United States v. Semrau
Facts
Dr. Semrau directed billing for psychiatric nursing-home services submitted to Medicare and Medicaid, and the government charged that claims were fraudulently upcoded from CPT code 90862 to 99312. To support his defense that he acted in good faith and lacked intent to defraud, he sought to introduce testimony from Dr. Steven Laken that fMRI testing showed he was generally truthful when he denied fraudulent intent. The testing was arranged by the defense without notifying the prosecution, used questions developed with defense counsel, and included multiple scans, one of which initially indicated deception before a later retest indicated that Semrau was not deceptive. Dr. Laken acknowledged limitations including lack of real-world validation, significant false-positive concerns, fatigue effects, and that the results did not establish truthfulness as to any specific statement.
Issue
Whether the district court abused its discretion by excluding expert testimony that fMRI lie-detection testing showed Dr. Semrau was generally truthful in denying intent to defraud. More broadly, the case asks how Rules 702 and 403 apply to novel lie-detection technology offered to bolster a criminal defendant's credibility.
Rule
Under Federal Rule of Evidence 702, novel scientific evidence is inadmissible when the proponent fails to show that the technique is sufficiently reliable in the relevant real-world setting and reliably applied to the facts of the case. Even if arguably relevant, lie-detection evidence may independently be excluded under Rule 403 when its probative value is substantially outweighed by dangers of misleading or confusing the jury, especially where the test was unilaterally arranged without government participation, raises credibility-bolstering concerns, and does not meaningfully establish truthfulness as to particular statements.
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