Whether a party seeking to admit an out-of-court statement pursuant to Rule 803(4) must show that the speaker subjectively knew that the identity of their abuser was relevant to their treatment and was thus motivated to speak truthfully

QUESTION PRESENTED This petition asks this Court to resolve a circuit split about the proper contours of Fed. R. Evid. 803(4), a hearsay exception for statements made for and reasonably pertinent to medical diagnosis or treatment. Although Rule 803(4) does not generally authorize the admission of hearsay statements of fault or identity, there is a limited exception that admits such hearsay when a child victim alleges household abuse. In at least three circuits, and consistent with the reliability rationale for Rule 803(4), a party seeking admission of statements concerning fault or identity pursuant to the household abuse exception must show that the patient subjectively understood that the statement was relevant to their treatment. In at least four other circuits, however, no such showing is required. The question presented in this case accordingly is: Whether a party seeking to admit an out-of-court statement pursuant to Rule 803(4) must show that the speaker subjectively knew that the identity of their abuser was relevant to their treatment and was thus motivated to speak truthfully? i