. There, the challenge to a prosecutor’s opening statement came the following morning. The majority used the case to emphasize that an available objection must be raised when the issue arises, not deferred.

State v. Dewitz, 2009 MT 202, involved an objection made after the challenged witness had completed direct and cross-examination. The grounds were apparent during the testimony. The majority considered that delay analogous to Rogers’s failure to object while Bedsaul testified.

State v. Weber, 2016 MT 138, concerned counsel eliciting an exhibit’s contents before completing the foundation and obtaining admission. Timely objections allowed the trial court to stop the questioning and require the missing foundation. The majority cited it as an example of how Rogers could have objected before Bedsaul moved into the collection evidence.

State v. Hardman, 2012 MT 70, addressed an objection made after a witness answered a question. Together with State v. Paoni, it illustrated circumstances in which counsel argued that events moved too quickly to object earlier. Rogers made no comparable claim that the pace of Bedsaul’s testimony prevented an objection.

The majority’s practical rule is therefore exacting: where the claimed deficiency concerns statutory authorization for the draw, counsel should challenge the collection evidence when introduced rather than assume that an objection before disclosure of the laboratory results will preserve the issue.

D. The Dissent: Foundational Evidence Is Not the Same as a Complete Foundation

The dissent identified a different object of the objection. Rogers did not seek to exclude Bedsaul’s account or the request form. He sought to exclude the forthcoming toxicology results because the earlier evidence failed to establish a statutory prerequisite to their admission.

That distinction was central. Admitting evidence offered to support a foundation does not necessarily establish that the foundation is legally complete. The collection testimony and form could remain in the record while the court decided whether they adequately supported admission of the later report.

Witness competence versus statutory collection authority

The dissent invoked Montana Rules of Evidence 601 and 602 to separate competence to testify from statutory authority to perform a blood draw. A witness may have personal knowledge of an act even if the State has not established that she was legally authorized to perform it. On that reasoning, Bedsaul could describe drawing the blood without her testimony itself satisfying the medical-supervision requirement.

Under Rule 104(a), preliminary admissibility questions belonged to the judge. The supervision requirement was not an additional element for the jury to decide; it was a statutory condition for admitting the evidence used to prove the THC-concentration element.

State v. Jenkins, 2011 MT 287, supported this distinction between foundational materials and ultimate admissibility. It allowed judicial consideration of chemical-test certification materials for foundational purposes without treating them as substantive evidence of the offense. The dissent acknowledged that the case did not itself decide the preservation question presented in Rogers.

Why the dissent distinguished the timeliness cases

In the dissent’s view, State v. Dewitz, State v. Paoni, and State v. Hardman involved objections after the challenged content had already reached the jury. Here, neither the collection testimony nor Exhibit 2 disclosed the THC results. Rogers objected before the first answer about testing his sample and maintained the objection when the report was offered.

The dissent also distinguished another aspect of State v. Dewitz, where a defendant challenged testimony repeating information he had introduced himself. Rogers had not introduced, or consented to admission of, the toxicology results merely by accepting the earlier collection evidence.

State v. Weber did not compel a different outcome, the dissent reasoned, because its lesson was to object before challenged contents are disclosed. Rogers did exactly that as to the toxicology results. Treating the case as requiring an earlier objection assumed the very point in dispute: that Rogers was challenging Bedsaul’s account rather than Sheets’s results evidence.

The limited comparison with earlier blood-test litigation

State v. Decker, 251 Mont. 339, 828 P.2d 1342 (1991), provided a useful but limited comparison. Collection forms had been admitted without objection, yet the Court examined whether the drawer’s qualifications supported admission of the scientist’s results testimony. The record there included forms identifying medical roles and an officer’s description of physician involvement before the nurse drew blood.

The dissent carefully acknowledged that State v. Decker did not decide the preservation issue. Its relevance was conceptual: admission of collection documents did not replace examining whether their contents and surrounding evidence actually established statutory qualification.

Why the dissent found the error prejudicial

State v. Van Kirk, 2001 MT 184, supplied the harmless-error framework. Once erroneous admission and prejudice are established, the State must show there is no reasonable possibility that the inadmissible evidence contributed to the conviction. Where the only evidence tending to prove an element is tainted, the error is not harmless.

State v. Bailey, 2021 MT 157, applied that principle to a per se alcohol offense. Admissions of drinking and field-sobriety observations did not establish the required blood-alcohol concentration. Although that case involved a confrontation violation arising from remote analyst testimony, its distinction between evidence of impairment and proof of a numerical concentration applied directly to the dissent’s reasoning.

Here, marijuana use, driving observations, and collection evidence did not establish a delta-9 THC level of at least 5 ng/ml. The report and Sheets’s testimony were two presentations of the same test results, not independent untainted proof. The dissent therefore would have reversed the THC per se conviction, vacated its sentence, and remanded without disturbing the separate misdemeanor convictions.

The majority did not undertake this harmless-error analysis because its preservation holding prevented relief on the foundational defect.

E. Prior Convictions and Felony Sentencing

The second issue concerned proof of the prior DUI convictions necessary for felony sentencing. Rogers argued that actual judgments were required and questioned entries in his criminal history. The State responded with a certified driving record identifying convictions from 1995, 2003, 2005, and 2008.

Precedents governing the evidentiary burden

State v. Letherman, 2023 MT 196, requires competent proof of a prior conviction and recognizes that criminal-history reports, certified driving records, or judgments may supply such proof. Rogers argued that its reference to certified driving records was dicta because no such record had been produced there. The Court rejected the requested departure from that framework.

State v. Holder, 2020 MT 61, had treated an NCIC entry reporting a disposition of “convicted” as competent proof sufficient to trigger a presumption of regularity. Rogers sought to have that decision overruled. The Court declined, retaining an approach that does not make original judgments the sole permissible evidence.

State v. Snell, 2004 MT 334, supplied the burden-shifting rule: once competent proof is presented, a presumption of regularity attaches, and the defendant must produce direct evidence of irregularity to rebut it.

Application to Rogers

The certified driving record satisfied the State’s initial burden here. That did not make every certified record categorically conclusive or immune from challenge. It meant that Rogers needed evidence directly contradicting the reported convictions, rather than generalized concerns about third-party records.

He produced no certified docket, clerk’s certification, vacatur or dismissal order, expungement order, custodian testimony, or comparable contradictory material. His assertion that a former attorney had not located records was insufficient. So was his argument that unrelated reversed convictions appearing in an informal criminal-history tabulation cast doubt on the whole history.

The sentencing court relied on the 2003, 2005, and 2008 convictions, not the disputed 1995 conviction. Rogers also suggested that the 2008 offense’s misdemeanor designation in the informal tabulation cast doubt on the earlier convictions: if they existed, he reasoned, the later offense presumably would have been a felony. The Court treated that inference as speculation rather than direct contradictory evidence.

The sentencing holding thus preserves a practical distinction between competent initial proof and unanswerable proof. The record was sufficient because it was competent and remained unrebutted, not because certified driving histories are necessarily infallible.

5. Potential Impact

Blood-Draw Foundations Will Require More Deliberate Proof

Prosecutors cannot rely solely on professional credentials or assume that hospital employment necessarily entails the required medical supervision. A brief description of the actual supervisory arrangement may suffice, but some evidentiary basis must connect the qualified collector to a physician or registered nurse.

The ruling preserves operational flexibility. Hospitals need not arrange bedside physician attendance or obtain individual approval for every draw merely to satisfy this decision. On-call and offsite oversight remain permissible when adequately established.

Defense Counsel Face an Earlier Preservation Risk

The majority makes waiting until the toxicologist testifies hazardous when the defect arose in the collection foundation. A general refusal to stipulate to foundation is insufficient. Counsel should identify the missing statutory relationship while the collection evidence is being introduced and, where appropriate, seek to strike evidence already admitted.

The holding should nevertheless be understood in its factual setting: collection testimony and a form were admitted without objection, the witness was released, and no motion to strike followed. The opinion does not decide every possible timing question involving different testimony or a timely corrective motion.

The Majority–Dissent Divide May Shape Future Foundation Disputes

The disagreement reaches beyond blood testing. It concerns whether accepting preliminary evidence forfeits a later challenge to the completeness of the foundation for different evidence. The majority emphasizes timely challenges to each evidentiary link; the dissent emphasizes identifying precisely which evidence the objection seeks to exclude.

Future courts applying the decision will need to distinguish objections to evidence already admitted from objections to a new item whose statutory prerequisites remain unproved.

Certified Records Remain Important at Sentencing

The decision permits proof of prior DUI convictions without invariably obtaining original judgments. Conversely, defendants seeking to rebut certified records need concrete, conviction-specific evidence. General doubts, unsuccessful searches reported secondhand, or inconsistencies in unrelated history will not necessarily satisfy that burden.

6. Complex Concepts Simplified

Per se DUI offense
An offense established by a prohibited measured concentration. Evidence of consumption or apparent impairment does not itself establish the required number.
Evidentiary foundation
The preliminary showing required before evidence may be admitted. Here, it included compliance with the statute governing who may collect the blood.
Qualified person versus supervised person
Training may show that someone knows how to draw blood. Supervision establishes the additional professional oversight the statute requires for a collector who is not a physician or registered nurse.
Preservation and waiver
An appellate court ordinarily requires a timely trial objection. The majority used “waiver” to describe Rogers’s failure to challenge the collection evidence at the stage it considered necessary.
Motion to strike
A request to remove evidence already admitted from the court’s or jury’s consideration. The majority emphasized that Rogers made no such request concerning the earlier collection evidence.
Presumption of regularity
After the State presents competent proof of a prior conviction, the conviction is presumed regular unless the defendant supplies direct contrary evidence.
Harmless error
An error that does not justify reversal under the governing prejudice standard. The dissent considered the admission error harmful because the challenged results were the only proof of the numerical THC element.

7. Conclusion

State v. D. Rogers establishes that hospital employment and phlebotomy certification cannot, without more, prove the medical supervision required for an officer-requested DUI blood draw. At the same time, its controlling preservation ruling requires defendants to challenge a missing collection foundation promptly rather than rely solely on a later objection to the toxicology results.

The decision also confirms that an unrebutted certified driving record can support felony DUI sentencing without production of the original judgments. Its broader significance lies in the interaction between substantive safeguards and procedural enforcement: a valid objection to missing statutory proof may still fail if it is not raised at the stage the Court requires.