State v. Abion. ( 2020 )


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  • *** FOR PUBLICATION IN WEST’S HAWAI‘I REPORTS AND PACIFIC REPORTER ***
    Electronically Filed
    Supreme Court
    SCWC-XX-XXXXXXX
    29-DEC-2020
    09:51 AM
    Dkt. 47 OP
    IN THE SUPREME COURT OF THE STATE OF HAWAIʻI
    ---oOo---
    ________________________________________________________________
    STATE OF HAWAI‘I, Respondent/Plaintiff-Appellee,
    vs.
    RAMONCITO D. ABION, Petitioner/Defendant-Appellant.
    ________________________________________________________________
    SCWC-XX-XXXXXXX
    CERTIORARI TO THE INTERMEDIATE COURT OF APPEALS
    (CAAP-XX-XXXXXXX; CASE NO. 2PC161000043)
    DECEMBER 29, 2020
    RECKTENWALD, C.J., NAKAYAMA, McKENNA, AND WILSON, JJ., AND
    CIRCUIT JUDGE CASTAGNETTI, IN PLACE OF POLLACK, J., RECUSED
    OPINION OF THE COURT BY McKENNA, J.
    I.    Introduction
    We address whether a defendant whose substance use results
    in permanent psychosis is prohibited by the self-induced
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    intoxication exception from presenting evidence relevant to the
    lack of penal responsibility defense.
    The issue arises from the jury conviction of Ramoncito
    Abion (“Abion”) on one count of assault in the second degree in
    violation of Hawai‘i Revised Statutes (“HRS”) § 707-711 (2014)
    (“assault second”)1 in the Circuit Court of the Second Circuit
    (“circuit court”).        On January 11, 2016, Temehane Visaya
    (“Visaya”), an employee at the Waiehu Shell gas station, was
    cleaning an oil spill when she saw Abion lying on the sidewalk
    and talking to himself.         Visaya asked Abion to leave.       She then
    walked to an alley next to the store, and Abion hit her on the
    back of the head with a hammer.             Maui Police Department (“MPD”)
    officer Charles Taua (“Officer Taua”) responded.             Officer Taua
    stopped Abion about a quarter of a mile away and explained that
    a man matching his description had been seen striking Visaya
    with a hammer.       Abion said that he had done it and that the
    hammer was in his backpack.         Officer Taua noted that Abion
    1       HRS § 707-711 provides, in relevant part:
    (1)   A person commits the offense of assault in the second
    degree if:
    (a)   The person intentionally, knowingly, or
    recklessly causes substantial bodily injury to
    another;
    (b)   The person recklessly causes serious bodily
    injury to another;
    . . .
    (d)   The person intentionally or knowingly causes
    bodily injury to another with a dangerous
    instrument[.]
    2
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    displayed “bizarre behavior,” that he heard voices and saw
    visions, and was “unusually suspicious.”            Officer Taua did not
    indicate that Abion appeared intoxicated.
    After Abion was arrested and charged with assault second, a
    panel of three medical examiners deemed Abion fit for trial.
    One of the examiners, Dr. Martin Blinder (“Dr. Blinder”),
    however, opined that Abion suffered from amphetamine psychosis
    and may be entitled to a lack of penal responsibility defense.
    Before trial, the State filed a motion for a finding of
    inadmissibility of the HRS § 704-400 (2014)2 defense (“motion for
    inadmissibility”), seeking to preclude Dr. Blinder from
    testifying at trial.        The State argued that self-induced
    intoxication precluded a lack of penal responsibility defense
    and that Dr. Blinder’s testimony was therefore irrelevant.                  The
    circuit court precluded Dr. Blinder from testifying on the
    grounds that State v. Young, 93 Hawaiʻi 224, 
    999 P.2d 230
     (2000),
    had determined a drug-induced mental illness was self-induced
    2       HRS § 704-400 provides:
    (1) A person is not responsible, under this Code, for
    conduct if at the time of the conduct as a result of
    physical or mental disease, disorder, or defect the person
    lacks substantial capacity either to appreciate the
    wrongfulness of the person's conduct or to conform the
    person's conduct to the requirements of law.
    (2) As used in this chapter, the terms “physical or mental
    disease, disorder, or defect” do not include an abnormality
    manifested only by repeated penal or otherwise anti-social
    conduct.
    3
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    intoxication prohibited as a defense by HRS § 702-230(1) (Supp.
    2015).3
    Abion was convicted of assault second and the Intermediate
    Court of Appeals (“ICA”) affirmed.           Abion’s application for writ
    of certiorari (“Application”) raises the following question:
    Did the Intermediate Court of Appeals gravely err by
    tolerating the trial court’s exclusion of Mr. Abion’s only
    witness, violating his Due Process right to present
    3       HRS § 702-230 provides in relevant part:
    (1) Self-induced intoxication is prohibited as a defense to
    any offense, except as specifically provided in this
    section.
    (2) Evidence of the nonself-induced or pathological
    intoxication of the defendant shall be admissible to prove
    or negative . . . the state of mind sufficient to establish
    an element of the offense. Evidence of self-induced
    intoxication of the defendant is admissible . . . prove
    state of mind sufficient to establish an element of an
    offense. Evidence of self-induced intoxication of the
    defendant is not admissible to negative the state of mind
    sufficient to establish an element of the offense.
    (3) Intoxication does not, in itself, constitute a physical
    or mental disease, disorder, or defect within the meaning
    of section 704-400.
    (4) Intoxication that is:
    (a) Not self-induced; or
    (b) Pathological,
    is a defense if by reason of the intoxication the defendant
    at the time of the defendant's conduct lacks substantial
    capacity either to appreciate its wrongfulness or to
    conform the defendant's conduct to the requirements of law.
    (5) In this section:
    “Intoxication” means a disturbance of mental or physical
    capacities resulting from the introduction of substances
    into the body.
    “Pathological intoxication” means intoxication grossly
    excessive in degree, given the amount of the intoxicant, to
    which the defendant does not know the defendant is
    susceptible and which results from a physical abnormality
    of the defendant.
    “Self-induced intoxication” means intoxication caused by
    substances which the defendant knowingly introduces into
    the defendant's body, the tendency of which to cause
    intoxication the defendant knows or ought to know, unless
    the defendant introduces them pursuant to medical advice or
    under such circumstances as would afford a defense to a
    charge of a penal offense.
    4
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    evidence in support of his defense, and undermining the
    jury’s exclusive task to resolve ultimate issues of fact?
    A defendant in a criminal case has the right to be accorded
    “a meaningful opportunity to present a complete defense.”               State
    v. Matafeo, 
    71 Haw. 183
    , 185, 
    787 P.2d 671
    , 672 (1990) (citation
    omitted).    “Thus, ‘a defendant has the constitutional right to
    present any and all competent evidence in [their] defense.’”
    State v. Acker, 133 Hawai‘i 253, 301, 
    327 P.3d 931
    , 979 (2014)
    (citation omitted).      “[W]here the accused asserts a defense
    sanctioned by law to justify or to excuse the criminal conduct
    charged, and there is some credible evidence to support it, the
    issue is one of fact that must be submitted to the jury,” and it
    is reversible error for the court to “reject evidence which, if
    admitted, would present an essential factual issue for the trier
    of fact.”    State v. Horn, 
    58 Haw. 252
    , 255, 
    566 P.2d 1378
    , 1380-
    81 (1977).
    Abion essentially asserts there was “competent evidence”
    presenting an “essential factual issue” regarding “a defense
    sanctioned by law . . . to excuse [his] criminal conduct.”               58
    Haw. at 255, 
    566 P.2d at 1380
    .        The circuit court and ICA ruled,
    however, that under the circumstances of this case, there was no
    such defense based on HRS § 702-230(1), which provides that
    “[s]elf-induced intoxication is prohibited as a defense to any
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    offense[.]”   They so ruled based on their interpretation of this
    court’s decision in Young, 93 Hawaiʻi 224, 
    999 P.2d 230
    .
    As explained below, however, Young did not consider or
    decide whether HRS § 702-230(1) prohibits a defendant from
    presenting evidence of a permanent mental illness caused by
    substance use as relevant to a HRS § 704-400 lack of penal
    responsibility defense.   We now hold that, based on the language
    and legislative history of HRS § 702-230, the self-induced
    intoxication exception of HRS § 702-230(1) applies only when a
    defendant is under the temporary influence of voluntarily
    ingested substances at the time of an act.
    Hence, Dr. Blinder would have presented “competent
    evidence” on an “essential factual issue” regarding “a defense
    sanctioned by law . . . to excuse [Abion’s] criminal conduct.”
    Thus, the circuit court “reject[ed] evidence which, if admitted,
    would [have] present[ed] an essential factual issue for the
    trier of fact” and violated Abion’s due process right to present
    a complete defense by precluding Dr. Blinder from testifying at
    trial.   Horn, 58 Haw. at 255, 
    566 P.2d at 1381
    .
    We therefore vacate the ICA’s April 14, 2020 judgment on
    appeal, which affirmed the circuit court’s June 13, 2018
    judgment of conviction and sentence and July 26, 2018
    stipulation and order to amend judgment of conviction, and we
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    remand this matter to the circuit court for further proceedings
    consistent with this opinion.
    II.   Background
    A.      Circuit court proceedings
    On January 13, 2016, Abion was charged with assault second
    in violation of HRS § 707-711(1)(a) and/or (b) and/or (d).4
    1.    Abion’s motion for HRS § 704-404 examination
    On March 8, 2016, Abion filed a motion for a HRS § 704-4045
    examination to determine whether he was fit to proceed and
    whether he was suffering from a physical or mental disease,
    defect, or disorder at the time of the alleged offense.            Three
    medical examiners concluded that Abion was fit to stand trial.
    Two of the examiners determined that Abion’s cognitive and
    volitional capacities were “not substantially impaired because
    of a major mental illness.”
    One examiner, Dr. Blinder, diagnosed Abion with
    “[m]ethamphetamine psychosis,” and noted that “protracted use of
    methamphetamines causes permanent brain damage at a cellular
    level, its effects apparent long after an individual has been
    free of the drug.”       Dr. Blinder’s report also noted Abion “was
    not using methamphetamines on the day of his offense or several
    4       See supra note 1 for relevant language of HRS § 707-711.
    5       See supra note 2 for the language of HRS § 704-400.
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    days preceding,” but that “[a]bsent his paranoid psychosis Mr.
    Abion would never have attacked a woman with whom he had no
    quarrel, and absent past use of methamphetamines he would never
    have had an amphetamine psychosis[.]”              Dr. Blinder opined that
    Abion may be entitled to a mental defense because his “commerce
    with reality was hugely impaired at the time of his assaultive
    conduct[.]”
    2.    State’s motion for inadmissibility of
    HRS § 704-400 defense
    On September 22, 2017, the State filed a motion for
    inadmissibility of HRS § 704-400 defense, asking the circuit
    court to hold that Abion “may not elicit testimony from Dr.
    Blinder regarding a ‘704’ defense.”           The State expected Dr.
    Blinder to testify that Abion’s conduct was the result of
    methamphetamine psychosis, and it argued that “[i]ntoxication
    does not, in itself, constitute a physical or mental disease,
    disorder, or defect,” citing HRS § 702-230.              Therefore, the
    State contended that the circuit court should find Dr. Blinder’s
    testimony irrelevant pursuant to Hawai‘i Rules of Evidence
    (“HRE”) Rule 104 (1984).6
    6       HRE Rule 104 provides, in relevant part:
    (a) Questions of admissibility generally. Preliminary
    questions concerning the qualification of a person to be a
    witness, the existence of a privilege, or the admissibility
    of evidence shall be determined by the court, subject to
    the provisions of subsection (b). In making its
    (continued . . .)
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    On October 6, 2017, an evidentiary hearing was held on the
    State’s motion for inadmissibility.7           The State called Dr.
    Blinder as a witness, who testified as follows.
    Dr. Blinder had diagnosed Abion with methamphetamine
    psychosis.      Methamphetamine is capable of “caus[ing] structural
    changes in the brain” “powerful enough to render somebody
    periodically psychotic.”         “[T]hese changes in the brain are
    permanent long after [a person has] given up methamphetamines,”
    and the person may “continue to have paranoid thoughts . . .
    [and] be susceptible to auditory hallucinations.”              However, not
    everyone experiences these effects from long-term
    methamphetamine use.        Dr. Blinder explained that methamphetamine
    use may also cause people with a genetic predisposition for
    schizophrenia to develop symptoms that would not otherwise have
    manifested:
    A.    So -- so let’s say you have a genetic endowment of
    some sort of the genes that contribute to the outbreak of
    schizophrenia, you don’t have nine or ten, you just have
    three or four, you can probably sail through life and never
    exhibit any psychotic symptoms. You’re okay. But if you
    use methamphetamines, you don’t need the whole nine genetic
    endowments to develop the psychoses. It will eliminate
    this genetic predisposition that, absent the
    methamphetamines, you never would have known about.
    determination the court is not bound by the rules of
    evidence except those with respect to privileges.
    (b) Relevancy conditioned on fact. When the relevancy of
    evidence depends upon the fulfillment of a condition of
    fact, the court shall admit it upon, or subject to, the
    introduction of evidence sufficient to support a finding of
    the fulfillment of the condition.
    7       The Honorable Richard T. Bissen presided.
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    However, “people with an absolutely clean genetic makeup can
    [also] develop methamphetamine psychoses[.]”
    Dr. Blinder determined that “to a reasonable degree of
    medical probability, [Abion] would not have had [] psychos[i]s
    absent his use of methamphetamine.”    Abion also told him that he
    had “an auntie who spent a lot of time in a mental hospital,”
    which meant “in [Abion’s] genetic pool there’s something
    floating in there that he’d be better off if he didn’t carry
    it.”    In Dr. Blinder’s opinion, the incident between Abion and
    Visaya probably would not have happened absent Abion’s long-term
    methamphetamine use.
    On cross-examination, Dr. Blinder affirmed his opinion that
    Abion may carry a genetic predisposition for psychosis that was
    activated by prolonged methamphetamine use.     As far as Dr.
    Blinder could tell, Abion was not under the influence of
    methamphetamine during the incident with Visaya, but “rather was
    suffering from its permanent or long-term effects.”
    Before redirect, the circuit court asked Dr. Blinder how
    the aunt who had spent time in a mental hospital was related to
    Abion, because “In Hawaii everybody calls everybody auntie.”
    Dr. Blinder testified that he did not determine how Abion’s aunt
    was related to him, and “if it’s not a blood relative, then it’s
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    totally irrelevant.”     However, whether or not Abion’s aunt was a
    blood relative did not change Dr. Blinder’s opinion:
    THE WITNESS: It doesn’t change it, it just pulls out from
    under my conclusions one of its bases, so it makes me less
    confident that this man is carrying some sort of low grade
    genetic endowment that predisposes him for psychoses. It
    shifts all of the responsibility onto the methamphetamine,
    since I have indicated earlier, there are some unlucky
    people with no genetic predisposition, they use these
    drugs, and that’s enough to send them into a mental
    hospital.
    On November 11, 2017, the circuit court issued its findings
    of fact, conclusions of law, and order granting the State’s
    motion for inadmissibility (“order granting motion for
    inadmissibility”).     The circuit court’s order included the
    following conclusions of law (“COLs”):
    1. Preliminary questions concerning the admissibility of
    evidence shall be determined by the court. H.R.E. 104(a).
    2. Intoxication does not, in itself, constitute a physical
    or mental disease, disorder, or defect within the meaning
    of HRS Section 704-400. H.R.S. 702-230(3).
    3. Intoxication is not a defense to any offense, unless
    specifically provided for in H.R.S. § 702-230.
    4. A drug-induced or exacerbated mental illness does not
    constitute a defense. State v. Young, 93 Hawai‘i 224, 232,
    
    999 P.2d 230
    , 238 (2000).
    5. Dr. Blinder’s testimony that Defendant was suffering
    from a psychosis caused by long-standing drug abuse does
    not constitute a defense.
    6. Further, Defendant cannot now benefit from long-term
    drug abuse by asserting that the voluntary damage he did to
    his body now constitutes a defense.
    7. Therefore, Dr. Blinder’s testimony is not relevant
    pursuant to H.R.E. 104, and shall not be admissible at
    trial.
    The order stated that the “State’s Motion for Finding of
    Inadmissibility of HRS 704-400 Defense is granted.”
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    3.    Abion’s notice of intent and the State’s motion
    in limine
    On February 28, 2018, Abion filed a notice of intent to
    rely on an HRS chapter 704 defense and call Dr. Blinder to
    testify (“notice of intent”).      On March 1, 2018, the State filed
    its motion in limine no. 2 to preclude Abion from introducing
    evidence inconsistent with the circuit court’s order granting
    motion for inadmissibility.
    On March 2, 2018, a hearing was held on the State’s motion
    in limine no. 2.   Defense counsel acknowledged that the court
    “already made a decision” regarding Dr. Blinder’s testimony, but
    explained that the notice of intent was filed “to make the
    record clear that this is a defense that I think should be
    available.”
    The circuit court granted the State’s motion in limine and
    denied Abion’s notice of intent.        The circuit court stated:
    [THE COURT:] What I’m precluding is Dr. Blinder from coming
    in and testifying, because we already had a full-blown
    hearing on this back in November, that it doesn’t offer any
    -- any scientific explanation to -- to amount to a defense.
    It was, as far as all the parties agreed, or the facts came
    out to the examiners, this was voluntary intoxication on
    the part of the defendant, and that is not a
    defense . . . .
    So this case will not include Dr. Blinder, at least
    not as to testifying to Mr. Abion being under a self-
    induced methamphetamine condition . . . .
    So I don’t feel there’s any prejudice to the defense
    in this case because they’re not precluded from presenting
    their defense, they’re just precluded from calling Dr.
    Blinder [from] coming in and calling it a mental defense,
    because that, I find, it’s not.
    So the Court -- I suppose I’m granting the State’s
    motion in limine number two, I’m denying the Defense notice
    [of] intent to call Dr. Blinder to testify, and we’ll leave
    it at that.
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    Thus, the circuit court precluded the defendant from calling Dr.
    Blinder as a witness.
    4.   Jury trial
    Abion’s jury trial commenced on March 19, 2018.8         Only the
    State called witnesses; Abion did not call any witnesses and did
    not testify.
    a.   Witness testimony
    i.    Alana Kahai
    Alana Kahai (“Kahai”) testified as follows.
    On January 11, 2016, Kahai and her fiancé, Haumanu Tuuafu
    (“Tuuafu”), went to the Waiehu Shell gas station.            They parked
    the car at the front of the store, and Tuuafu went into the
    store while Kahai waited in the car.         Kahai saw Visaya cleaning
    an oil spill by the gas pumps.         Tuuafu came out of the store,
    and as they were leaving, Kahai saw Visaya talking to someone
    near the corner of the gas station.         Kahai could not see who she
    was talking to.         As Visaya started to go into the alley next to
    the store, a man struck her from behind with a hammer, and she
    fell backward.       The man then put his backpack on his chest, put
    his right hand with the hammer into the backpack, and started to
    8     The transcript of proceedings initially indicate that trial was held on
    October 19 and October 20, 2018. However, the remainder of the transcripts
    and the parties indicate the trial occurred on March 19 and March 20, 2018.
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    walk toward their car.     At trial, Kahai identified the man as
    Abion.
    Kahai jumped out of the car, went into the store to get
    Visaya’s coworker, and called 911.      While calling 911, Kahai
    observed the direction Abion left and told the police where he
    was going.     Abion seemed calm as he walked away.
    ii.   Haumanu Tuuafu
    Tuuafu testified as follows.
    On January 11, 2016, Tuuafu and Kahai went to the gas
    station, and Tuuafu went into the store while Kahai waited in
    the car.     As he pulled out of the parking stall, Tuuafu saw a
    woman employee.     The woman went into the alley next to the
    store, and Tuuafu saw a man reach into his bag, grab a hammer,
    and hit the woman on the head from behind.      At trial, Tuuafu
    identified that man as Abion.     After Abion hit the woman, he put
    the hammer back in the bag and walked toward the road.
    On cross-examination, Tuuafu testified that after striking
    the employee, Abion walked “casually walked” away and did not
    run.     Tuuafu gave a statement to the police and said that he had
    seen Abion “at the parking lot from time to time,” and that he
    had seen Abion sleep at the gas station.
    iii. Temehane Visaya
    Visaya testified as follows.
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    On January 11, 2016, Visaya was an employee at the Waiehu
    Shell gas station.   On that day, as she cleaned an oil spill by
    the gas pumps, Visaya saw someone on the sidewalk at the side of
    the building lying on his back and talking to himself.      At
    trial, Visaya identified the person she saw as Abion.      Visaya
    had seen Abion at the gas station before “[t]wo to three times a
    day.”
    Visaya swept cat litter onto the oil spill about three or
    four feet away from where Abion lay.     She then asked Abion to
    leave, but he did not respond.    Visaya walked toward the alley
    next to the store to wash the broom and dustpan.      After entering
    the alley, the next thing Visaya remembered was her legs
    buckling and that she could not breathe.     Visaya remembered
    waking up on the ground in the alley, seeing police, and being
    put into an ambulance.   Visaya could not remember what happened
    at the hospital.
    iv.   Officer Charles Taua
    Officer Taua testified as follows.
    On January 11, 2016, Officer Taua was dispatched to the
    Waiehu Shell gas station.   Officer Taua was given a description
    of the alleged offender, and he saw someone matching that
    description about a quarter of a mile away from the gas station.
    At trial, Officer Taua identified the person he saw as Abion.
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    Officer Taua stopped Abion and explained that someone had
    reported that a man matching his description had struck Visaya
    with a hammer.   Abion said that he had done it and that the
    hammer was in his backpack.    Officer Taua read Abion his Miranda
    rights, and Abion gave a statement saying he hit “the lady” with
    a hammer.   When asked at trial if he recalled if Abion said
    Visaya threw dust on him, Officer Taua remembered that Abion had
    said something to the effect of “she did it first,” but he was
    “confused on what exactly he was referring to.”      Abion was
    “cooperative,” but also “animated.”    He did not appear confused
    or incoherent.   Officer Taua asked for Abion’s consent to search
    his backpack, which Abion granted.    There was a hammer inside
    the backpack.
    On cross-examination, Officer Taua testified that when he
    approached Abion, Abion was not running and did not attempt to
    hide.   Abion did not hide that he had a hammer and did not
    hesitate in providing a statement.    Abion told Officer Taua that
    the woman at the gas station had swept dust into his face and
    that she had hit him first.    Abion did not appear to have any
    guilt or regrets.   When asked if Abion appeared to be
    intoxicated or experiencing withdrawal from drugs or alcohol,
    Officer Taua said he was not sure, but Abion was “really
    animated” and may have acted “passive” “at times.”
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    Officer Taua prepared an inmate suicide screening report
    for Abion at around 1:30 p.m. on January 11, 2016.      Officer
    Taua’s report noted that Abion displayed “bizarre behavior,”
    that he heard voices and saw visions, and was “unusually
    suspicious.”   The report did not indicate that Abion appeared
    intoxicated or was experiencing drug or alcohol withdrawal.
    v.   Dr. Beth Jarrett
    Dr. Beth Jarrett (“Dr. Jarrett”) testified as follows.
    Dr. Jarrett was a general surgeon at the Maui Memorial
    Medical Center who treated Visaya on January 11, 2016.      Visaya
    had a laceration on her head, and Dr. Jarrett determined that
    she had “a couple fractures” and “a hematoma to the skin and
    soft tissues of the fracture.”    Dr. Jarrett opined that a strike
    to the head with a hammer could cause a substantial risk of
    death “especially if the brain is injured,” could cause serious
    permanent disfigurement, and could cause protractive loss or
    impairment of the brain.
    b.   Jury instructions and closing arguments
    Despite pretrial rulings precluding Dr. Blinder's testimony
    and disallowing “a mental defense,” the circuit court instructed
    the jury not only on self-defense, but also on the “affirmative
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    defense of physical or mental disease, disorder, or defect,
    excluding criminal responsibility.”9
    In closing, defense counsel argued that Abion was unable to
    conform his actions to societal norms, as indicated by testimony
    that he was talking and laughing to himself despite Officer
    Taua’s report indicating that he was not intoxicated.
    c.   Jury verdict and sentencing
    On March 20, 2018, the jury found Abion guilty of assault
    second.
    On June 13, 2018, the circuit court entered its judgment of
    conviction and sentence.       Abion was sentenced to five years
    imprisonment.10      Abion appealed the June 13, 2018 judgment.
    B.      ICA proceedings
    1.    Abion’s arguments
    Abion raised a single point of error: “the circuit court
    erred in preventing [him] from using Dr. Blinder to explain to
    the jury [he] was suffering from a physical or mental disease,
    disorder, or defect.”
    9      As discussed, evidence had been received regarding Abion actions and
    statements. We do not address whether the circuit court’s ruling allowing
    the defense, but not Dr. Blinder’s testimony, is consistent with the circuit
    court’s mistaken but apparent ruling that there was no factual issue that
    Abion’s psychosis was caused by the self-induced intoxication that precluded
    a HRS § 704-400 defense based on HRS § 702-230(1) as construed by Young.
    10    Abion was also assessed a Crime Victim Compensation Fee of $105 and an
    Internet Crimes Against Children Fee of $100.
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    Abion argued the circuit court violated his constitutional
    right to present a complete defense, citing State v. Tetu, 139
    Hawai‘i 207, 225, 
    386 P.3d 844
    , 862 (2016).     Abion contended he
    had a right to present Dr. Blinder’s testimony to the jury in
    support of his insanity defense, and that while the prosecution
    could attempt to rebut his defense by arguing his psychosis was
    caused by intoxication, the circuit court could not preclude Dr.
    Blinder’s testimony.
    Abion asserted that in his case, Dr. Blinder’s testimony
    that he had a genetic predisposition for psychosis showed that
    he suffered from a preexisting condition aggravated by drug use,
    which was “defensible under HRS § 704-400.”     Abion argued the
    circuit court’s reliance on Young was misplaced because a drug-
    exacerbated mental illness was not at issue in Young.      Abion
    also argued the HRS § 702-230(3) exception “arises only when the
    [mental] disturbance is directly caused by ‘intoxication . . .
    in itself.’”
    In a footnote, Abion asserted that “[a]ny reliance on Young
    is perilous at this point” because in State v. Eager, 140 Hawai‘i
    167, 177, 
    398 P.3d 756
    , 766 (2017), this court held that “juries
    must reconcile evidence of a physical or mental disease,
    disorder, or defect with evidence of intoxication to determine
    if ‘the mental disturbance would excuse the defendant’s criminal
    conduct absent the influence of the intoxicant.’”      Abion
    19
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    contended that Eager had “implicitly overruled Young[.]”
    Therefore, Abion argued the circuit court’s judgment must be
    vacated and his case remanded for new trial.
    2.      The State’s arguments
    The State argued that even though the circuit court did not
    allow Dr. Blinder to testify, Abion had not been precluded from
    presenting other evidence in support of his HRS § 704-400
    defense.    The State likened this case to Young and maintained
    that the 1986 amendment to HRS § 702-230 “specifically precluded
    self-induced intoxication as a defense, subject to certain
    exceptions” for the purpose of “hold[ing] persons acting under
    self-induced intoxication ultimately responsible for their
    actions.”
    The State distinguished this case from Eager, where the
    defendant had not taken his prescribed medication and had tested
    positive for marijuana, and “the trial court did not distinguish
    the effects of medication withdrawal from the effects of
    marijuana consumption.”    In comparison, Dr. Blinder testified
    that Abion had a genetic predisposition for psychosis that would
    not have manifested absent drug use, not that Abion had a “pre-
    existing mental disease, disorder, or defect[.]”      Therefore,
    there was no question of fact raised as to whether Abion’s
    mental disturbance would excuse his conduct absent drug use.
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    3.    Memorandum opinion
    On February 28, 2020, the ICA issued its memorandum opinion
    affirming Abion’s conviction.    State v. Abion, CAAP-XX-XXXXXXX
    (App. Feb. 28, 2020) (mem.).
    The ICA found no merit in Abion’s argument that his genetic
    predisposition for psychosis was a “preexisting condition” and a
    defense under HRS § 704-400.    Abion, mem. op. at 12.      The ICA
    determined that there was no support for Dr. Blinder’s
    conclusion that Abion had a genetic predisposition for psychosis
    because he had not determined whether Abion’s aunt, who had
    spent time in a mental hospital, was a blood relative.       Id.
    Even if Abion had a genetic predisposition for psychosis, Dr.
    Blinder testified that Abion’s psychosis would not have
    manifested absent long-term methamphetamine use.      Id.   The ICA
    ruled Dr. Blinder’s testimony established that Abion suffered
    from “drug-induced psychosis,” which was not a defense under
    Young.   Abion, mem. op. at 12-13.
    The ICA held the circuit court erred to the extent its COL
    4 cited Young for the proposition that a drug-exacerbated mental
    illness does not constitute a defense because that issue was not
    addressed in Young.   Id.   The ICA, however, held that this error
    was harmless because Dr. Blinder’s testimony did not establish
    that Abion suffered from a drug-exacerbated mental illness.           Id.
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    The ICA then addressed Abion’s argument that Eager
    “implicitly overruled Young.”      Abion, mem. op. at 14.     The ICA
    determined that Eager was distinguishable from this case and
    Young because “Eager presented a case where there was no
    evidence or finding in the bench trial that substance abuse
    caused the defendant’s mental disease, disorder, or defect.”
    Abion, mem. op. at 15.    By comparison, “Dr. Blinder’s testimony
    provided that Abion’s psychosis was caused by his
    methamphetamine use[.]”    Id.    Similarly, in Young, “the trial
    court concluded that the defendant’s mental illness was caused
    by the use of intoxicants.”      Id.     Therefore, the ICA held that
    Eager did not overrule Young.      Id.
    On April 14, 2020, the ICA filed its judgment on appeal
    affirming the circuit court’s June 13, 2018 judgment of
    conviction and sentence and July 26, 2018 stipulation and order
    to amended judgment of conviction and sentence.
    C.   Application for certiorari
    Abion maintains the circuit court’s exclusion of his only
    witness violated his due process right to present evidence in
    support of his defense and undermined the jury’s exclusive task
    to resolve ultimate issues of fact.         Citing Horn, 58 Haw. at
    255, 
    566 P.2d at 1380
    , Abion asserts that when “the accused
    asserts a defense sanctioned by law to justify or excuse the
    criminal conduct charged, and there is some credible evidence to
    22
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    support it, the issue is one of fact that must be submitted to
    the jury,” and that it is reversible error for the court to
    “reject evidence which, if admitted, would present an essential
    factual issue for the trier of fact.”
    Abion asserts that this court did not expand the self-
    induced intoxication exception to include “preexisting mental
    illnesses aggravated by drug abuse” in Young.     Furthermore, he
    contends that the jury “determines if the defendant’s physical
    or mental condition was the result of intoxication,” and that by
    preventing his only witness from testifying at trial, the ICA
    “usurped the jury’s constitutional role to determine ultimate
    issues of fact.”
    Abion also contends the self-induced intoxication exception
    “should be limited to temporary conditions that arise while a
    person is under the influence of an intoxicant,” and that the
    legislative history of HRS § 702-230(3) cited in Young “suggests
    an exception only for those who commit offenses while under the
    influence of an intoxicant.”
    III. Standard of Review
    A.   Statutory interpretation
    The interpretation of a statute is a question of law that
    this court reviews de novo.     State v. Arceo, 84 Hawaiʻi 1, 10,
    
    928 P.2d 843
    , 852 (1996).     When construing a statute, our
    foremost obligation is to ascertain and give effect to the
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    intention of the legislature, which is to be obtained primarily
    from the language contained in the statute itself.      And we must
    read statutory language in the context of the entire statute and
    construe it in a manner consistent with its purpose.
    State v. Ruggiero, 114 Hawaiʻi 227, 231, 
    160 P.3d 703
    , 707
    (2007) (citation omitted).
    B.   Right to present a complete defense
    “Central to the protections of due process is the right to
    be accorded ‘a meaningful opportunity to present a complete
    defense.’”    Matafeo, 71 Haw. at 185, 
    787 P.2d at 672
     (quoting
    California v. Trombetta, 
    467 U.S. 479
    , 485 (1984)).      “Thus, ‘a
    defendant has the constitutional right to present any and all
    competent evidence in [their] defense.’”     State v. Acker, 133
    Hawai‘i 253, 301, 
    327 P.3d 931
    , 979 (2014) (quoting State v.
    Kassebeer, 118 Hawai‘i 493, 514, 
    193 P.3d 409
    , 430 (2008)).
    “Nevertheless, a defendant’s right to present relevant evidence
    is not without limitation and may, in appropriate cases, bow to
    accommodate other legitimate interests in the criminal trial
    process.”    Kassebeer, 118 Hawai‘i at 514, 
    193 P.3d at 430
    (citations omitted).
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    IV.   Discussion
    A.   Young has been misconstrued and the self-induced
    intoxication exception of HRS § 702-230(1) applies only
    when a defendant is temporarily under the influence of a
    voluntarily ingested substance
    We first provide context to our discussion.             As we recently
    explained in State v. Glenn, 148 Hawaiʻi 112, 
    468 P.3d 126
    (2020):
    In order to commit a crime, a defendant must be capable of
    intending to act wrongfully. The bedrock principle that a
    crime requires a wrongful intent “is as universal and
    persistent in mature systems of law as belief in freedom of
    the human will and a consequent ability and duty of the
    normal individual to choose between good and
    evil.” Morissette v. United States, 
    342 U.S. 246
    , 250, 
    72 S.Ct. 240
    , 
    96 L.Ed. 288
     (1952). For this reason, if a
    mental illness or impairment results in a defendant lacking
    substantial capacity to appreciate the wrongfulness of
    their conduct or to conform their conduct to the law, then
    the defendant cannot be held criminally responsible. Hawaiʻi
    Revised Statutes (HRS) § 704-400 (2019).[11]
    148 Hawaiʻi at 115, 468 P.3d at 129 (footnote omitted).12
    As we noted in Young, however, in 1986, the legislature
    11   See supra note 1.
    12   In Glenn, we noted and prospectively held as follows:
    Lack of penal responsibility is not merely a statutory
    affirmative defense; it reflects a precept that is
    fundamental to due process under the Hawaiʻi Constitution:
    “A defendant who, due to mental illness, lacks sufficient
    mental capacity to be held morally responsible for his
    actions cannot be found guilty of a crime.” Kahler v.
    Kansas, ––– U.S. ––––, 
    140 S. Ct. 1021
    , 1039, 
    206 L.Ed.2d 312
     (2020) (Breyer, J., dissenting). Accordingly, we
    prospectively hold that once the court receives notice. . .
    that a defendant's penal responsibility is an issue in the
    case, the circuit court must advise a defendant of the
    penal-responsibility defense and obtain a knowing waiver of
    the defense. Cf. Tachibana v. State, 79 Hawaiʻi 226, 236,
    
    900 P.2d 1293
    , 1303 (1995).
    (continued . . .)
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    added subsection (1) to HRS § 702-230 to prohibit “self-induced
    intoxication” as a defense to penal responsibility, except in
    limited circumstances.      93 Hawaiʻi at 232, 
    999 P.2d at 238
    .
    Thus, HRS § 702-230 now provides as follows, with relevant
    portions underlined:
    (1) Self-induced intoxication is prohibited as a defense to
    any offense, except as specifically provided in this
    section.
    (2) Evidence of the nonself-induced or pathological
    intoxication of the defendant shall be admissible to prove
    or negative . . . the state of mind sufficient to establish
    an element of the offense. Evidence of self-induced
    intoxication of the defendant is admissible to . . . prove
    state of mind sufficient to establish an element of an
    offense. Evidence of self-induced intoxication of the
    defendant is not admissible to negative the state of mind
    sufficient to establish an element of the offense.
    (3) Intoxication does not, in itself, constitute a physical
    or mental disease, disorder, or defect within the meaning
    of section 704-400.
    (4) Intoxication that is:
    (a) Not self-induced; or
    (b) Pathological,
    is a defense if by reason of the intoxication the defendant
    at the time of the defendant’s conduct lacks substantial
    capacity either to appreciate its wrongfulness or to
    conform the defendant’s conduct to the requirements of law.
    (5) In this section:
    “Intoxication” means a disturbance of mental or physical
    capacities resulting from the introduction of substances
    into the body.
    “Pathological intoxication” means intoxication grossly
    excessive in degree, given the amount of the intoxicant, to
    which the defendant does not know the defendant is
    susceptible and which results from a physical abnormality
    of the defendant.
    “Self-induced intoxication” means intoxication caused by
    substances which the defendant knowingly introduces into
    the defendant’s body, the tendency of which to cause
    intoxication the defendant knows or ought to know, unless
    the defendant introduces them pursuant to medical advice or
    under such circumstances as would afford a defense to a
    charge of a penal offense.
    148 Hawaiʻi at 116, 468 P.3d at 130. Glenn’s prospective holding does not
    apply to Abion’s case. In any event, the jury in Abion’s case was given a
    lack of penal responsibility instruction.
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    According to the State, Young held that permanent mental
    illness attributable to substance use precludes an HRS § 704-400
    defense due to the self-induced intoxication exception of HRS
    § 702-230.   Abion contends that such an “expansive reading of
    the self-induced intoxication exception in Young should be
    abandoned” and the “intoxication exception to the insanity
    defense should be limited to temporary conditions that arise
    while a person is under the influence of an intoxicant.”           The
    circuit court and the ICA agreed with the State.
    The circuit court and the ICA misinterpreted Young.           In
    Young, we did reject the assertion that “a drug-induced or
    exacerbated mental illness, in and of itself, constitutes a
    criminal defense as a matter of law[,]” and we stated:
    In 1986, the legislature added subsection (1) to HRS § 702–
    230, specifically prohibiting self-induced intoxication as
    a defense except in limited circumstances. 1986 Haw. Sess.
    L. Act 325, § 2 at 687–88. The conference committee stated
    that it “believes that when a person chooses to drink, that
    person should remain ultimately responsible for [their]
    actions.” Conf. Comm. Rep. No. 36, in 1986 House Journal,
    at 928. HRS § 702–230(3) provides that intoxication alone
    cannot negate penal responsibility under HRS § 704–400. To
    adopt the rule suggested by Young would be contrary to this
    statutory scheme. If an intoxicated person cannot escape
    ultimate responsibility for his actions, neither should a
    defendant who chronically engages in substance abuse. Only
    in the instance when the intoxication causes the person to
    lack the ability to form the requisite state of mind is
    intoxication a defense. The same is also true of someone
    with a drug-induced mental illness.
    93 Hawai‘i at 232, 
    999 P.2d at 238
    .
    Young must, however, be construed in light of its
    circumstances and factual findings.       In Young, the defendant was
    27
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    convicted of second-degree murder after repeatedly striking a
    Burger King employee in the head with a hammer after another
    employee had declined his request for some money.            93 Hawaiʻi at
    227, 230, 
    999 P.2d at 233, 236
    .        Unlike this case, all three
    mental health doctors appointed to examine Young actually
    testified at the bench trial.        Although the trial court found
    that psychosis caused by drugs can last for months after drug
    use has stopped, it also specifically found that Young drank
    twelve beers and smoked up to three marijuana joints daily, and
    also used other illegal drugs in the weeks leading up to the
    offense.   93 Hawaiʻi at 230, 
    999 P.2d at 236
    .13
    Also, Young argued that he suffered brain damage during a
    1997 fight and that this brain damage constituted a physical
    (not mental) disease entitling him to a § 704-400(1) defense.
    Young, 93 Hawaiʻi at 232, 
    999 P.2d at 238
    .          The trial court found
    that Young did not suffer brain damage and his neurological
    functioning was not impaired as a result of the 1997 fight.               
    Id.
    We also stated, “[t]he issue of a preexisting mental illness
    that is aggravated by drug abuse is not presented in this case.”
    99 Hawaii at 232, 
    999 P.2d at 238
    .         In addition, Young also did
    not address whether a defendant suffering from a permanent
    mental impairment caused by substance abuse but not under the
    13    The trial court also found that Young was not schizophrenic.   93 Hawaiʻi
    at 230, 
    999 P.2d at 236
    .
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    temporary influence of a voluntarily ingested substance at the
    time of an offense is subject to the self-induced intoxication
    exception of HRS § 702-230.
    Thus, in Young, whether a permanent mental illness caused
    by substance use was precluded by the self-induced intoxication
    exception was not at issue.        Rather, Young applied the self-
    induced intoxication exception to an offense committed by a
    defendant who, at the time of the offense, was temporarily under
    the influence of voluntarily ingested substances.            Young
    therefore involved a temporary impairment resulting from
    voluntary intoxication.       Young did not address whether a
    defendant suffering from a permanent mental impairment caused by
    substance abuse is subject to the self-induced intoxication
    exception of HRS § 702-230.14
    Also, it is the language of HRS § 702-230 that controls.
    The statute indicates that the self-induced intoxication
    exception applies only when a defendant is under the temporary
    influence of voluntarily ingested substances at the time of an
    act.    HRS § 702-230(5) defines “intoxication” as “a disturbance
    of mental or physical capacities resulting from the introduction
    of substances into the body.”        (Emphasis added.)      It further
    defines “self-induced intoxication” as “intoxication caused by
    14    Thus, contrary to Abion’s contention, Eager, 140 Hawaiʻi 167, 
    398 P.3d 756
    , did not implicitly overrule Young.
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    substances which the defendant knowingly introduces into the
    defendant’s body, the tendency of which to cause intoxication
    the defendant knows or ought to know.”15         Also, the references to
    “the amount of the substance” in the definition of “pathological
    intoxication,” as “intoxication grossly excessive in degree,
    given the amount of the intoxicant, to which the defendant does
    not know the defendant is susceptible and which results from a
    physical abnormality of the defendant[]” further evinces that
    “intoxication” and “self-induced intoxication” mean a
    defendant’s temporary intoxicated state after voluntary
    ingestion.
    Thus, as we stated in Eager, “the purpose of HRS § 702-230
    ‘is to prevent defendants who willingly become intoxicated and
    then commit crimes from using self-induced intoxication as a
    defense.’”    140 Hawaiʻi at 175, 398 P.3d at 764 (citing State v.
    Souza, 
    72 Haw. 246
    , 248, 
    813 P.2d 1384
    , 1386 (1991)).            The self-
    induced intoxication exception only applies when a defendant is
    under the temporary influence of voluntarily ingested substances
    at the time of an act.
    15    If “self-induced intoxication” includes permanent mental impairment
    caused by ingestion of substances, then whether Abion knew or ought to have
    known that his methamphetamine use could cause permanent psychosis would also
    become an issue. But, as explained, “self-induced intoxication” does not
    include permanent mental impairment caused by ingestion of substances.
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    If HRS § 702-230(1) is ambiguous, its legislative history
    establishes that the self-induced intoxication exception was
    intended to apply only when a defendant, at the time of an
    offense, is temporarily under the influence of voluntarily
    ingested substances.    Through enacting the self-induced
    intoxication exception, the legislature intended to make it
    clear that “when a person chooses to drink, that person should
    remain ultimately responsible for [their] actions.”      Young, 93
    Hawai‘i at 232, 
    999 P.2d at 238
     (quoting Conf. Comm. Rep. No. 36,
    in 1986 House Journal, at 928).     The legislative history also
    explicitly states that “criminal acts committed while a person
    is voluntarily intoxicated should not be excused by the
    application of a defense which would negate the offender’s state
    of mind.”    Conf. Com. Rep. No. 30-86, in 1986 Senate Journal, at
    736 (emphasis added).
    Hence, we now hold that the self-induced intoxication
    exception of HRS § 702-230(1) only applies to acts committed
    while a person is temporarily under the influence of voluntarily
    ingested substances.
    Our holding is consistent with the approach of other
    states.     A majority of jurisdictions hold that a lack of penal
    responsibility defense may be available to defendants suffering
    from permanent or “settled insanity” as a result of voluntary
    intoxication.    See 21 Am. Jur. 2d. Criminal Law § 48 (2020)
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    (describing common law “settled insanity” exception to general
    prohibition against voluntary intoxication as a defense); R. W.
    Gascoyne, Annotation, Modern Status of the Rules as to Voluntary
    Intoxication as Defense to Criminal Charge, 
    8 A.L.R.3d 1238
    (originally published 1966).    Among those jurisdictions, some
    have also clearly held, as we do today, that while permanent
    mental impairment resulting from voluntary intoxication may be a
    defense, temporary impairment resulting from voluntary
    intoxication is not.   See Morgan v. Commonwealth, 
    464 S.E.2d 899
    , 903 (Va. Ct. App. 2007) (holding that voluntary
    intoxication is not a defense unless it produces “permanent
    insanity”); McNeil v. United States, 
    933 A.2d 354
    , 369 (App.
    D.C. 2007).
    Thus, the circuit court and the ICA erred in precluding Dr.
    Blinder’s testimony based on the self-induced intoxication
    exception of HRS § 702-230.
    B.   Abion’s constitutional right to present a complete defense
    was violated
    Under the Hawai‘i Constitution, “[c]entral to the
    protections of due process is the right to be accorded ‘a
    meaningful opportunity to present a complete defense.’”
    Matafeo, 71 Haw. at 185, 
    787 P.2d at 672
     (quoting Trombetta, 
    467 U.S. at 485
    ).   “Thus, ‘a defendant has the constitutional right
    to present any and all competent evidence in [their] defense.’”
    32
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    Acker, 133 Hawai‘i at 301, 327 P.3d at 979 (quoting Kassebeer,
    118 Hawai‘i at 514, 
    193 P.3d at 430
    ).       “[W]here the accused
    asserts a defense sanctioned by law to justify or to excuse the
    criminal conduct charged, and there is some credible evidence to
    support it, the issue is one of fact that must be submitted to
    the jury.”   Horn, 58 Haw. at 255, 
    566 P.2d at 1380
    .
    The right to present a complete defense is also a federal
    constitutional right.    As stated by the Tenth Circuit Court of
    Appeals in Ellis v. Mullin, 
    326 F.3d 1122
    , 1128 (10th Cir. 2002)
    (holding that exclusion of pretrial psychiatric report
    diagnosing defendant as chronic schizophrenic violated
    petitioner’s due process right to present evidence critical to
    his defense):
    “[S]tate evidentiary determinations ordinarily do not
    present federal constitutional issues . . . . However, the
    Supreme Court, in, e.g., Chambers v. Mississippi, 
    410 U.S. 284
    , 302, 
    93 S.Ct. 1038
    , 
    35 L.Ed.2d 297
     (1973), and Green
    v. Georgia, 
    442 U.S. 95
    , 97, 
    99 S.Ct. 2150
    , 
    60 L.Ed.2d 738
    (1979) (capital sentencing proceeding), has provided an
    exception, under some circumstances, if a state court
    applies the State’s evidentiary rules unfairly to prevent a
    defendant from presenting evidence that is critical to his
    defense.” Romano, 239 F.3d at 1166. “[T]o determine
    whether a defendant was unconstitutionally denied his or
    her right to present relevant evidence, we must balance the
    importance of the evidence to the defense against the
    interests the state has in excluding the
    evidence.” Richmond v. Embry, 
    122 F.3d 866
    , 872 (10th Cir.
    1997). Further:
    [T]o establish a violation of . . . due
    process, a defendant must show a denial of
    fundamental fairness . . . . It is the
    materiality of the excluded evidence to the
    presentation of the defense that determines
    whether a petitioner has been deprived of a
    fundamentally fair trial. Evidence is material
    if its suppression might have affected the
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    outcome. In other words, material evidence is
    that which is exculpatory-evidence that if
    admitted would create reasonable doubt that did
    not exist without the evidence.
    Richmond, 
    122 F.3d at 872
     (citations and internal quotation
    marks omitted). See also Romano, 239 F.3d at 1168 (“[W]e
    need ask no more than whether the trial court's application
    of this state evidentiary rule excluded critical
    exculpatory evidence.”).
    This court has also recently recognized that defendants
    have a right under the Hawai‘i Constitution to assert a lack of
    penal responsibility defense.       Glenn, 148 Hawaiʻi at 116, 468
    P.3d at 130:
    Lack of penal responsibility is not merely a statutory
    affirmative defense; it reflects a precept that is
    fundamental to due process under the Hawai‘i Constitution:
    “A defendant who, due to mental illness, lacks sufficient
    mental capacity to be held morally responsible for his
    actions cannot be found guilty of a crime.” Kahler v.
    Kansas, ––– U.S. ––––, 
    140 S. Ct. 1021
    , 1039, 
    206 L.Ed.2d 312
     (2020) (Breyer, J., dissenting).
    Abion asserts his right to present a complete defense was
    violated when the circuit court precluded any testimony from Dr.
    Blinder.   We agree.
    Whether Abion acted during a period of temporary self-
    induced intoxication, is, at minimum, disputed.           Officer Taua’s
    report and testimony did not indicate that Abion was intoxicated
    at the time of the offense.      Dr. Blinder opined that Abion’s
    psychosis was activated by methamphetamine use, and that he was
    suffering from the “permanent of long-term effects” of
    methamphetamine at the time of the offense.          Dr. Blinder’s
    psychiatric report noted, however, that Abion “was not using
    34
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    methamphetamines on the day of his offense or several days
    preceding,” and at the pre-trial hearing he testified that Abion
    was not under the influence at the time of the offense “as far
    as [he] could tell” based on the reports available to him and
    his interview with Abion.
    Also, in his psychiatric evaluation of Abion, Dr. Blinder
    opined that Abion may be entitled to a mental defense because
    his “commerce with reality was hugely impaired at the time of
    his assaultive conduct[.]”    At the pre-trial hearing, Dr.
    Blinder also testified that “to a reasonable degree of medical
    probability, [Abion] would not have had [] psychoses absent his
    use of methamphetamine,” and that he may have had a genetic
    predisposition for psychosis that caused him to develop symptoms
    that would not otherwise have manifested.     In Dr. Blinder’s
    opinion, Abion was not under the influence of methamphetamines
    at the time of the offense, but “rather was suffering from its
    permanent or long-term effects.”
    Although the circuit court instructed the jury on the HRS
    § 704-400 defense, it precluded Dr. Blinder from testifying at
    trial on the grounds that his opinion was irrelevant under
    Young, which it construed as holding that a drug-induced mental
    35
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    illness is not a defense pursuant to HRS § 702-230.16            However,
    as we have held, the self-induced intoxication exception of HRS
    § 702-230(1) only applies to acts committed while a person is
    temporarily under the influence of voluntarily ingested
    substances.
    Hence, Dr. Blinder would have presented “competent
    evidence” on an “essential factual issue” regarding “a defense
    sanctioned by law . . . to excuse [Abion’s] criminal conduct.”
    Horn, 58 Haw. at 255, 
    566 P.2d at 1380
    .          Thus, the circuit court
    “reject[ed] evidence which, if admitted, would [have]
    present[ed] an essential factual issue for the trier of fact”
    and violated Abion’s due process right to present a complete
    defense by precluding Dr. Blinder from testifying at trial.              
    Id.
    Dr. Blinder’s testimony would have aided the jury in
    determining whether Abion suffered from a physical or mental
    disease, disorder, or defect that caused him to lack the
    substantial capacity to appreciate the wrongfulness of his
    conduct or conform his conduct to the requirements of law at the
    time of the offense under HRS § 704-400.          His testimony would
    have also aided the jury in determining whether Abion was under
    the influence at the time of the offense.          Therefore, by
    16    As discussed in the previous section, Young did not determine whether a
    lack of penal responsibility defense is available to a defendant suffering
    from a permanent drug-induced mental illness and who was not under the
    influence of drugs or alcohol at the time of the offense.
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    precluding Dr. Blinder’s testimony at trial, the circuit court
    violated Abion’s due process right to present a complete defense
    by precluding Dr. Blinder from testifying at trial.
    V.    Conclusion
    We therefore vacate the ICA’s April 14, 2020 judgment on
    appeal, which affirmed the circuit court’s June 13, 2018
    judgment of conviction and sentence and July 26, 2018
    stipulation and order to amend judgment of conviction, and
    remand this case to the circuit court for further proceedings
    consistent with this opinion.
    Benjamin E. Lowenthal,          /s/ Mark E. Recktenwald
    for Abion
    /s/ Paula A. Nakayama
    Gerald K. Enriques,             /s/ Sabrina S. McKenna
    for the State
    /s/ Michael D. Wilson
    /s/ Jeannette H. Castagnetti
    37