Cheyenne Witt tragically died of a morphine overdose after Appellant Jay Sadrinia, her dentist, prescribed her morphine twice in three days, leading her to have almost triple the fatal amount in her blood. A federal grand jury subsequently charged Sadrinia with four counts of illegally distributing controlled substances to Witt without a legitimate medical purpose in violation of 21 U.S.C. § 841(a)(1) and one count of illegally distributing morphine to her resulting her death in violation of 21 U.S.C. § 841(b)(1)(C).
Just twelve days before Sadrinia's trial, the Government filed a notice of "inextricably intertwined and/or Rule 404(b) evidence." Specifically, the Government indicated it intended to introduce testimony from several of his former employees about some of his prior "bad acts," including testimony that he once used another dentist's prescription pad to prescribe opioids while the dentist was out of the office. Although the District Court ruled that the Government's notice was untimely, it ultimately allowed the Government to present testimony from the same former employees during Sadrinia's trial, over his objection. Such evidence included testimony from: (a) Sadrinia's former assistant that he used foul language when he fired her and after she had threatened to report him for malpractice; (b) one of Sadrinia's former colleagues that he had used her prescription pad while she was outside the United States; and (c) his former officer manager that he had used the same colleague's prescription pad and that, when she quit, she warned him he would "kill someone." The District Court overruled Sadrinia's objection, finding that such testimony was "intrinsic" evidence of the crimes charged relevant to his "knowledge and intent." In addition, it did not provide a limiting instruction to the jury for such evidence.
The jury subsequently acquitted Sadrinia on Counts One through Three, but convicted him on Count Four (the initial morphine prescription) and Count 5 (the two morphine prescriptions that resulted in Witt's death. The District Court denied Sadrinia's motion for acquittal or a new trial and sentenced him to 240 months' imprisonment - the mandatory minimum.
On appeal, Sadrinia challenged the sufficiency of the evidence against him, and he alleged the District Court erred in overruling his objection to the introduction of the referenced prior bad acts evidence. In a published opinion, the Sixth Circuit held that the Government presented sufficient evidence to support his convictions on both counts. Citing Sadrinia's 30 years of experience in dentistry, expert testimony that the amount of morphine he prescribed was rarely, if ever, appropriate for pain management in dental patients, and that his prescriptions exceeded the amount permitted by Kentucky regulations, the Court held that a rational jury could have concluded that Sadrinia knew the last prescription he wrote for Witt lacked a legitimate medical purpose.
Although it found the evidence sufficient to support his convictions, the Court reversed them and remanded his case for a new trial. In doing so, it held that the District Court abused its discretion in admitting intrinsic evidence testimony from his former colleague and employees. It held that, regardless of whether such evidence was relevant, it was not "intrinsically intertwined" with Sadrinia's actions because they were too temporally removed from Witt's death.
The Court also rejected the Government's argument that the District Court's error was harmless. It noted that the evidence was not sufficiently "overwhelming" to overcome the error and that the District Court failed to provide a limiting instruction. Additionally, it held that the Government's use of such testimony in its closing arguments only made the error more prejudicial.
FRE 404(b) evidence always poses a risk to the fairness of a defendant's trial. In this case, the Sixth Circuit found that such evidence went too far.