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Author: {"author": "REINHARDT, Circuit Judge:\n     SCHROEDER, Circuit Judge, REINHARDT, Circuit Judge, CALLAHAN, Circuit Judge,", "license": "Public Domain", "url": "https://static.case.law/"}
Date Created: 2024-08-24T03:29:51.129683

Robert Douglas SMITH, Petitioner-Appellant, v. Charles L. RYAN, Warden, Arizona, Department of Corrections, Respondent-Appellee.
    Nos. 96-99025, 96-99026, 10-99011.
    United States Court of Appeals, Ninth Circuit.
    Argued and Submitted March 17, 2015.
    Filed Feb. 4, 2016.
    As Corrected Feb. 17, 2016.
    
      S. Jonathan Young (argued), Williamson & Young, P.C., Tucson, AR; Ralph E. Ellinwood, Ellinwood, Francis & Plowman LLP, Tucson, AR, for Petitioner-Appellant.
    Jeffrey L. Sparks (argued), Assistant Attorney General, Capital Litigation Section, Mark Brnovich, Attorney General, Robert E. Ellman, Solicitor General, Jeffrey A. Zick, Chief Counsel, Capital Litigation Section, Phoenix, AR, for Respondent-Appellee.
    Before: MARY M. SCHROEDER, STEPHEN REINHARDT, and CONSUELO M. CALLAHAN, Circuit Judges.
   Opinion by Judge REINHARDT; Concurrence by Judge SCHROEDER; Special Concurrence by Judge REINHARDT; Dissent by Judge CALLAHAN.

OPINION

REINHARDT, Circuit Judge:

This case, to which the Antiterrorism and Effective Death Penalty Act of 1996 (AEDPA) does not apply, returns to us following remand to the Arizona state court to conduct an Atkins evidentiary-hearing. After that hearing the state trial court denied Smith’s Atkins claim, and the Arizona Court of Appeal denied special action relief, and the Arizona Supreme Court denied Smith’s petition for review. The district court then found Smith’s Atkins claim without merit and denied his petition for a writ of habeas corpus. We now hold that Smith is intellectually disabled under Atkins, and we reverse.

I. FACTUAL AND PROCEDURAL BACKGROUND

In 1982, Robert Smith was convicted in Arizona state court of kidnapping, sexual assault, and murder and sentenced to death. Lambright v. Stewart, 167 F.3d 477, 479 (9th Cir.1999), reh’g granted, vacated, 177 F.3d 901 (9th Cir.1999), rev’d, en banc, 191 F.3d 1181 (9th Cir.1999). On June 20, 2002, the Supreme Court decided Atkins v. Virginia, 536 U.S. 304, 122 S.Ct. 2242, 153 L.Ed.2d 335 (2002), holding that the execution of intellectually disabled criminals constitutes “cruel and unusual punishment” prohibited by the Eighth Amendment. Under Atkins, if Smith was intellectually disabled at the time he committed the crime or at the time of his trial, he may not be executed. We suspended federal habeas proceedings, ordered supplemental briefing and remanded to the state court to determine whether Smith was intellectually disabled and thus ineligible for execution under Atkins.

The Pima County Superior Court reopened discovery and held a two-day ev-identiary hearing on October 29 and November 1, 2007. The court heard testimony by Dr. Thomas Thompson, a neuropsychologist and prescribing psychologist selected by Smith, who opined that there is a very high probability that Smith was intellectually disabled at the time the crime was committed in 1980. The court also heard testimony from Dr. Sergio Martinez, a psychologist selected by the State, who stated that there is a high degree of probability that Smith was not intellectually disabled in 1980. The parties entered numerous exhibits into evidence, including the deposition transcripts of twelve lay witnesses who described their observations of Smith as a child or young adult.

Following the hearing, the Pima County Superior Court found on March 27, 2008, that Atkins did not preclude Smith’s execution. The Arizona Court of Appeals denied special action relief later that year, Smith v. Kearney, No. 2 CA-SA 2008-0019, 2008 WL 2721155 (Ariz.Ct.App. July 11, 2008), and the Arizona Supreme Court denied Smith’s petition for review. In September 2010, we remanded this case to the district court for the limited purpose of considering Smith’s Atkins claim. The district court denied the claim in December 2012. Smith timely appealed.

II. ANALYSIS

A. Jurisdiction and Standard of Review

We have jurisdiction under 28 U.S.C. §§ 1291 and 2253. Sivak v. Hardison, 658 F.3d 898, 905 (9th Cir.2011). We review de novo the federal district court decision denying Smith’s 28 U.S.C. § 2254 habeas petition. Alvarado v. Hill, 252 F.3d 1066, 1068 (9th Cir.2001).

Because Smith filed his federal habeas petition prior to AEDPA’s April 24, 1996 effective date, pre-AEDPA standards govern our review even though Smith filed amended petitions subsequent to AEDPA’s effective date. See Sivak, 658 F.3d at 905 (applying the pre-AEDPA standard of review where initial petition was filed prior to AEDPA’s effective date and amended petitions were filed following AEDPA’s enactment); Robinson v. Schriro, 595 F.3d 1086, 1099 (9th Cir.2010) (same); see also Lindh v. Murphy, 521 U.S. 320, 326, 117 S.Ct. 2059,138 L.Ed.2d 481 (1997) (holding that Congress intended AEDPA to apply “only to such cases as were filed after [AEDPA’s] enactment”).

Under pre-AEDPA law, state court factual findings are entitled to a presumption of correctness, subject to eight exceptions enumerated in the previous version of 28 U.S.C. § 2254(d). Sivak, 658 F.3d at 905-06. Among the exceptions to the rule regarding a presumption of correctness is the following: the state court’s “factual determination is not fairly supported by the record.” 28 U.S.C. § 2254(d)(8). Because the parties agree that whether Smith is intellectually disabled is a question of fact, we assume for purposes of this opinion that such is the case. The presumption of the correctness also does not apply if the factual determination is based on the application of constitutionally impermissible legal principles. Lafferty v. Cook, 949 F.2d 1546, 1551 n. 4 (10th Cir.1991).

B. Legal Standard Governing Determination of Intellectual Disability Under Arizona Law

In 2001, one year before Atkins was decided, the Arizona legislature enacted a statute prohibiting the execution of intellectually disabled persons and creating a process by which capital defendants are evaluated for intellectual disability. Ariz. Rev.Stat. Ann. § 13-703.02 (2001), 2001 Ariz. Sess. Laws, Ch. 260, § 2; State v. Grell (Grell I), 205 Ariz. 57, 66 P.3d 1234, 1240 (2003). Under the version of the statute in effect at the time of Smith’s Atkins hearing in 2007, the procedures for evaluating a defendant were automatically triggered upon the State’s filing a notice of intent to seek the death penalty. Ariz. Rev.Stat. Ann. § 13-703.02(B) (2006), as amended by 2006 Ariz. Sess. Laws, Ch. 55, § l. The statute provides that the burden of proving intellectual disability lies with the capital defendant who must prove his disability by “clear and convincing evi-denee.” Ariz.Rev.Stat. Ann. § 13-703.02(G).

The Arizona statute defines “mental retardation” as containing three elements: (1) “significantly subaverage general intellectual functioning” and (2) concurrent “significant impairment in adaptive behavior,” (3) “where the onset of the foregoing conditions occurred before the defendant reached the age of eighteen.” Ariz.Rev. Stat. Ann. § 13-703.02(K)(3). “Significantly subaverage general intellectual functioning” is defined as “a full scale intelligence quotient [IQ] of seventy or lower.” Ariz.Rev.Stat. Ann. § 13-703.02(K)(5). “Adaptive behavior” is defined as “the effectiveness or degree to which the defendant meets the standards of personal independence and social responsibility expected of the defendant’s age and cultural group.” Ariz.Rev.Stat. Ann. 13-703.Q2(K)(1).

Under Arizona’s procedures for determining intellectual disability, the court appoints a prescreening psychological expert to determine the defendant’s IQ “using current community, nationally and culturally accepted intelligence testing procedures.” Ariz.Rev.Stat. Ann. § 13-703.02(B). If the expert determines that the defendant’s IQ is above 75, “the notice of intent to seek the death penalty shall not be dismissed on the ground that the defendant has mental retardation.” Ariz. Rev.Stat. Ann. § 13-703.02(C). If the IQ score is 75 or less, however, the court will appoint additional experts in consultation with the parties to prepare reports regarding whether the defendant is intellectually disabled. Ariz.Rev.Stat. Ann. § 13-703.02(D), (E). If at this point all IQ test scores are above 70, the defendant remains eligible for the death penalty. Ariz.Rev. Stat. Ann. § 13-703.02(F).

If the testing demonstrates that the defendant’s IQ score is equal to or less than 70, however, the court holds a hearing at which “the defendant has the burden of proving mental retardation by clear and convincing evidence.” Ariz.Rev.Stat. Ann. § 13-703.02(G). Under Arizona law, “[e]lear and convincing evidence is that which may persuade that the truth of the contention is ‘highly probable.’ ” In Re Ne-ville, 147 Ariz. 106, 708 P.2d 1297, 1302 (1985) (en banc). A determination by the court that the defendant’s IQ is 65 or below “establishes a rebuttable presumption that the defendant has mental retardation.” Ariz.Rev.Stat. Ann. § 13-703.02(G). However, “ ‘[t]he presumption of mental retardation based on the IQ scores vanishes ... if the State presents evidence that calls into question the validity of the IQ scores or tends to establish that [the] defendant does not otherwise meet the statutory definition of mental retardation.’ ” State v. Boyston, 231 Ariz. 539, 298 P.3d 887, 895 (2013) (quoting State v. Arellano, 213 Ariz. 474, 143 P.3d 1015, 1019 (2006)); see Arellano, 143 P.3d at 1018 (“A rebuttable presumption, however, ‘vanishes when the state provides contradictory evidence.’ ” (citation omitted)). “ ‘At that point, the IQ scores serve as evidence of mental retardation, to be considered by the trial court with all other evidence presented.’ ” Boyston, 298 P.3d at 895 (quoting Arellano, 143 P.3d at 1019).

Smith did not have the benefit of this procedural framework at the time of his trial because the trial took place nearly twenty years before the procedural framework’s adoption. The Arizona Supreme Court has held that in cases presenting Atkins claims in such a post-trial posture, courts should use Atkins as a guide and apply the pre-trial procedures of § 13-703.02 to the extent practical. As the Arizona Supreme Court explained in a capital case predating the passage of § 13-703.02,

We recognize that the procedures set forth in section 13-703.02 are not applicable in Grell’s case, as section 13-703.02 did not take effect until after Grell’s sentencing. Moreover, the procedures contemplated by section 13703.02 are pre-trial procedures, triggered when the State files its notice of intent to seek the death penalty. The trial court should use Atkins as a guide and should, insofar as is practical in the post-trial posture of this case, follow the procedures established in [Ariz.Rev.Stat.] section 13-703.02.

Grell I, 66 P.3d at 1241 (footnote omitted); accord Arellano, 143 P.3d at 1017 (“[Ariz. Rev.Stat. § 13-703.02] applies to all capital sentencing proceedings, including post-conviction proceedings brought to determine whether a defendant meets the statutory definition of mental retardation.”).

C. Presumption of Correctness

As an initial matter, we must determine whether a presumption of correctness applies to the state court’s factual determination that Smith was not intellectually disabled at the time of the offense and trial. We conclude that it does not. As discussed in section II.C.l, we hold that the state court’s factual determination is not entitled to deference because it is “not fairly supported by the record.” 28 U.S.C. § 2254(d)(8). Also, as explained in section II.C.2, Judge Reinhardt would hold that deference is not due for the additional and independent reason that the Pima County Superior Court rendered its finding that Smith was not intellectually disabled under a constitutionally impermissible legal standard.

1. The State Court’s Factual Determination Is Not Fairly Supported By the Record

Our case law provides some guidance for determining when the exception codified at § 2254(d)(8) applies. Where the record is ambiguous, a state court’s factual determination is “fairly supported by the record” within the meaning of § 2254(d)(8). Palmer v. Estelle, 985 F.2d 456, 459 (9th Cir.1993); see Wainwright v. Goode, 464 U.S. 78, 85, 104 S.Ct. 378, 78 L.Ed.2d 187 (1983). Where the great majority of the evidence strongly points against the state court’s finding, however, the finding is not fairly supported. We have held that a factual determination is not fairly supported by the record even if it is supported by some evidence and other evidence is equally consistent with both the state court’s conclusion and a contrary conclusion, so long as the record as a whole “strongly suggests” a different conclusion. See Carriger v. Stewart, 132 F.3d 463, 473-76 (9th Cir.1997).

This standard must also be read in the context of the Supreme Court’s recent decision in Hall v. Florida, — U.S. —, 134 S.Ct. 1986, 188 L.Ed.2d 1007 (2014). In Hall, the Court emphasized that, in death penalty cases where a defendant’s intellectual functioning is a close question, the defendant “must be able to present additional evidence of intellectual disabili-ty____” Id. at 2001. In fact, in these situations, the court must not “view a single factor as dispositive” given the complexity of intellectual disability assessments. Id. Therefore, a court reviewing the whole record as required by the standard at issue must consider all indications of a defendant’s intellectual disability and may not discard relevant evidence.

Here, we do not defer to the state court’s ultimate conclusion that Smith was not intellectually disabled because it lacks fair support in the record as a whole. Nor do we defer to the state court’s weighing of the evidence where its decisions to discount certain evidence similarly lack fair evidentiary support or result from legal error. The evidence in this case overwhelmingly supports our conclusion that Smith satisfied both substantive prongs of intellectual disability — significantly subav-erage general intellectual functioning and significant impairment in adaptive behavior — both prior to age eighteen and at the time of the crime.

a. Application of Atkins

The state trial court correctly concentrated its analysis on whether Smith was intellectually disabled at the time of the offense and the ensuing trial. In Atkins, the Court identified two rationales supporting its holding. First, concentrating on the time of the offense, the Court recognized that intellectually disabled offenders are less culpable for their crimes. Atkins, 536 U.S. at 317, 122 S.Ct. 2242; see also Hall, 134 S.Ct. at 1992-93. Specifically, the Court noted that there is reason to doubt whether either justification it had previously recognized as a basis for the death penalty — retribution and deterrence — applies to intellectually disabled offenders. Atkins, 536 U.S. at 318-19, 122 S.Ct. 2242. These individuals, the Court explained, suffer from impairments leaving them with “diminished capacities to understand and process information, to communicate, to abstract from mistakes and learn from experience, to engage in logical reasoning, to control impulses, and to understand the reactions of others,” making them more likely to act on impulse rather than premeditation, and as followers rather than leaders. Id. at 318,122 S.Ct. 2242. These limitations diminish the individual’s relative culpability for the crime, and, consequently, the retributive justification of the death penalty. See id. at 319, 122 S.Ct. 2242 (“[T]he severity of the appropriate punishment necessarily depends on the culpability of the offender.”); see also Hall, 134 S.Ct. at 1992 (“No legitimate penological purpose is served by executing a person with intellectual disability.”). They likewise limit the death penalty’s deterrent effect, because these impairments “also make it less likely that [intellectually disabled offenders] can process the information of the possibility of execution as a penalty and, as a result, control their conduct based upon that information.” Atkins, 536 U.S. at 320,122 S.Ct. 2242.

The Court’s second rationale concentrates on a defendant’s trial in light of the heightened risk that “[m]entally retarded defendants in the aggregate face a special risk of wrongful execution” because they are less able to effectively participate in their own defense for the purpose of making “a persuasive showing of mitigation.” Id. at 320-21, 122 S.Ct. 2242; see also Hall, 134 S.Ct. at 1993. . Because the rationales underlying the right announced in Atkins concentrate on the time the crime was committed and the ensuing trial, we hold that a defendant comes within the protection of Atkins if he can demonstrate that he was intellectually disabled during either of these periods. Consequently, a defendant’s present condition is relevant only to the extent that it is probative of his condition during the relevant periods.

The defendant must, of course, qualify under the third prong as well. The onset of the mental disability must have occurred before he reached the age of eighteen.

We turn now to why the record does not fairly support the state court’s determination that Smith was not intellectually disabled. In order to do so, we must examine the evidence under the two substantive elements of the Arizona statute, and determine whether the evidence as a whole strongly points to the conclusion that the two statutory conditions existed at the time of the crime or trial, and whether the onset of each condition occurred prior to age eighteen.

b. Significantly Subaverage General Intellectual Functioning

“ ‘Significantly subaverage general intellectual functioning’ is the touchstone for proving [intellectual disability] and means ‘a full scale intelligence quotient [IQ] of seventy or lower.’” State v. Grell (Grell III), 231 Ariz. 153, 291 P.3d 350, 352 (2013) (quoting Ariz.Rev.Stat. Ann. § 13-753(E)(5)). It must be manifested before age eighteen, Ariz.Rev.Stat. Ann. § 13-703.02(E)(3), and at the time of the crime or trial, see Atkins, 536 U.S. at 317-21, 122 S.Ct. 2242.

1. Intellectual Functioning Prior to Age Eighteen

Smith took the Otis Intelligence Scale Test in April 1964 and again in October of that year, when he was fifteen years old, receiving scores of 62 and 71, respectively. The score of 62 Smith received the first time he took the test is the more relevant of the two scores in light of Dr. Thompson’s unrebutted testimony that Smith’s second test score of 71 was inflated by the practice effect of having taken the same test just several months earlier. Dr. Thompson explained that under the practice effect, a person scores higher on a test when it is readministered within a short period of time because he has become familiar with the test. Arizona courts and the most current clinical guidelines recognize the practice effect. See State ex rel. Thomas v. Duncan, 222 Ariz. 448, 216 P.3d 1194, 1195 n. 4 (App.2009) (“The practice effect occurs when a person performs better on a test because he or she has taken it before.”); id. at 1198 (stating that “a defendant may argue that the practice effect impacted the results” of successive IQ tests); Am. Ass’n of Intellectual and Developmental Disabilities, Intellectual Disability 38 (11th ed.2010) [hereinafter AAIDD 11th ed.] (describing research showing the artificial increase in IQ scores when the same instrument is readminis-tered within a short time interval, and stating that established clinical practice is to avoid administering the same intelligence test within the same year to the same individual because it will often lead to an overestimation of the examinee’s true intelligence); Am. Psychiatric Ass’n, Diagnostic and Statistical Manual of Mental Disorders 37 (5th ed.2013) [hereinafter DSM-V] (identifying the practice effect as a factor capable of affecting test scores).

Under the Atkins framework Arizona later adopted, Smith’s IQ score of 62 would entitle him to a presumption of intellectual disability. See Ariz.Rev.Stat. Ann. § 13-703.02(G). The State, however, “presented] evidence that calls into question the validity of the IQ scores or tends to establish that [the] defendant does not otherwise meet the statutory definition of mental retardation.” Boyston, 298 P.3d at 895 (quoting Arellano, 143 P.3d at 1019). Specifically, the State points to the results of IQ test scores administered by Drs. Thompson and Martinez in 2005 and 2007, on which Smith received scores of 89, 91, and 93. These scores demonstrate that Smith is not presently intellectually disabled, and, in the absence of IQ scores documenting Smith’s IQ at the time the crime was committed, raise an inference that he may not have been disabled at that time. Accordingly, “[t]he presumption ... based on the IQ scores vanishes” and we weigh the evidence as if no presumption had existed. Id. (quoting Arellano, 143 P.3d at 1019).

In any event, the Otis test scores remain highly probative of Smith’s condition prior to age eighteen. The State asserts that the tests are unreliable, and points to Dr. Thompson’s testimony on cross-examination that by 1964 the Otis tests had not been “normed” against the current population for forty years, and that he had not seen the raw data from Smith’s Otis tests or any information regarding the conditions under which those tests were administered. Although the lack of contemporary norming may call into some question the accuracy of the test results, Dr. Thompson gave uncontroverted testimony that, due to the Flynn Effect, this would only have caused Smith’s scores to be overstated. The basic premise of the Flynn effect is that because average IQ scores increase over time, a person who takes an IQ test that has not recently been normed against a representative sample of the population will receive an artificially inflated IQ score. See James R. Flynn, Tethering the Elephant: Capital Cases, IQ, and the Flynn Effect, 12 Psychol. Pub. Pol’y & L. 170, 173 (2006) [hereinafter Flynn Effect ]. This is because IQ scores are based on a normal distribution curve, and thus an individual’s score is meaningful only in relation to the scores of the other people who took the same test. See J.C. Oleson, The Insanity of Genius: Criminal Culpability and Right-Tail Psy-chometrics, 16 Geo. Mason L.Rev. 587, 598 (2009). When correcting for the Flynn Effect, “[t]he standard practice is to deduct 0.3 IQ points per year (3 points per decade) to cover the period between the year the test was normed and the year in which the subject took the test.” Flynn Effect, supra, at 173. The AAIDD recognizes the existence of the Flynn Effect and recommends correcting for the age of norms in outdated tests. AAIDD 11th ed., supra, at 37; see also Am. Ass’n on Mental Retardation, Mental Retardation: Definition, Classification, and Systems of Supports 56 (10th ed.2002) [hereinafter AAMR 10th ed.]. The Fourth and Eleventh Circuits have also recognized the existence of the Flynn Effect. See Walker v. True, 399 F.3d 315, 322-23 (4th Cir.2005) (reversing district court due to its failure to consider “relevant evidence” of the Flynn effect); Holladay v. Allen, 555 F.3d 1346, 1358 (11th Cir.2009) (“[A]ll of the scores were on WAIS tests, which may have reflected elevated scores because of the Flynn effect.”). Without referring to the Flynn effect by name, we too have adjusted IQ scores based on out-of-date norms. Gregory E, 811 F.2d at 1312 n. 2. Here, we conclude that, in light of Dr. Thompson’s uncontroverted testimony regarding the impact of the Flynn Effect, Smith’s score of 62 on the outdated Otis test renders it highly probable that his IQ at the time of the test was lower than 62, well below the cutoff for demonstrating “significantly sub-average general intellectual functioning” under Arizona law.

The record does not fairly support the state court’s determination to afford the Otis test little weight and discount Dr. Thompson’s opinion to the extent that he relied on the test. Although Dr. Thompson and Dr. Martinez each noted that additional information regarding the administration of the test would enhance its validity, neither witness concluded that the test results were invalid in the absence of such information. More fundamentally, we decline to disregard the Otis tests on the basis that Smith is unable to proffer the same level of detailed evidence regarding their administration as is available for recent tests administered by court-appointed psychologists. Like most states, Arizona places the burden on a defendant raising an Atkins claim to demonstrate, inter alia, significantly subaver-age general intellectual functioning [meaning an IQ of 70 or below] occurring before the age of eighteen. Ariz.Rev.Stat. Ann. § 13-703.02(K)(3), (5). It is highly unlikely, however, that the people administering an IQ test to a child would ever anticipate the use of that test in an Atkins proceeding, and at the time of Smith’s tests the constitutional right provided by Atkins did not even exist. Consequently, records of childhood IQ tests will rarely include the detailed information collected for IQ tests administered under court supervision to adjudicate a defendant’s Atkins claim. To discount what may be the only evidence of subaverage general intellectual functioning prior to age eighteen on this ground would effectively deny the protection afforded by Atkins to individuals who are substantially older than eighteen years old, or whose trials predate Atkins, because it would render their intellectual disability nearly impossible to prove. Given the evidentiary challenges so often arising from the retrospective nature of Atkins claims, the Eighth Amendment requires that courts apply a more relaxed standard when determining the reliability of evidence documenting childhood onset of intellectual disability. Here, there is no indication that Smith was malingering when he took the Otis tests. Accordingly, although they do not provide a presumption of intellectual disability under Arizona law, we find that Smith’s first Otis test score nonetheless “serye[s] as evidence of mental retardation, to be considered by [this] [C]ourt with all other evidence presented.’ ” Boy-stem, 298 P.3d at 895 (internal quotation marks omitted).

We hold the first Otis test score reliable for the additional reason that it is consistent with Smith’s contemporaneous poor academic performance. Under Arizona law, evidence of poor academic performance is evidence of subaverage intellectual functioning. Williams v. Cahill ex rel. Cnty. of Pima, 232 Ariz. 221, 303 P.3d 532, 540 (App.2013) (“[W]hen no childhood IQ tests were performed, subaverage intellectual functioning before the age of eighteen properly may be inferred from other evidence of intellectual functioning, such as school performance.”). Here, the evidence overwhelmingly demonstrates that Smith performed exceedingly poorly in school, scoring in the 2nd to 5th percentiles on the Stanford Achievement Test at age fifteen, placing him five to seven years below his age level and three to five years below grade level. Smith’s school transcripts reveal that he received nearly all “Ds” and “F’s” in his academic subjects, and that his education did not progress beyond the eighth grade, after which he dropped out of school. The State does not contest the validity of these records. Melva Jane Box, Smith’s older sister, testified that Smith was held back in all his grades, was placed in special education class for slow learners, and was even transferred to a special school “because he couldn’t learn.” Charles Caperton, one of Smith’s childhood neighbors, similarly testified that Smith was placed in special education classes. Taken together, Smith’s Otis test scores and poor academic performance overwhelmingly demonstrate that Smith experienced significantly subaverage general intellectual functioning prior to the age of eighteen. The state court’s determination to the contrary does not find fair support in the record.

2. Intellectual Functioning at the Time of the Crime and Trial

The more fundamental question in this case is whether Smith continued to suffer from subaverage intellectual functioning at the time of the crime and trial. The only evidence to the contrary is the IQ test scores conducted by Dr. Thompson and Dr. Martinez decades after the trial. Thus, the question is the relative weight that can fairly be given to the pre-crime and post-crime test scores insofar as they provide evidence determinative of Smith’s intellectual functioning at the time of the crime and trial, and whether the record fairly supports the state court’s conclusion that Smith did not experience significantly subaverage general intellectual functioning at that crucial time.

We begin by noting that the subsequent administration of IQ tests by Drs. Thompson and Martinez was substantially more remote from the period of Smith’s crime than the administration of the Otis test scores: twenty-five and twenty-seven years after the crime, in the former case, compared to sixteen years in the latter. Accepting each set of test scores as valid measures of Smith’s IQ at the time the tests were administered, this discrepancy renders more probable Smith’s assertion that his IQ at the time of the crime approximated the IQ reflected in his first Otis test score rather than his more recent, higher scores.

The key issue, however, is the strength of Smith’s evidence demonstrating the probability that his significant gains in IQ score occurred after, rather than before, his incarceration. Dr. Thompson testified that improvements in IQ score similar to those attained by Smith are possible for individuals like Smith whose cognitive problems stem from environmental factors rather than physical injury and who are later given appropriate antidepressant medication and placed in a structured environment. Certainly, Smith adduced substantial evidence of a horribly abusive and impoverished upbringing supporting Dr. Thompson’s opinion: he was routinely brutalized by his stepfather, and was subjected to extreme verbal and emotional abuse by his mother, interspersed with neglect and periods of outright abandonment. According to Box, Smith’s stepfather would beat him with “whatever was closest.... a belt, a stick, a coat hangar,” and also molested him. Martha Gau, Smith’s younger half-sister, similarly testified that Smith’s stepfather would tell him “he was good for nothing and would never amount to anything,” and would kick him and whip him with both ends of a belt; she recalled finding Smith’s bedsheets covered in blood following one particularly serious beating when he was about twelve or thirteen years old. Caperton saw Smith beaten with a belt “pretty regularly,” and witnessed one beating involving use of a two-by-four. Smith’s mother frequently left the children alone at a time when Smith was still young enough to be using a high chair. On one occasion when she was actually present, Smith’s mother engaged in extra-marital foreplay in the front seat of her car while Smith sat in the backseat. On another, after the children failed to adequately clean the dishes, she sent them outside with bowls on their heads to pick weeds from the yard while other children from the neighborhood gathered around them and laughed. As a result of this upbringing, Dr. Thompson opined, Smith became intellectually disabled with frontal lobe abnormalities.

As evidence that IQ scores can improve following the commission of the crime in situations similar to Smith’s, Dr. Thompson cited robust data demonstrating that the use of antidepressants (which Smith took while incarcerated) can significantly increase brain functioning over time, noted that other death row inmates have attained improved functioning while incarcerated, and provided an anecdote of a patient who achieved a twelve point gain in IQ score after receiving medication for just four months. As evidence that his level of functioning improved over the course of his incarceration, Smith adduced testimony from multiple witnesses describing dramatic improvements in the quality of the letters he sent from prison. Gau testified that letters Smith sent her at the beginning of his incarceration were virtually unintelligible, but that over the following years his writing had improved ‘TOO percent,” explaining that “it was like a totally different person was writing it.” Martha Hight, Smith’s aunt by marriage, similarly described Smith’s early letters from prison as partially unintelligible, and noted improvements in the letters he sent in later years. Smith also received tutoring while in prison. Ronald Labrecque, who worked for the Department of Corrections from 1986 until 1997, supervised Smith’s work on maintenance jobs over an eight year period. Labrecque also tutored Smith, helping him with his reading and providing him reading materials such as working manuals, and described witnessing a “vast improvement” in Smith’s reading ability over this time. Smith received additional help from Ed Schad, a fellow inmate, who would get books for Smith from the prison library and have him read them. None of this evidence is refuted by the State.

For his part, although disagreeing with Dr. Thompson’s ultimate conclusion, Dr. Martinez agreed with several of his key premises. Dr. Martinez testified that significant IQ gains are possible, and acknowledged that Smith’s IQ gains were not without precedent. He also agreed with Dr. Thompson’s characterization of prison as a “structured environment.” More significant, Dr. Martinez testified that improved functioning is unlikely to occur in the absence of training and educational opportunities (which Smith received in prison from Labrecque and Schad), and stated that there was no indication Smith received any such opportunities prior to the time of the crime. This strongly reinforces, and renders highly probable, Smith’s assertion that the improvement in his functioning did not occur until after the crime was committed. For all of these reasons, we hold that the state court’s determination that no evidence explains whether the finding of Smith’s low childhood IQ could be extrapolated to the time of the crime and trial lacks even fair support in the record.

Dr. Martinez also relied on reports summarizing three Rule 11 competency evaluations Smith underwent in 1981, each of which found- Smith competent to stand trial. He specifically cited the conclusion of one evaluator, Dr. LaWall, that Smith “probably functions in the average range of intelligence.” Dr. Thompson described the Rule 11 reports as an unreliable assessment of intelligence because they are “very superficial,” and “very subjective.” He explained that because the reports focus on competency, they comprise estimates of a subject’s functioning based only on a brief interview, involve little review of the subject’s history, and — more important — include no quantitative assessment of his IQ. Dr. Thompson’s critique is consistent with Arizona law and highly persuasive, and Dr. LaWall’s assessment of Smith’s intelligence carries little weight. See Ariz.Rev.Stat. Ann. § 13-703.02(K)(5) (determining whether an individual suffers from significantly subaverage general intellectual functioning requires a quantitative assessment of IQ). The State adduces no other evidence of improved academic performance or other indicia of increased intellectual functioning prior to the commission of the crime. Accordingly, viewing the record as a whole, we hold that Dr. Martinez’s conclusion is not fairly supported by the record. Because the remaining evidence supporting the state court’s conclusion is minimal, we hold that its conclusion that Smith failed to satisfy the intellectual functioning prong of Arizona’s intellectual disability definition at the of the crime and/or trial is not fairly supported by the record. We hold instead that the evidence overwhelmingly demonstrates that Smith experienced significantly subaverage general intellectual functioning at that dispositive time.

Moreover, to hold otherwise would contravene the fundamental principles the Supreme Court recently laid out for the benefit of the federal courts and the state judiciary in the landmark case of Hall v. Florida, — U.S.—, 134 S.Ct. 1986, 188 L.Ed.2d 1007 (2014). In that case, the Court made it clear that a determination of intellectual disability requires, at least in questionable cases, the consideration of significant relevant evidence, not simply a measurement of an IQ test at a particular point in time. Here, the premise on which the state court’s decision as to intellectual disability is based is that the IQ tests taken at a critical time — the time prior to Smith’s 18th year — must be discounted in large part because, at the time they were taken, the procedures used for such tests were not adequately recorded and the information regarding the administration of such tests was no longer available. This test evidence was not only critical to the initial IQ determination when Smith was 15 but also to the ultimate determination of his intellectual disability at the time of the crimes. To discount the reliability of the tests on such grounds is little different from failing to consider, or excluding, crucial evidence that is not only highly relevant to the principal questions at issue but is indeed critical to-arriving at a fair and just answer to the question whether Smith is eligible for capital punishment.

Hall reminds us that “the death penalty is the gravest sentence our society may impose,” 134 S.Ct. at 2001, and that imposing this “harshest of punishments on an intellectually disabled person violates his or her inherent dignity as a human being,” id. at 1992. Given these stakes, Hall warns that we must not make judgments in haste as to whether a person has an intellectual disability, but rather must consider all the “substantial and weighty evidence” in cases that present close questions. Id. at 1994. Put differently, we cannot risk making the protections of Atkins a nullity by executing a person'with an intellectual disability without giving him the “fair opportunity to show the Constitution prohibits [his] execution.” Id. at 2001. The state court’s decision in Smith’s case takes that risk. By discounting Smith’s early IQ tests even though they were the type used at the time and even though they are the most likely evidence that an intellectually disabled defendant of Smith’s age could present in order to prove his condition, the state court judge rendered the protection for the intellectually disabled established by Atkins effectively meaningless, which is precisely what the Court sought to avoid in Hall. Such a decision, by removing highly probative evidence of a person’s intellectual disability in a death-penalty case, not only violates the individual defendant’s right but also' “contravenes our Nation’s commitment to dig- ■ nity and its duty to teach human decency as the mark of a civilized world.” Id.

c. Significantly Impaired Adaptive Behavior

“ ‘Adaptive behavior’ means the effectiveness or degree to which the defendant meets the standards of personal independence and social responsibility expected of the defendant’s age and cultural group.” Ariz.Rev.Stat. Ann. § 13-703.02(K)(1). Courts applying this prong must conduct “an overall assessment of the defendant’s ability to meet society’s expectations of him.” State v. Grell (“Grell II”), 212 Ariz. 516, 135 P.3d 696, 709 (2006) (en banc); accord Boyston, 298 P.3d at 895.

Although there is scant case law applying this prong, we find the Arizona Supreme Court’s decision in Grell III, 291 P.3d 350 (Ariz.2013), highly instructive. In Grell III, the State stipulated that the capital defendant demonstrated significantly subaverage general intellectual functioning but contested the impairment of his adaptive behavior. Id. at 352. Independently reviewing the evidentiary record, the court proceeded to hold that Grell had also demonstrated significant deficits in adaptive behavior, and reduced his death sentence to natural life. Id. at 351, 357. As evidence of significantly impaired adaptive behavior, the court considered, inter alia, Grell’s grade school records showing that he had been placed in special education classes; lay witness testimony describing him as highly impulsive, unable to understand social cues of children his own age, and largely unable to use the few social skills that he had; expert testimony describing Grell’s tendency to act more like children several years younger, and noting his impulsiveness and poor communication skills; and testimony from teachers and administrators who observed that Grell was impulsive, inattentive, and unable to communicate effectively. Id. at 353-55. Grell also adduced testimony from members of the special education team at his elementary school stating their conclusion that Grell was intellectually disabled. Id. at 353. A psychologist opined that the consistency of Grell’s poor social functioning and behavioral problems demonstrated the presence of intellectual disability, because problems arising solely from antisocial or personality disorders would vary over time. Id. at 354. Grell also presented the expert testimony of an educational psychologist who concluded that

[g]iven the facts of [Grell’s] low intellectual functioning, his inability to learn from his mistakes, his reduced capacity in communication, socialization and self-help skills, and his significant history of special education, followed by failure and dropping out of school and, in the absence of significant parental support and guidance, his subsequent serious entanglement with the criminal justice system, it is clear at this point that Shawn Grell is a person who has mental retardation.

Id. at 355. The court additionally noted Grell’s history of running away from home, committing crimes, his inability to hold jobs, and his general immaturity. Id. at 356. Reviewing this evidence, the court concluded that Grell had demonstrated significant deficits in adaptive behavior, notwithstanding evidence of his limited ability to adapt. Id. at 357.

The record in this case paints a remarkably similar picture of Smith, demonstrating consistent traits, beginning in childhood and continuing through the time of the crime, that the Grell III court held established impaired adaptive behavior. See id. at 354 (consistency of behavioral problems indicates a root cause of intellectual disability, rather than antisocial or personality disorders). Like Grell, Smith had a “significant history of special education, followed by failure and dropping out of school.” See id. at 355. Specifically, Smith was held back in all his grades, placed in special education classes, subsequently transferred to a special school for children unable to learn, and dropped out after the eighth grade, by which time he was already sixteen years old. These facts are consistent with other testimony providing further evidence of Smith’s poor intellectual functioning during his childhood. Box testified that as a child, Smith had trouble learning and struggled to grasp the rules even of simple children’s games like tag and marbles. Betty Ruth Knight, another former neighbor and the mother of Smith’s fifth wife, Beth Lewis, stated that as a child Smith “always looked like he was just lost.”

Smith had poor social skills. According to Delores Elaine Long, one of Smith’s childhood neighbors, as a child Smith was unable to interact with, play with, or carry on a conversation with other children. See Grell III, 291 P.3d at 353 (“[Grell] could not understand social cues that children his age should understand, and was largely unable to use the few social skills that he had.”). Hight testified that as a young adult Smith lacked any social life, and Gerald Lambright, the cousin of Smith’s co-defendant Joe Lambright, described Smith as a “loner.” Other evidence reveals Smith’s impulsiveness. Smith’s .mother reported that psychiatrists who treated him during his childhood concluded Smith had problems with impulsiveness, which would likely continue throughout his life. The presentence report also describes Smith’s impulsiveness, stating that he “responds to external, social stimuli on a very concrete level, living basically from day to day and acting on impulse to a great degree.” See id. at 353-55 (noting Grell’s impulsiveness); Atkins, 536 U.S. at 318, 122 S.Ct. 2242 (stating that intellectually disabled people “often act on impulse rather than pursuant to a premeditated plan”).

Smith’s communication skills were similarly stunted. Hight testified that, as an adult, Smith had difficulty forming sentences and correctly pronouncing words; for example, he would say “weekie days” when referring to “weekdays.” Gau and Hight each described receiving nearly incomprehensible letters from Smith during the early period of his incarceration. See Grell III, 291 P.3d at 354-55 (stating that Grell was “unable to communicate effectively” and noting “his reduced capacity in communication”).

As in Grell III, a lay witness familiar with intellectual disability concluded that Smith was intellectually disabled. Here, Hight stated that she believed Smith to be intellectually disabled, based on her comparison of Smith to her own intellectually disabled sister. See id. at 353 (Grell identified as intellectually disabled by special education staff experienced with other disabled children). Although she was not an expert, Hight’s testimony, based on her personal experience, is highly probative of Smith’s adaptive behavior. See Arellano, 143 P.3d at 1020 (discussing the relevance of lay witness. testimony regarding adaptive behavior).

Other evidence indicates that Smith did not possess the skills necessary to take care of his own needs. Hight described Smith as lacking basic hygiene, unable to sit at the table or eat properly, and unable to take care of himself without assistance. Labrecque testified that he was forced to reprimand Smith on one occasion over his sloppiness, body odor, and infrequent bathing. See Grell III, 291 P.3d at 355 (“Dr. Keyes’ investigation revealed that Grell’s family viewed Grell as ‘somewhat incapable of caring for many of his own needs____’ He concluded that Grell’s record confirmed his adaptive deficits, as illustrated by his lifelong inability ‘to conform his behavior to the expected standards of his social and same aged peers.’ ”).

The evidence in this case includes many additional parallels to the evidence presented in Grell. Smith tormented his younger half-sister, sexually abusing her at a young age: when he was twelve, Smith was severely punished after persuading Gau to play “doctor” when she was five years old, and when Gau was nine Smith, then sixteen, brought her out to the garage and forced her to perform oral sex on him. Smith made repeated attempts to run away from home after which he was jailed for vagrancy. He frequently got into trouble for criminal activity, including numerous arrests. Hight testified that Smith was unable to hold a job, which she attributed to his inability to “comprehend what a normal person ... would be able to interpret.” The record reveals that Smith cycled through more than 100 short-term jobs over a period of sixteen years, which Dr. Thompson described as evidence of multiple adaptive impairments. Smith also functioned very immaturely as an adult. Long testified that Smith got along well with the children of Beth Lewis, Smith’s fifth wife, because he related to them as a child rather than as an adult: “[H]e was a lot mentality [sic] like they were. I mean, like instead of being a dad figure, he was kind of like they were.” Gerald Lambright testified that, as an adult, Smith was immature, had difficulty interacting with adults his own age, would frequently mimic Donald Duck when he spoke at all, and preferred to interact with children. Labrecque characterized Smith’s emotional maturity as resembling that of a twelve to fourteen year-old even a number of years after he had committed the crimes. Multiple medical records appended to Smith’s presentence report describe Smith in his late teens and early twenties as possessing an “immature personality” and exhibiting “immature behavior.” As the Grell III court found, this behavior indicates significant impairment in adaptive behavior under Arizona law. See id. at 356-57 (stating that tormenting other children, running away from home, committing crimes, an inability to hold jobs, and immaturity are among the elements of a mental history that “by itself, provides strong evidence that [an individual] suffered a ‘significant impairment’ in the ability to ‘meet[] the standards of personal independence and social responsibility expected’ of him.” (quoting Ariz.Rev. Stat. Ann. § 13-753(K)(1), (3))).

Additional evidence of Smith’s impaired adaptive behavior not present in Grell makes Smith’s impaired adaptive behavior even clearer. Charles McCarver, who lived in Smith’s apartment complex and worked with Smith repossessing cars, gave testimony describing an incident in which McCarver’s ex-girlfriend Penny jokingly told Smith that he could “have” their son because Smith and his wife were having difficulty conceiving their own child. Following this conversation, Smith called McCarver to say that Penny had told him he could have McCarver’s son. McCarver adamantly refused. Undeterred, Smith showed up at MeCarver’s home expecting to take the boy, changing his mind only after seeing how happy the child was with McCarver. Smith’s absurdly literal interpretation of McCarver’s joke that he would “give” Smith his son vividly demonstrates Smith’s malformed social and communication skills and his general inability to navigate his social world.

Smith’s mother, Sylvia Scott (Joe Lam-bright’s wife), Gerald Lambright, and the presentence report all described Smith as a follower, a trait the Supreme Court has identified as an indicator of impaired adaptive behavior. Gerald said that Smith would do whatever Joe told him to do, adding that “it was almost like the guy could not think- for himself.” See Atkins, 536 U.S. at 318, 122 S.Ct. 2242 (“in group settings [intellectually disabled people] are followers rather than leaders”). The pre-sentence report describes Smith as having a “borderline personality,” which is also probative of Smith’s condition at the time of Smith’s crime and trial.

Moreover, Smith demonstrated a lifelong inability to make informed decisions regarding his own safety and welfare. Specifically, Smith was described as having poor judgment as a child and engaging in dangerous behavior without awareness of its risks. As an adult, Smith accepted dares to run across the highway in front of an oncoming truck and climb to the top of a radar tower hundreds of feet tall, where he dangled himself by his arms. He would sometimes go up on the top of buildings where carpentry work was being performed and jump along the beams and rafters without any safety harness. On one occasion while in prison, Smith took a walk along the edge of the roof of a two-story building, earning a rebuke from Labrecque. Such reckless behavior, apparently undertaken without any comprehension of the risks involved, further demonstrates Smith’s inability to meet the expected standards of personal independence.

Although Dr. Martinez viewed Smith’s ability to date women as evidence of his adaptive abilities, that testimony is clearly of little worth. The only evidence of Smith’s romantic life is his five failed marriages, the details of which paint a picture inconsistent with Dr. Martinez’s assessment. Smith’s first three marriages lasted a cumulative total of nineteen months. The presentence report notes that Smith beat his fourth wife, threatened her life, enjoyed tying her up and pretending to rape her, and on other occasions forced her to submit to anal intercourse against her will. Smith married Beth Lewis, his fifth wife, in November 1980, shortly before his arrest. According to Lewis, at one point she decided to end their relationship and Smith became very angry; he grabbed a gun and, shaking it in front of her, said “You want to end it? I can end it for us.” Afraid for her life, Lewis said that she would “do anything.” After contemplating this offer, Smith decided the pair should get married. That same evening, Smith pushed Lewis into the backseat of her car and tore off her pantyhose. Lewis said she began screaming and crying and begged Smith to stop, which he did, leading her to conclude that “[s]o he didn’t actually I guess rape me.” Following this encounter, Smith drove by Lewis’s home on several occasions and waved a pistol at her; the couple married a short time later. We fail to see how Smith’s serial marriages, at least some of which involved death threats as well as incidents of simulated and actual sexual assault, exhibit the “standards of personal independence and social responsibility expected of the defendant’s age and cultural group.” Rather, they further demonstrate the adaptive impairments affecting this and so many other areas of Smith’s childhood and adult life.

Testimony by Dr. Thompson and Dr. Martinez indicating that Smith possessed some adaptive skills does not alter the conclusion that it is highly probable that Smith experienced significant impairment in adaptive behavior at the relevant times. The evidence that Smith exhibited limited adaptive abilities is substantially outweighed by evidence of more far-reaching adaptive impairments. We note, moreover, that Arizona law does not mandate a complete absence of adaptive strengths. See Grell III, 291 P.3d at 357 (“The record also contains some indications of Grell’s limited ability to adapt. Although this evidence makes our decision difficult, a diagnosis of mental retardation, as statutorily defined, does not require a complete absence of adaptive skills.”).

Nor do we regard the Rule 11 reports as inconsistent with our conclusion. As the Supreme Court and our own Court have held, the ultimate conclusions stated in these reports — that Smith understood the difference between right and wrong, and was competent to stand trial — are not inconsistent with intellectual disability. See Atkins, 536 U.S. at 318, 122 S.Ct. 2242 (“Mentally retarded persons frequently know the difference between right and wrong and are competent to stand trial.”); Rohan ex rel. Gates v. Woodford, 334 F.3d 803, 810 n. 3 (9th Cir.2003) (“Incompetence and mental retardation are overlapping but distinct categories. Many retarded individuals are still competent to stand trial.”), abrogated on other grounds by Ryan v. Gonzales, — U.S.—, 133 S.Ct. 696, 184 L.Ed.2d 528 (2013). Nor, for that matter, is Dr. LaWall’s finding that Smith had a personality disorder with antisocial features inconsistent with our conclusion regarding impaired adaptive behavior, especially in light of Smith’s immaturity and childlike conduct. See Grell III, 291 P.3d at 354, 356 (citing expert testimony that “[i]f Grell had a mere conduct or personality disorder ... he would have committed acts that were simply against the rules and deviant ..., rather than acting, as he did, in ways that were embarrassing or immature,” and noting that antisocial personality disorder is not inconsistent with intellectual disability); Brumfield v. Cain, — U.S. —, 135 S.Ct. 2269, 2280, 192 L.Ed.2d 356 (2015) (“[A]n antisocial personality is not inconsistent ... with intellectual disability.”).

The vast majority of the evidence strongly points to the conclusion that Smith was unable to “meet[] the standards of personal independence and social responsibility expected of [his] age and cultural group,” both before the age of eighteen and at the time of the crime. Ariz.Rev.Stat. Ann. § 13-703.02(K)(1). Accordingly, we conclude that the state court’s determination that Smith’s pre-ar-rest life did not show significant impairment in adaptive behavior is not fairly supported by the record.

In sum, we conclude that under § 2254(d)(8) the clear weight of the evidence overcomes the presumption of correctness attaching to the state court’s finding that Smith was not intellectually disabled, as well as the state court’s ancillary factual determinations necessary to its ultimate conclusions. Specifically, we have found that the grounds on which the state court discounted Dr. Thompson’s testimony lack fair support in the record and are the product of legal error.

2. The State Court Applied an Unconstitutional Standard of Proof

The state court’s factual determination is not entitled to deference for a separate and independent reason. The Pima County Superior Court found Smith was not intellectually disabled by applying an incorrect and unconstitutional legal standard, a question of law we review de novo.

As the Tenth Circuit has recognized in pre-AEDPA cases, a state court’s factual determination rendered under a constitutionally impermissible legal standard is not entitled to a presumption of correctness. See Lafferty v. Cook, 949 F.2d 1546, 1551 n. 4 (10th Cir.1991) (“The initial inquiry must be whether the Utah court made its fact findings under the correct legal standard of competency. It is elemental that fact finding made under an erroneous view of the governing law cannot be presumed correct. Only after concluding that a state court used the proper standard does a habeas court turn to the issue of the presumption of correctness.”); accord Walker v. Att’y Gen. for Oklahoma, 167 F.3d 1339, 1345 (10th Cir.1999) (“Mr. Walker’s competency was determined under a constitutionally impermissible standard of proof. Such a determination is not entitled to a presumption of correctness.”).

In the section of the Pima County Superior Court’s decision entitled “Burden of Proof,” the court described the legal standard governing Smith’s Atkins claim. The court subsequently analyzed the evidence, after which it set forth its ultimate finding in the final section of its opinion. It concluded that “the circumstances described at the hearing do not point to mental retardation with any degree of certainty.” (Emphasis added.) A court’s recitation of the proper governing legal standard does not insulate its holding from habeas review where the record demonstrates that the court actually applied an unconstitutional standard. See Sears v. Upton, 561 U.S. 945, 952, 130 S.Ct. 3259, 177 L.Ed.2d 1025 (2010) (per curiam) (“Although the court appears to have stated the proper prejudice standard, it did not correctly conceptualize how that standard applies to the circumstances of this case.” (footnote omitted)). Here, because the state court made no other mention of the correct legal standard, and because its analysis provides no indication that the court actually applied the correct legal standard rather than the standard employed when it applied the law to the facts, its boilerplate statements in the introductory “Burden of Proof’ section are of no force or effect.

Under Arizona law, the “any degree of certainty” standard applied by the Pima County Superior Court is more akin to the “reasonable doubt” standard than the clear and convincing standard mandated by Arizona’s Atkins statute, which requires only that the issue under consideration be “highly probable.” See State v. King, 158 Ariz. 419, 763 P.2d 239, 243, 246 (1988) (reversing trial court for providing erroneous jury instructions, and explaining that “[t]he instruction now before us utilized the term ‘certainty’ in defining the clear and convincing standard.... We believe that ‘certainty’ is truer to the concept of proof beyond a reasonable doubt than to the ‘highly probable’ meaning of the clear and convincing standard.”).

To be sure, “[a] state’s misapplication of its own laws does not provide a basis for granting a federal writ of habeas corpus.” Roberts v. Hartley, 640 F.3d 1042, 1046 (9th Cir.2011). A state’s Atkins procedures present a special case, however. “ ‘[Bjecause Atkins reserved for the states the task of developing appropriate ways to enforce the constitutional restriction’ prohibiting the execution of the intellectually disabled, ‘federal courts conducting habeas review routinely look to state law ... in order to determine how Atkins applies to the specific case at hand.’ ” Williams v. Mitchell, 792 F.3d 606, 612 (6th Cir.2015) (quoting Black v. Bell, 664 F.3d 81, 92 (6th Cir.2011)). Stated differently, Atkins leaves to the states the task of developing appropriate procedures to enforce the constitutional right, but constitutionalizes the procedures the state creates. Consequently, where a state court analyzing an Atkins claim fails to follow binding state law, its decision does not simply violate state law, but also violates the Eighth Amendment right provided by Atkins and the violation is therefore cognizable by a federal habeas court. Id. (“[Wjhere a state-court decision is ‘contrary to’ clearly established state supreme court precedent applying Atkins, the decision is ‘contrary to Atkins ’ for purposes of habeas review” under AEDPA); see also Black, 664 F.3d at 97 (“[Bjecause Atkins defers to the individual states to set out the standard for a defendant to qualify as mentally retarded, the [state court’s] misinterpretation of [the state supreme court’s decision] is contrary to Atkins”).

Here, the “certainty” standard applied by the state trial court was plainly contrary to the clear and convincing standard required by Arizona’s statute and adopted by its supreme court. See Ariz.Rev.Stat. Ann. § 13-703.02(G); Grell If 135 P.3d at 701 (“The statute places on ‘the defendant ... the burden of proving mental retardation by clear and convincing evidence’ in the pretrial hearing.” (alteration in original) (quoting § 13-703.02(G))). Accordingly, the standard of proof applied by the state trial court was not simply contrary to state law but was also unconstitutional under Atkins, see Williams, 792 F.3d at 612; Black, 664 F.3d at 97, and, accordingly, the state court’s findings are not due any deference. See Lafferty, 949 F.2d at 1551 n. 4; Walker, 167 F.3d at 1345.

There is another reason the standard of proof applied by the state trial court is unconstitutional, and would be even if it were consistent with state law: a “certainty” standard of proof transgresses the limits of the state’s authority to craft appropriate procedures to enforce Atkins and, in so doing, encroaches on the substantive constitutional right. In reaching this conclusion, it is not necessary to determine what standard of proof the federal Constitution requires, but rather only whether the Arizona court applied a standard it forbids. Cf. Schriro v. Smith, 546 U.S. at 7-8, 126 S.Ct. 7 (state Atkins procedures may, “in their application, be subject to constitutional challenge,” but the state must first have an opportunity to apply them).

In Atkins, the Supreme Court did not announce a specific standard of proof governing claims of intellectual disability. Instead, the Court, citing Ford v. Wainwright, stated that it was “leav[ing] to the States the task of developing appropriate ways to enforce the constitutional restriction upon [their] execution of sentences.” 536 U.S. at 317, 122 S.Ct. 2242 (quoting Ford, 477 U.S. at 405, 416-17, 106 S.Ct. 2595). This did not leave the states unchecked discretion in determining such procedures, however. Rather, to be constitutional, a state’s procedures must constitute “appropriate ways to enforce the constitutional restriction.” Id. (emphases added) (quoting Ford, 477 U.S. at 416, 106 S.Ct. 2595). The Court’s citation to Ford reinforces this view. In Ford, a majority of the Court found Florida’s specific procedures for determining the sanity of a condemned prisoner constitutionally inadequate. See Ford, 477 U.S. at 413, 106 S.Ct. 2595; see also id. at 418, 106 S.Ct. 2595 (plurality opinion); id. at 424-25, 106 S.Ct. 2595 (Powell, J., concurring in part and concurring in.the judgment); id. at 427, 106 S.Ct. 2595 (O’Connor, J., concurring in the result in part and dissenting in part).

When the natural operation of a state’s procedures for rendering factual determinations transgresses a substantive constitutional right, those procedures are unconstitutional. See Bailey v. Alabama, 219 U.S. 219, 239-44, 31 S.Ct. 145, 55 L.Ed. 191 (1911). It is elementary that the “natural operation” of applying a heightened standard of proof can determine the outcome of litigation, and thus the availability of a constitutional right. See id. at 244, 31 S.Ct. 145 (stating that “we must consider the natural operation of the statute here in question”). As the Supreme Court has recognized, it is often impossible to ascertain disputed facts with absolute certainty. Victor v. Nebraska, 511 U.S. 1, 14, 114 S.Ct. 1239, 127 L.Ed.2d 583 (1994). Consequently, “the trier of fact will sometimes, despite his best efforts, be wrong in his factual conclusions.” In re Winship, 397 U.S. 358, 370, 90 S.Ct. 1068, 25 L.Ed.2d 368 (1970) (Harlan, J., concurring). “The function of a standard of proof ... is to ‘instruct the factfinder concerning the degree of confidence our society thinks he should have in the correctness of factual conclusions for a particular type of adjudication.’ ” Addington v. Texas, 441 U.S. 418, 423, 99 S.Ct. 1804, 60 L.Ed.2d 323 (1979) (quoting In re Winship, 397 U.S. at 370, 90 S.Ct. 1068 (Harlan, J., concurring)). As a result, “[t]he standard [of proof] serves to allocate the risk of error between the litigants.” Addington, 441 U.S. at 423, 99 S.Ct. 1804; see Cooper v. Oklahoma, 517 U.S. 348, 362, 116 S.Ct. 1373, 134 L.Ed.2d 498 (1996) (“The ‘more stringent the burden of proof a party must bear, the more that party bears the risk of an erroneous decision.’ ” (quoting Cruzan v. Director, Mo. Dept. of Health, 497 U.S. 261, 283, 110 S.Ct. 2841, 111 L.Ed.2d 224 (1990))).

Atkins claims present a heightened risk of an erroneous factual conclusion. Unlike factual determinations in which the basic issue is whether a fact occurred — for example, whether a defendant actually committed the act of which he is accused— determinations like intellectual disability, which depend upon psychiatric diagnosis, turn on an expert’s interpretation of the meaning of various facts. Cf. Addington, 441 U.S. at 429, 99 S.Ct. 1804. As the Supreme Court explained in rejecting the argument that the Constitution requires use of a reasonable doubt standard in the context of civil commitment proceedings, the unique nature of psychiatric diagnosis renders factual determinations uniquely unsusceptible to certainty.

The subtleties and nuances of psychiatric diagnosis render certainties virtually beyond reach in most situations. The reasonable-doubt standard of criminal law functions in its realm because there the standard is addressed to specific, knowable facts. Psychiatric diagnosis, in contrast, is to a large extent based on medical “impressions” drawn from subjective analysis and filtered through the experience of the diagnostician. This process often makes it very difficult for the expert physician to offer definite conclusions about any particular patient. Within the medical discipline, the traditional standard for “factfinding” is a “reasonable medical certainty.” If a trained psychiatrist has difficulty with the categorical “beyond a reasonable doubt” standard, the untrained lay juror — or indeed even a trained judge— who is required to rely upon expert opinion could be forced by the criminal law standard of proof to reject commitment for many patients desperately in need of institutionalized psychiatric care.
We have concluded that the reasonable-doubt standard is inappropriate in civil commitment proceedings because, given the uncertainties of psychiatric diagnosis, it may impose a burden the state cannot meet and thereby erect an unreasonable barrier to needed medical treatment.

Id. at 430-32, 99 S.Ct. 1804 (citations omitted). Similar concerns also arise in other contexts requiring psychiatric diagnosis. See Ford, 477 U.S. at 426, 106 S.Ct. 2595 (Powell, J., concurring in part and concurring in the judgment) (sanity); Cooper, 517 U.S. at 365, 369, 116 S.Ct. 1373 (competency).

The concern espoused in Addington regarding the inherent imprecision of psychiatric determinations of mental illness for the purpose of civil commitment applies with even greater force to psychiatric determinations of intellectual disability under Atkins, Unlike civil commitment proceedings, which inquire into whether an individual is presently mentally ill and poses a danger to himself or others, the age of onset element of Atkins claims requires a retrospective analysis of the individual’s childhood capacity that may be years or, as in this case, even decades removed from the time of trial. Moreover, in cases like this, in which the trial predates Atkins and Petitioner’s claim arises for the first time on habeas, the determination of mental condition at the time of commission of the crime may occur not at trial but rather decades afterwards. Smith’s case illustrates the difficulties that inhere in such an inquiry: as discussed below, records detailing the administration of childhood IQ tests are unavailable, and lay witnesses untrained in psychology are asked to share distant recollections of Petitioner’s behavior as a child and young adult. Certainty is thus even less attainable and a certainty standard is even less constitutionally acceptable in such cases.

Further compounding the likelihood of error in Atkins claims is the fact that the overwhelming majority (85 percent) of individuals with intellectual disability fall into the “mild” category, for whom the likelihood . of misdiagnosis is particularly acute. As young children such individuals are often indistinguishable from children without intellectual disability, and as adults they can acquire social and vocational skills adequate for minimum self-support. DSM-IV 43; see also AAIDD 11th ed., at 47 (“Individuals with [intellectual disability] typically demonstrate both strengths and limitations in adaptive behavior.”). In fact, Daryl Atkins himself maintained that he was only “mildly mentally retarded.” Atkins, 536 U.S. at 308, 122 S.Ct. 2242. However, Atkins applies equally to all intellectually disabled individuals irrespective of the degree of their disability.

Not only are Atkins claims uniquely susceptible to erroneous factual determinations, but they occur in a context — capital punishment — requiring a heightened degree of certainty that the decision is not erroneous. “Because the standard of proof affects the comparative frequency of ... erroneous outcomes, the choice of the standard to be applied in a particular kind of litigation should, in a rational world, reflect an assessment of the comparative social disutility of each.” In re Winship, 397 U.S. at 371, 90 S.Ct. 1068 (Harlan, J., concurring). The Supreme Court’s repeated holdings that capital cases require a heightened degree of certainty that the punishment is lawful make clear its determination that the social “disutility” of a wrongful execution outweighs the “disutility” of errors favoring defendants. See Gilmore v. Taylor, 508 U.S. 333, 342, 113 S.Ct. 2112, 124 L.Ed.2d 306 (1993) (“[T]he Eighth Amendment requires a greater degree of accuracy and factfinding than would be true in a noncapital case.”); Ford, 477 U.S. at 411, 106 S.Ct. 2595 (plurality opinion); Lockett v. Ohio, 438 U.S. 586, 604-05, 98 S.Ct. 2954, 57 L.Ed.2d 973 (1978) (plurality opinion) (“[The] qualitative difference between death and other penalties calls for a greater degree of reliability when the death sentence is imposed .... When the choice is between life and death, [a heightened risk of wrongful execution created by a state statute] is unacceptable and incompatible with the commands of the Eighth and Fourteenth Amendments.”); Woodson v. North Carolina, 428 U.S. 280, 305, 96 S.Ct. 2978, 49 L.Ed.2d 944 (1976) (plurality opinion). Accordingly, where, as in Atkins, the Eighth Amendment renders a class of individuals categorically ineligible for execution, the procedures used to determine whether a defendant falls into that class may not allocate nearly all of the risk of an erroneous determination to the defendant.

By requiring Smith to demonstrate with a “degree of certainty” that he is intellectually disabled, the Arizona court disregarded this fundamental rule. Simply stated, the court took the highly unusual step of allocating nearly the entire risk of an erroneous determination to Smith. That the factual determination in question concerned an issue for which certainty may be unattainable, cf. Addington, 441 U.S. at 429-32, 99 S.Ct. 1804, and a penalty for which a greater degree of reliability is required, see, e.g., Gilmore, 508 U.S. at 342, 113 S.Ct. 2112; Lockett, 438 U.S. at 604-05, 98 S.Ct. 2954 (1978) (plurality opinion), renders the constitutional violation even more clear. Like the Alabama statute in Bailey, the standard of proof applied by the Pima County Superior Court in this case transgresses a substantive constitutional right by accomplishing indirectly what the state may not do directly: the execution of individuals who are intellectually disabled under Atkins. See Bailey, 219 U.S. at 239, 31 S.Ct. 145 (“It is apparent that a constitutional prohibition cannot be transgressed indirectly by the creation of a [procedural rule] any more than it can be violated by direct enactment.”); Atkins, 536 U.S. at 321, 122 S.Ct. 2242. Because it impairs the substantive right, the state court’s “certainty” standard of proof is not an “appropriate way[ ] to enforce the constitutional [protection]” mandated by Atkins. Atkins, 536 U.S. at 317, 122 S.Ct. 2242. In short, the Constitution forbids requiring a defendant to demonstrate intellectually disability with “any degree of certainty.” Because the Pima County Superior Court made its finding that Smith is not intellectually disabled by applying an incorrect and unduly onerous legal standard, its ultimate factual determination is not consonant with the Eighth Amendment. A finding that is made pursuant to the wrong legal standard is not a finding at all. Accordingly, the state court’s application of an unconstitutional standard of proof provides an independent and alternative ground for denying its determination a presumption of correctness.

D. Whether Smith is Intellectually Disabled

Having determined that the state court’s determination is not entitled to a presumption of correctness, we must review the record de novo to determine whether Smith has demonstrated intellectual disability by clear and convincing evidence, as required by Arizona law. For all the reasons set forth in Section II.C.l, we hold that he has. Considering Smith’s intellectual functioning test scores and his history of significantly impaired adaptive behavior, as we must under Atkins and Hall, we find that the record in this case overwhelmingly demonstrates that Smith satisfied the two substantive prongs of Arizona’s definition of intellectual disability both prior to age eighteen and at the time of the crime. Specifically, Smith’s Otis test score of 62, combined with his poor academic performance, clearly demonstrates the childhood onset of his significantly subaverage general intellectual functioning. The record further demonstrates that, consistent with Dr. Thompson’s testimony, Smith also experienced this condition at the time of the crime: improvement in Smith’s intellectual functioning did not occur until after his incarceration in a structured environment, when he began receiving appropriate antidepressant medication as well as tutoring from Labrecque and Schad. The many parallels between Smith’s life and that of the capital defendant in Grell, including Smith’s stunted communication skills, lack of personal care skills, severe immaturity, and inability to maintain employment and personal relationships, reveal his significant impairment in adaptive behavior as a child and at the time of the crime, as does his general lifelong inability to navigate his social world.

There can be no doubt that the crime in this case was truly horrific. The Constitution, however, regards intellectually disabled defendants as less morally culpable for their crimes, and for this reason prohibits their execution. Atkins, 536 U.S. at 316, 122 S.Ct. 2242; Hall, 134 S.Ct. at 1992. Viewing the record as a whole, we find that Smith has demonstrated by clear and convincing evidence significantly sub-average general intellectual functioning existing concurrently with significant impairment in adaptive behavior, and that both conditions were manifested prior to age eighteen and at the time Smith committed the capital offense. The overwhelming weight of the evidence compels this result. Smith is intellectually disabled and may not be executed. Atkins, 536 U.S. at 316, 122 S.Ct. 2242; Hall, 134 S.Ct. at 1992. Accordingly, we reverse Smith’s death sentence and remand to the district court with instructions to grant the writ as to his capital sentence.

CONCLUSION

The judgment of the district court is reversed. We remand with instructions to grant the writ with respect to the penalty phase and return the case to the state court to reduce Smith’s sentence to life or natural life.

REVERSED AND REMANDED.

SCHROEDER, Circuit Judge,

concurring in the judgment and concurring in part:

I concur in all of Judge Reinhardt’s opinion except Section II.C.2.

REINHARDT, Circuit Judge,

specially concurring:

Obviously, I concur entirely in the majority opinion. I write this special concurrence only because I feel compelled to convey my serious concerns regarding the constitutionality of Arizona’s Atkins statute. The issue before us is not limited to the case of Robert Smith. Rather, the constitutional infirmity of Arizona’s statute creates a recurring problem with potentially far-reaching consequences: Arizona has executed 15 inmates since Atkins, and 124 inmates remain on its death row, the eighth highest number of any state. As detailed below, if presented with the issue, I would likely hold that in light of Hall v. Florida, — U.S.—, 134 S.Ct. 1986, 188 L.Ed.2d 1007 (2014), both substantive prongs of Arizona’s intellectual disability statute — governing “intellectual functioning” and “adaptive behavior” — violate the Eighth Amendment because they permit the execution of individuals whom Atkins deems categorically ineligible for capital punishment.

In Atkins, the Supreme Court cited the clinical definition for intellectual disability, but did not make clear that this definition was binding on the states. In Hall, however, the Court held that states must comply with elements of the clinical definition about which there exists a national consensus. Because both of Arizona’s substantive prongs are more restrictive than the clinical definition, and because a national consensus exists with regard to the pertinent elements of the clinical definition, Arizona’s statute is in all likelihood unconstitutional.

A. The Supreme Court Embraces the Clinical Definition of Intellectual Disability

In Atkins v. Virginia, 536 U.S. 304, 314-16, 122 S.Ct. 2242, 153 L.Ed.2d 335, (2002), the Supreme Court identified a “national consensus” against executing the intellectually disabled, gleaned from its survey of states passing legislation exempting the intellectually disabled from the death penalty and the consistency of the direction of such legislative change. The Court defined “mental retardation” by citing two clinical definitions, one from the ninth edition of the American Association on Mental Retardation’s (AAMR) Mental Retardation: Definition, Classifications, and Sys-terns of Support (9th ed.1992) [hereinafter AAMR 9th ed.], and a second from the fourth edition of the American Psychiatric Association’s (APA) Diagnostic and Statistical Manual of Mental Disorders (4th ed.2000) [hereinafter DSM-IV]. Id. at 309 n. 3, 122 S.Ct. 2242. The AAMR defines intellectual disability as characterized by two clinical elements: (1) “significantly subaverage intellectual functioning,” (2) “existing concurrently with related limitations in ... adaptive skill areas,” which must “manifest [themselves] before age 18.” AAMR 9th ed., supra, at 1. The DSM-IV similarly defines intellectual disability as consisting of (1) “significantly subaverage general intellectual functioning,” (2) “accompanied by significant limitations in adaptive functioning,” where “[t]he onset ... occurs[s] before age 18 years....” DSM-IV, supra, at 41. The Court noted that the states’ “statutory definitions of mental retardation are not identical, but generally conform to the clinical definitions” set forth by the AAMR and APA. Atkins, 536 US. at 317 n. 22, 122 S.Ct. 2242.

Atkins did not expressly state whether it was establishing a substantive definition of intellectual disability as a matter of federal law. The Court explained that “[t]o the extent there is serious disagreement about the execution of mentally retarded offenders, it is in determining which offenders are in fact retarded.” Id. at 317, 122 S.Ct. 2242. Citing Ford v. Wainwright, 477 U.S. 399, 106 S.Ct. 2595, 91 L.Ed.2d 335 (1986), the Court explained that it “le[ft] to the State[s] the task of developing appropriate ways to enforce the constitutional restriction upon [their] execution of sentences.” Atkins, 536 U.S. at 317, 122 S.Ct. 2242 (quoting Ford, 477 U.S. at 405, 416-17,106 S.Ct. 2595) (first alteration added). Because the cited sections of Ford address only procedural issues, and say nothing regarding the substantive definition of insanity, a straightforward reading of the Court’s statement is that it leaves to the states the determination of procedural issues only. Stated differently, under this reading of Atkins, the Court did not leave to the states the task of defining intellectual disability, but merely the task of determining procedures capable of use in identifying intellectually disabled persons. Because a majority of the Court in Ford found Florida’s specific procedures for determining the sanity of a condemned prisoner inadequate “to achieve even the minimal degree of reliability required for the protection of any constitutional interest,” it is reasonable to conclude that a state’s discretion in even this area is similarly circumscribed. 477 U.S. at 413, 106 S.Ct. 2595; see also id. at 418, 106 S.Ct. 2595 (plurality opinion); id. at 424-25, 106 S.Ct. 2595 (Powell, J., concurring in part and concurring in the judgment); id. at 427, 106 S.Ct. 2595 (O’Connor, J., concurring in the result in part and dissenting in part).

Nevertheless, courts generally interpreted Atkins to mean that the Supreme Court did not establish a substantive definition of intellectual disability, and instead included the substantive definition of intellectual disability as among the tasks left to the states. See Moormann v. Schriro, 672 F.3d 644, 648 (9th Cir.2012) (“The Supreme Court in Atkins did not define mental retardation as a matter of federal law.”); Williams v. Cahill ex rel. Cnty. of Pima, 232 Ariz. 221, 303 P.3d 532, 543 (App.2013) (“[Ejvery other state court that has addressed the issue has determined or implied that Atkins allows the states to define mental retardation without strict adherence to the clinical standards. Of the thirty-three states that still permit use of the death penalty, courts in twenty-three have stated or implied that Atkins did not define mental retardation, but instead left that task to individual states.”).

In Hall v. Florida, — U.S. —, 134 S.Ct. 1986, 188 L.Ed.2d 1007 (2014), however, the Court held that, contrary to what the state courts and our own court had thought, Atkins set forth a substantive definition of intellectual disability encoih-passing those aspects of the clinical definition about which a national consensus exists. See id. at 1993 (“The question this case presents is how intellectual disability must be defined in order to implement these principles and the holding of Atkins.”); id. at 1999 (“The clinical definitions of intellectual disability ... were a fundamental premise oí Atkins.”); see also Van Tran v. Colson, 764 F.3d 594, 612 (6th Cir.2014) (“In Hall, the Court reasoned that the Constitution requires the courts and legislatures to follow clinical practices in defining intellectual disability.”). In Hall, the Court held unconstitutional Florida’s use of a strict IQ score cut-off of 70 without taking into account the test’s margin of error, known as a “standard error of measurement” or “SEM,” because this approach deviated from the clinical definition embraced in Atkins, and because a national consensus existed with regard to this aspect of the clinical definition. Hall, 134 S.Ct. at 2000; see id. at 1997-98 (finding a consensus against using a strict IQ score cut-off of 70 without considering the margin of error because such a practice is mandated by nine states at the most, and because all but one of the state legislatures to have considered the issue after Atkins and whose law has been interpreted by its courts have foregone use of a strict cut-off of 70).

The Court concluded that although Florida’s statute appeared facially consistent with Atkins, the Florida Supreme Court had interpreted the provision more narrowly, rendering it inconsistent with Atkins and thus unconstitutional. Id. at 1994, 2000. Specifically, the Court stated that the Florida Supreme Court had held that an individual with an IQ score above 70 does not have an intellectual disability and is barred from presenting any other evidence to this effect, contrary to the medical community’s views that IQ scores are inherently imprecise and should be considered in light of their margin of error. Id. at 1994-95. The Court explained that “IQ test scores should be read not as a single fixed number but as a range” taking into account the test’s inherent imprecision, and that “an individual’s score is best understood as a range of scores on either side of the recorded score.” Id. at 1995. The Court thus held that “when a defendant’s IQ test score falls within the test’s acknowledged and inherent margin of error, the defendant must be able to present additional evidence of intellectual disability, including testimony regarding adaptive deficits.” Id. at 2001.

1. Arizona’s Definition of Intellectual Functioning is Unconstitutional

While surveying other states’ approach to assessing the intellectual functioning prong of intellectual disability, the Hall Court questioned the constitutionality of Arizona’s method for determining IQ scores under Atkins but did not purport to decide the issue. Id. at 1996-97. The version of Arizona’s statute in place at the time of Smith’s evidentiary hearing, like the current version of the statute, includes a hard IQ cut-off score of 70, and precludes a defendant from presenting additional evidence of intellectual disability if all of his or her IQ test scores are above 70. Ariz.Rev.Stat. Ann. § 13-708.02(F) (2006); Ariz.Rev.Stat. Ann. § 13-753(F) (2015). However, Arizona’s statute also instructs courts to “take into account the margin of error for the test administered.” Ariz.Rev.Stat. Ann. § 13-703.02(K)(5) (2006); Ariz.Rev.Stat. Ann. § 13-753(K)(5) (2015). Thus, like Florida’s statute, Arizona’s statute appears constitutional on its face. However, as in Hall, Arizona’s highest court has given the statute an unconstitutional construction. In State v. Roque, 213 Ariz. 193, 141 P.3d 368, 402-03 (2006) (en banc), the Arizona Supreme Court rejected the defendant’s contention that his test score be considered in light of the test’s margin of error, explaining that “the [intellectual disability] statute accounts for margin of error by requiring multiple tests.” This approach to accounting for the margin of error — using multiple tests without taking into consideration the margin of error for each test administered — is expressly foreclosed by Hall. Rather, under Hall, a state must apply the margin of error — meaning the range of scores likely to represent the subject’s actual IQ — to every test administered. See Hall, 134 S.Ct. at 1995-96 (“Even when a person has taken multiple tests, each separate score must be assessed using the SEM.... [Because the test itself may be flawed, or administered in a consistently flawed manner, multiple examinations may result in repeated similar scores, so that even a consistent score is not conclusive evidence of intellectual functioning.”). Thus, as in Hall, the state’s highest court has interpreted a facially constitutional statute to unconstitutionally exclude application of the SEM to each individual IQ test administered. Because Arizona’s Supreme Court construes the statutory requirement to consider a test’s margin of error in a manner directly contrary to that required by Hall, it renders unconstitutional the IQ provision of Arizona’s statute — the intellectual functioning prong of intellectual disability.

2. Arizona’s Definition of Adaptive Behavior is Unconstitutional

Although Hall did not address the second requirement for intellectual disability — limitations in adaptive behavior — its reasoning applies to this clinical element with equal force. Where states fail to abide by the clinical definition of “adaptive behavior” set forth in Atkins and adopted by a national consensus of states, they violate the Eighth Amendment just as they do in the case of intellectual functioning because they permit the execution of individuals whom Atkins deems ineligible for capital punishment. Hall, 134 S.Ct. at 2001. In short, under Hall, if a state defines adaptive behavior more narrowly than the clinical definition, and if the clinical definition has been adopted by a national consensus of states, that prong likewise runs afoul of the Eighth Amendment. Such is the case with Arizona’s statutory definition of “adaptive behavior,” as construed by its Supreme Court. The only difference is that here the constitutional violation is even clearer.

a. A National Consensus Exists With Regard to the Clinical Definition

As in Hall, to determine whether a national consensus exists within the context of the Eighth Amendment, courts look to “ ‘objective indicia of society’s standards.’ ” Id. at 1996 (quoting Roper v. Simmons, 543 U.S. 551, 563, 125 S.Ct. 1183, 161 L.Ed.2d 1 (2005)). To do so, we must consider the number of states that “implement the protections of Atkins by” following the clinical definition of adaptive behavior, id., either expressly by statute or by judicial interpretation, see Roper, 543 U.S. at 564, 125 S.Ct. 1183 (deeming as evidence of a national consensus those states prohibiting the juvenile death penalty “by express provision or judicial interpretation”), including in this figure those states that have abolished the death penalty, see Hall, 134 S.Ct. at 1997. As further evidence of a national consensus, courts also consider the direction and consistency of the change in how states have defined adaptive behavior since Atkins was decided. See id. at 1997-98. If a court determines that such a consensus exists, it proceeds to the next step and determines whether, in its independent judgment, a state’s definition of adaptive behavior is constitutional or unconstitutional. Id. at 2000.

There exists a clear national consensus in favor of using the clinical definition of adaptive behavior. Only four states including Arizona define “adaptive behavior” in non-clinical terms. A fifth appears to require no showing of impaired adaptive behavior at all, and in nine states the definition of adaptive behavior is unclear. Because nothing in the nine states’ statutes or case law suggests that courts in those states define adaptive behavior in non-clinical terms, the result is that only five, or at the very most fourteen, states can be said to permit the use of a nonclinical definition to analyze adaptive behavior under Atkins.

In contrast, thirty-six states prohibit use of a non-clinical definition of adaptive behavior in determining whether an individual is intellectually disabled under Atkins. These include the nineteen states that have abolished the death penalty, and one that has suspended its use. See id. at 1997 (counting among the national consensus those states that have abolished the death penalty, and one that has suspended its use). In addition, sixteen states expressly require use of the clinical definition, either by statute or by interpretation of the courts. See Roper, 543 U.S. at 564, 125 S.Ct. 1183. The thirty-six states prohibiting use of a non-clinical definition of adaptive behavior far exceed the number of states the Supreme Court has required to establish a national consensus. See Atkins, 536 U.S. at 313-15,122 S.Ct. 2242 (30 states prohibit the death penalty for the intellectually disabled); Roper, 543 U.S. at 564,125 S.Ct. 1183 (30 states prohibit juvenile execution).

As in Hall, it is not simply the aggregate numbers that determine the existence of a national consensus but also the “[c]on-sistency of the direction of the change.” 134 S.Ct. at 1997-98 (comparing the number of states that since Atkins have passed legislation setting a strict IQ score cutoff at 70 with the number of states to either abolish the death penalty or pass legislation allowing defendants to present additional evidence of intellectual disability when their IQ test score is above 70 but within the margin of error). Since Atkins was decided, only one state has passed legislation defining adaptive behavior in non-clinieal terms. During the same period, six states abolished the death penalty legislatively, a court invalidated the death penalty in a seventh, and six other states passed legislation mandating use of the clinical definition, either as expressly stated in the state’s statute or as interpreted by the courts. Since Atkins, “no state that previously [defined adaptive behavior in clinical terms] has modified its law” to mandate a non-clinical definition. Id. at 1998.

Having determined that a national consensus of states forbids use of a non-clinical definition, as indicated by the number of states taking this approach and the consistency of the direction of change, the final step in a court’s inquiry is to apply its own independent judgment to the constitutionality of Arizona’s definition of adaptive behavior. See id. at 1999-2000.

b. Arizona’s Definition is Narrower than the Clinical Definition

The two clinical definitions cited in Atkins and endorsed by a national consensus — the ninth edition of the AAMR and the DSM-IV — define impaired adaptive behavior as the existence of deficits in two or more skill areas among a list of ten or eleven total such areas. Atkins, 536 U.S. at 309 n. 3, 122 S.Ct. 2242. These deficits in themselves have been clinically deemed sufficient to show the impairment of adaptive skills generally. Other measures may, from a clinical standpoint, be under or over-inclusive, but in any event they fail to meet the clinically recognized requirements of Atkins and Hall. Courts generally reach the adaptive behavior prong only in the case of individuals who demonstrate an IQ of 70 or below, a score limited to about 2.3% of the population. AAMR 9th ed., supra, at 37. When the individuals who meet the intellectual functioning prong are evaluated for impairment of adaptive skills under the Atkins clinical standards, only about 1% of the general population actually satisfies that standard and thus meets the clinical definition of intellectual disability. Am. Psychiatric Ass’n, Diagnostic and Statistical Manual of Mental Disorders 38 (5th ed.2013) [hereinafter DSM-Vj. In short, it is this 1% who are deemed to be intellectually disabled and thus under the constitution ineligible for the death penalty.

Arizona’s means of determining impairment of adaptive behavior differs from the nationally agreed upon clinical definition even more substantially than does its IQ provision. Unlike the nationally approved clinical means of determining impaired adaptive behavior, which requires limitations in only a minority of established skill areas, Arizona assesses such limitations generally by examining on an overall basis “the effectiveness or degree to which the defendant meets the standards of personal independence and social responsibility expected of the defendant’s age and cultural group.” Ariz.Rev.Stat. Ann. § 13-703.02(K)(1) (2006); Ariz.Rev.Stat. Ann. § 13-753(K)(1) (2015).

Arizona courts interpret the state’s statutory provision in a manner that is entirely different than that required by Atkins and Hall. See State v. Grell, 212 Ariz. 516, 135 P.3d 696, 709 (2006); accord State v. Boyston, 231 Ariz. 539, 298 P.3d 887, 895 (2013). In Grell, the defendant asserted that he had satisfied the adaptive behavior prong of Arizona’s statute by demonstrating deficits in two of the eleven areas listed in the DSM-IV. Grell, 135 P.3d at 709. Rejecting Grell’s claim that compliance with the DSM-IV, which Hall makes clear is the constitutionally required standard, satisfies the Arizona statute, the Arizona Supreme Court held that

The defense claims to have clearly shown that Grell has deficits in two of the eleven areas listed in the DSM-IV and therefore has mental retardation. The DSM-IV definition of mental retardation, however, while similar in overall meaning, is not the same as the [Arizona] statutory definition. The statute requires an overall assessment of the defendant’s ability to meet society’s expectations of him. It does not require a finding of mental retardation based solely on proof of specific deficits or deficits in only two areas.

135 P.3d at 709 (citation omitted) (emphasis added). Construing the Arizona statute, the Grell Court then found that the defendant had failed to demonstrate a significant impairment in adaptive behavior. Id.

Thus, as construed by the Arizona courts, Arizona’s means of determining impairment of adaptive behavior is not simply different than the clinical means required by Hall: it specifically rejects the Supreme Court’s clinically based substantive standard; it is substantially more restrictive than the constitutionally required standard; and, it fails to cover numerous individuals deemed to be suffering from impaired adaptive behavior under the Constitution. Williams, 303 P.3d at 548 (Eck-erstrom, P.J., dissenting) (“Arizona’s [adaptive behavior] statutory requirements substantially narrow the class of persons who are defined as mentally retarded when compared with the class of those who would be clinically defined as such”). This is because, unlike the nationally approved clinical standard, which requires deficits only in a minimal number of adaptive skill areas, Arizona’s definition, as interpreted by Arizona state courts, requires that impairments be considered globally and determined on an overall basis, regardless of the specific limitations that compel an individual’s classification as adaptively impaired under the constitutionally required clinical standard.

Arizona’s standard departs from the clinical standard in two fundamental ways. First, it requires deficits in both of two general areas: social responsibility and personal independence. By contrast, an individual evaluated under the clinical definition need not manifest deficits in both of these or any other general areas, so long as he demonstrates deficits in at least two of a number of skill areas. Thus, individuals who demonstrate “significant limitations in ... adaptive behavior” under the AAMR or DSM-IV standards based on factors other than overall social responsibility and personal independence (which are not discreet skill areas under either standard) will fail to satisfy Arizona’s less inclusive standard. The Arizona standard ignores the heterogeneous nature of adaptive behavior and imposes a one-size-fits-all definition that excludes many individuals falling under the clinical definition. See AAMR 9th ed. 13 (“[Tjhere is no one way that defines ‘retarded’ performance. Every person with mental retardation will differ in the nature, extent, and severity of their functional limitations.... The current definition reflects this fact by requiring the presence of limitations in two or more of a variety of adaptive skill areas but does not require any one single limitation or any specific combination of limitations.”).

The second way in which Arizona’s standard diverges from the clinical definition is that it, unlike the clinical definition, includes an “overall assessment of the defendant’s ability to meet society’s expectations of him.” Grell, 135 P.3d at 709. This means that a court may conclude that even an individual demonstrating adaptive deficits in the required areas of personal independence and social responsibility nevertheless does not meet the adaptive behavior prong under the Arizona statute because he has adaptive strengths in certain areas that outweigh adaptive deficits in others. This distinction is critical, because the clinical definition recognizes that adaptive weaknesses may coexist alongside adaptive strengths, and requires that adaptive skills be assessed independently of each other to prevent strengths in certain areas from outweighing weaknesses in others. See AAMR 9th ed. 6 (“Specific adaptive limitations often coexist with strengths in other adaptive skills or other personal capabilities”); id. at 7 (“[A]n individual may have a strength in a particular adaptive skill area (e.g., social skills) while having difficulty in .another skill area (e.g. communication); and ... an individual may possess certain strengths within a particular specific adaptive skill, while at the same time having limitations within the same area (e.g., functional math and functional reading, respectively).”). Because Arizona’s statutory definition of impaired adaptive behavior, as defined by its courts, is under-inclusive and would not cover numerous individuals who would be deemed to suffer from impaired adaptive behavior under the nationally recognized clinical definition, I believe that the Arizona statute, when properly before a federal court, will in all likelihood be held to be unconstitutional.

Although the professional manuals cited in Atkins are no longer the most current versions, the same conclusion is equally likely with respect to the more recent editions. Although Atkins cites the 9th edition of the AAMR and the DSM-IV, see 536 U.S. at 308 n. 3, 122 S.Ct. 2242, Hall cites the DSM-V and the eleventh definition of the American Association of Intellectual and Developmental Disabilities (AAIDD) (formerly the AAMR) (11th ed.2010), see 134 S.Ct. at 1994, 1995, 2000, 2001. Each of the editions cited in Hall retains the essential premise and characteristic of the clinical definition cited in Atkins and rejected by the Arizona Supreme Court: an individual must demonstrate deficits in only a number of skill areas among a larger list, deficits are not required in any specific listed categories, and adaptive deficits in certain categories are sufficient and need not be balanced against or outweighed by strengths in other areas. See Williams, 303 P.3d at 547 n. 12 (Eekerstrom, P.J., dissenting) (“[T]he revised AAIDD definition [of adaptive behavior] is not a meaningful departure from either the DSM-IV criteria or the AAMR’s prior definitional standard set forth in Atkins.”); Chase v. State, 171 So.3d 463, 471 (Miss.2015) (“The [AAIDD and DSM-V definitions of intellectual disability] have not materially altered the diagnosis of intellectual disability [cited in Atkins ] but have provided new terminology.”); United States v. Williams, 1 F.Supp.3d 1124, 1146-47 (D.Hawaii 2014). Most important, the Arizona Court of Appeals strongly questioned Atkins and expressly rejected the more recent version of the clinical elements, holding that Arizona is not bound by the AAIDD’s clinical guidelines because, under Grell, Arizona’s definition of adaptive behavior differs from the clinical definition. Williams, 303 P.3d at 541.

As the foregoing discussion demonstrates, the Arizona court denied Smith’s Atkins claim by applying a likely unconstitutional statute. An example of how that unconstitutional statute works in practical effect is that with respect to Smith, the Arizona court made no assessment as to whether he met any two of the specific ten or eleven elements listed in Atkins or any of the three domains or elements referred to in Hall but instead relied on the state’s “overall assessment of [his] ability to meet society’s expectations of him” which the Arizona Supreme Court found to be the requirement prescribed in the Arizona statute. This is directly contrary to the substantive clinical standard required by Atkins and Hall. Finally, in this respect, it appears evident that, properly assessed, Smith qualifies as intellectually disabled under both the initial and updated medical standards.

As in this case, the right announced in Atkins may be all that stands between an intellectually disabled defendant and an unconstitutional execution. However, Arizona’s statutory scheme, as interpreted by its courts, severely erodes that right. Given the gravity of this issue and the likelihood that it will arise, in future cases, the Arizona legislature would do well to amend its statutory scheme to bring it within the boundaries of the Eighth Amendment.

Appendix A

I. States that retain the death penalty and define “adaptive behavior” in non-clinical terms.

State Citation
1 Arizona Ariz.Rev.Stat. Ann. § 13 — 753(F); State v. Grell, 135 P.3d 696, 709 (2006).
2 Texas Tex. Health & Safety Code § 591.003(1); Ex parte Briseno, 135 S.W.3d 1, 8-9 (Tex.Crim.App.2004).
3 Utah Utah Code Ann § 77-15a-102.
4 Washington Wash. Rev.Code § 10.95.030(2)(d).

II. States that retain the death penalty but which do not require any showing of impaired adaptive behavior.

set forth in Appendix B.
State Citation
1Kansas Kan. Stat. Ann. §§ 21-6622(h), 76 — 12b01(i); State v. Maestas, 298 Kan. 765, 783 (Kan.2014).

III. States that retain the death penalty in which the definition of “adaptive behavior” is unclear.

State_Citation_
1 Colorado_Colo.Rev.Stat. Ann. § 18-1.3-1101(2)._
2 Georgia_Ga.Code Ann. § 17-7-131(a)(3)._
3 Indiana Ind.Code § 35-36-9-2; Pruitt v. State, 834 N.E.2d 90,108 (Ind. _2005)._
4 Louisiana_La.Code Crim. Proc. Ann., art. 905.5.1(H)(1)(b)._
5 Montana Montana has no Atkins statute and no cases defining adaptive _behavior._
6 New Hampshire New Hampshire has no Atkins statute and no cases defining _adaptive behavior._
7 South Carolina S.C.Code Ann. § 16 — 3—20(C)(b)(10); Franklin v. Maynard, 588 _S.E.2d 604, 605-06 (2003)._
8 South Dakota SDCL § 23A-27A-26.2._
9 Wyoming_Wyo. Stat. Ann. § 7-ll-301(a)(iii)._

Kansas, New Hampshire, and Wyoming have not carried out any executions in decades. Colorado has carried out only one execution since 1977, and Montana and South Dakota have each carried out three; however, none of these cases appears to have involved a claim raising the Atkins-Hall issue. These states’ definitions thus deserve little weight. See Hall, 134 S.Ct. at 1997; Atkins, 536 U.S. at 316, 122 S.Ct. 2242.

IV. States that have abolished the death penalty.

1. Alaska

2. Connecticut

3. Hawaii

4. Iowa

5. Illinois

6. Massachusetts

7. Maryland

8. Maine

9. Michigan

10. Minnesota

11. Nebraska

12. North Dakota

13. New Jersey

14. New Mexico

15. New York

16. Rhode Island

17. Vermont

18. Wisconsin

19. West Virginia

In addition, Oregon has suspended its death penalty and has executed only two individuals in the past 40 years. Hall, 184 S.Ct. at 1997. Oregon does not define “adaptive behavior” by statute and Oregon courts have not considered the issue.

y. states that retain the death penalty but utilize the clinical definition of “adaptive behavior.”

State Citation_
1 Alabama Lane v. State, No. CR-10-1343, 2013 WL 5966905, at *5 (Ala.Crim. _App.2013), ___
2 Arkansas_Jackson v. Norris, 615 F.3d 959, 961-62 (8th Cir.2010)._
3 California In re Hawthorne, 35 Cal.4th 40, 47-48 (Cal.2005); Campbell v. _Superior Court, 159 Cal.App.4th 635, 641 (Cal.Ct.App.2008)._
4 Delaware_Del.Code Ann. Tit. 11 § 4209(d)(3)(d)(l)._
5 Florida_Hodges v. State, 55 So.3d 515, 534 (Fla.2010).__
6 Idaho_Idaho Code Ann. § 19-2515A(1)(A).______
7 Kentucky Bowling v. Commonwealth, 163 S.W.3d 361, 369-70 & n. 8 (Ky. _2008)._
8 Missouri_Mo. Ann. Stat. § 565.030(6)._
9 Mississippi Chase v. State, No.2013-CA-01089-SCT, 2015 WL 1848126, at *1-6 _(Miss.2015)._
10 North Carolina N.C. Gen.Stat. Ann. § 15A-2005(a)(l)b._
11 Nevada_Ybarra v. State, 247 P.3d 269, 273-74 & n. 6 (Nev.2011)._
12 Ohio_State v. Lott, 97 Ohio St.3d 303, 305 (Ohio 2002),_
13 Oklahoma_Okla. Stat. Ann, tit. 21 § 701.10b(A)._
14 Pennsylvania_Commonwealth v. Hackett, 99 A.3d 11, 27 (Pa.2014)._
15 Tennessee_State v. Pruitt, 415 S.W.3d 180, 203-04 (Tenn.2013)._
16 Virginia' Va.Code Ann. § 19.2-264.3:1.1(A); Walker v. Kelly, 593 F.3d 319, _323 & n. 2 (4th Cir.2010)._

VI. States that have passed legislation since Atkins defining adaptive behavior in non-clinical terms.

State Citation
1 Utah Utah Code Ann. § 77-15a-102 (West 2003).

VII. States that have abolished the death penalty since Atkins.

State_Citation _
1 Connecticut 2012 Conn. Pub. Acts no. 12-5._
2 Illinois_725 III. Comp. Stat. Ann. 5/119-1 (West 2011),
3 Maryland Md.Code Ann. Corree. Servs. §§ 3-901 et seq. (Lexis 2008).
4 Nebraska Neb. Laws. L.B. 268 (2015)._
5 New Jersey N.J. Stat. Ann. § 2C:ll-3(b)(l) (West Supp.2007)._
6 New Mexico N.M. Stat. § 31-18-14 (2009)._

The New York Court of Appeals invalidated New York’s death penalty under the State Constitution in 2004. People v. LaValle, 3 N.Y.3d 88, 783 N.Y.S.2d 485, 817 N.E.2d 341 (2004). The legislature has not voted to reinstate it.

VIII. States that have passed legislation since Atkins mandating use of the clinical definition of adaptive behavior.

State_Citation_
1 California Cal.Penal Code Ann. § 1376(a) (West Supp.2003); In re Hawthorne, 35 _Cal.4th 40, 47-48 (Cal.2005)._._
2 Delaware Del.Code Ann, tit. 11 § 4209(d)(3)(d)(l) (2002)._
3 Idaho_Idaho Code Ann. § 19-2515A(1)(A) (2003)._
4 Nevada Nev.Rev.Stat. § 174.098.7 (2003); Ybarra v. State, 247 P.3d 269, 273-74 _(Nev.2011)._
5 Oklahoma Okla. Stat. Ann. § 701.10b(A) (2006)._
6 Virginia Va.Code Ann. § 19.2-264.3:1.1(A) (2003); Walker v. Kelly, 593 F.3d 319, _323 & n. 2 (4th Cir.2010)._

In 2014, Louisiana amended a 2003 statute that had been judicially construed as adopting the clinical definition, and codified a new definition that uses clinical language from the DSM-V but which has not yet been construed by courts. See La. Code Crim. Proc. Ann. Art. 905.5.1(H)(1) (2003) (amended 2009, 2014); State v. Williams, 22 So.3d 867, 880-81 & n. 10 (La.2009); Brumfield v. Cain, 744 F.3d 918, 924 (5th Cir.2014), overruled on other grounds (citing State v. Dunn, 41 So.3d 454, 459 (La.2010)); La.Code Crim. Proc. Ann. Art. 905.5.1(H)(1)(b) (2014).

Appendix B

1. AAMR9thed., at 1,5.
2. Id.
3. /¿at 5,38.
4. AAMR 10th ed., at 39.
5. Id. at 13,14.
6. Id. at 14,42,198.
7. AAH3D 11th ed., at 221.
i.Id. at43.
9.Id. at217,218,222,224.
10. DSM-IV, at41.
11. Id.
12. Id.
13. Id. at 38.
14. DSM-V, at33.
15. Id. at 33,37,

CALLAHAN, Circuit Judge,

dissenting:

The one thing everyone appears to agree on is that Smith is not intellectually disabled. When tested in 2005 the experts found that he had an IQ of between 87 and 93, well within the low-average to average range of intellectual ability. Yet despite this fact, the majority reverses because it is certain that Smith was intellectually disabled in 1980 when he murdered Sandy Owen. The majority reaches this conclusion by disregarding the findings of the state courts, denying those courts the deference they are due, and expressing supreme confidence in its own ability to detect past intellectual disability despite substantial conflicting evidence and the fact that Smith is not now intellectually disabled. Accordingly, I dissent. The majority recognizes that although Smith filed his federal habeas petition pri- or to the effective date Antiterrorism and Effective Death Penalty Act of 1996 (AEDPA), the state court factual findings are entitled to a presumption of correctness. Nonetheless, the majority concludes that the state court’s factual determination is “not fairly supported by the record.” Op. 1181. The majority is wrong as an objective review of the record discloses ample evidence to support the Arizona courts’ determination that Smith did not sustain his burden of showing that he was intellectually disabled in 1980.

Section II C 2 of Judge Reinhardt’s “opinion” also contains his view — for which there is no concurrence — that the Arizona courts applied an “unconstitutional standard of proof.” This argument is based on an unreasonable reading of the trial court’s decision and a failure to give the state courts’ decisions the deference they are due. Judge Reinhardt’s opposition to the death penalty in Section 2 C of his opinion is neither the ruling of this panel nor of the Ninth Circuit.

I. The Record Adequately Supports the Determination that Smith Failed to Show He Was Intellectually Disabled at the Time of the Murder and His Conviction.

The majority boldly asserts that the finding that Smith has not shown that he was intellectually disabled at the time of the murder and his trial is not fairly supported by evidence. Op. 1181. The majority recognizes, as it must, that there was conflicting evidence, but argues that “once we look behind each expert’s conclusion and consider the evidence on which he relies,” the majority of the evidence supports a finding of intellectual disability. Op. 1181 n.7. This is not a fair reading of the record.

A. The Record

1. The Underlying Crime and Prior Judicial Proceedings

In our 1999 en banc opinion affirming the denial of Smith’s first federal habeas appeal, we described the crime as follows:

Lambright and Smith were traveling across the country with Lambright’s girlfriend, Kathy Foreman. Smith was troubled by the fact that while Lam-bright and Foreman had intercourse in his presence, he did not have anybody along to satisfy him. For his part, Lam-bright thought that he “would like to kill somebody just to see if he could do it.” [State v. Lambright ], 138 Ariz. [63,] 66 [673 P.2d 1 (1983)].... They decided that both desires could be fulfilled, and they set out with Foreman to find a victim. They found Sandy Owen and kidnaped her. Smith raped her on the way to a mountain site where they all got out of the car and Smith raped Owen again as Lambright and Foreman had intercourse. What happened next was that Smith began choking Owen, and Lambright declared that she must be killed. So, “Lambright took Foreman’s knife out of its sheath and began stabbing the victim in the chest and abdomen, twisting the knife around inside of her. Smith held one of the victim’s arms while she was being stabbed, and Foreman held the other arm.” Id. at 67 [673 P.2d 1]____After that, “Smith unsuccessfully tried to break Ms. Owen’s neck by twisting her head. Then Lam-bright, Foreman or both began cutting deeply into the victim’s neck with the knife.... The victim remained alive, and was at least semiconscious, as she attempted to raise herself up on one arm. Lambright picked up a large rock and hurled it at her head. Foreman testified that as he threw the rock he yelled ‘Die, bitch.’ ” Id. The three then drove off in a celebratory mood, playing the piece ‘We Are the Champions” as they went. See id. Once caught, the trio’s song changed. Foreman turned state’s evidence, was given immunity, and testified against her erstwhile lover and his friend. Lambright confessed, but deemed Smith to be the worst of the three. Smith, too, confessed, but he dubbed Foreman and Lambright as the real killers.

In 1982, an Arizona jury convicted Robert Douglas Smith of first-degree murder, kid-naping, and sexual assault. Schriro v. Smith, 546 U.S. 6,126 S.Ct. 7, 163 L.Ed.2d 6 (2005). He was given the death penalty.

Smith’s appeals and post-conviction proceedings proved unavailing. See Stewart v. Smith, 536 U.S. 856, 122 S.Ct. 2578, 153 L.Ed.2d 762 (2002). It was not until after the Supreme Court had denied him relief, that around 2004 Smith alleged for the first time that he was intellectually disabled and thus pursuant to Atkins v. Virginia, 586 U.S. 304, 122 S.Ct. 2242, 153 L.Ed.2d 335 (2002), could not be executed. See Schriro v. Smith, 546 U.S. 6, 126 S.Ct. 7, 163 L.Ed.2d 6 (2005). In December 2005, we entered an order suspending Smith’s federal proceedings and directing his counsel “to pursue state proceedings in Arizona to determine whether the state is prohibited from executing the petitioner in accordance with Atkins.” Smith v. Schriro, No. 96-99025 (Dec. 12, 2005). The Arizona Superior Court, Pima County, held extensive proceedings concerning Smith’s intellectual disability before issuing its opinion on March 27, 2008.

2. The Evidence Concerning Intellectual Disability

In 1964, when Smith was 15, he took the Otis IQ test and received scores of 62 and 71. The state court found that the “Otis test was developed in approximately the 1920’s and was outmoded at the time it was reportedly given to [Smith] in 1964.” More importantly, “[t]here is no evidence concerning the qualifications of the persons administering the tests, whether an appropriate protocol was followed, the specific circumstances of [Smith] at the times of the tests, or any of the other information required to determine the validity of these school record entries.”

Moreover, by this time, Smith’s dysfunctional and abusive childhood had already had an effect on his education. At age 15 he scored in the 2nd to 5th percentiles on the Stanford Achievement Test, placing him seven years below his age level. Moreover, his school transcripts reveal that he received nearly all “Ds” and “Fs” in his academic studies. Indeed, Smith dropped out of school when he was 16.

Between the time he left school at the age of 16, and his arrest some 15 years later in 1980, Smith had many jobs, a number of unstable relationships, and frequent changes of residence. The state court found that those who knew Smith stated that “he was one of a group of young men which included his co-defendant, Joe Lambert, Sidney LeBalanc and Charles McCarver, who lived together, worked together, and traveled together at various times during the 1970’s.” The state court found that the evidence from the 1970’s showed that Smith was a full participant in his adult life. It found that Smith:

worked as a diesel mechanic, garage mechanic, car repossessor, truck driver, cable installer and apartment maintenance provider, among other things. While Defendant held a large number of jobs, he was consistently employed. Defendant’s last employer indicated, in a form attached to Defendant’s pre-sen-tence report, that Defendant worked for approximately four months as a mechanic employed to maintain and repair equipment, that he received a raise after three months, that his work was rated “satisfactory” for job performance, work skills and attendance, and “excellent” for cooperation with employer/supervisor and other employees, and that he would be considered for reemployment.

Smith’s friend, LeBlanc, who sometimes worked for the same employer as Smith, stated that Smith had difficulties with paperwork and written tests, as opposed to hands-on or mechanical tasks. Similarly, Robert Lebrecque, a former maintenance man with the Arizona Department of Corrections, who worked with Smith for about eight years after he began serving his prison term, commented that although Smith “was a little slow at the beginning ... [i]f I showed him how to do something, I only had to show him once.” Lebrecque recalled that Smith could read, “but seemed to have a hard time understanding what the written words meant.”

Smith was married five times in approximately 15 years. The state court, however, noted that while Smith “made poor choices in partners and had great difficultly maintaining relationships with women, this fact can be explained as arising from his loveless childhood just as well as it can be viewed as an indicator of the limitations of mental retardation.” Smith’s last marriage, which was entered into between the time of the offense and his arrest, “showed promise of being quite different from the others despite two incidents of violence in the relationship.” His fifth wife had known Smith since childhood. During this marriage Smith worked as a truck driver and performed dry-wall and other work in the apartment complex. His wife did not work outside the home and Smith supported her arid her three children, for whom he was a loved, active father figure. After he was arrested, the pre-sentence report characterized Smith as having a “borderline mentality.” The state court, however, gave this description little weight because the “experience of this probation officer is unknown, and there was no indication that he had training as a psychologist or other mental health professional that would provide the expertise required for any diagnostic observations.”

In addition, two mental health professionals, Dr. Martin Levy and Dr. John LaWall, performed Rule 11 evaluations of Smith in 1982 for purposes of his criminal trial proceedings. Both found Smith to be competent. Dr. Levy noted that Smith was neatly dressed and displayed logical, coherent thought. Dr. LaWall also noted that Smith “was neat and cooperative, and his mood somewhat depressed, with somewhat blunted affect.” Dr. LaWall’s report indicated that Smith was oriented to time, place, and person, with intact memory, and there was “no evidence of any disturbance of the form or content of his thinking whatsoever.” Dr. LaWall indicated that Smith “probably functions in the average range of intelligence,” but probably has a personality disorder with both passive-aggressive and antisocial features.

3. The Post-2005 Evaluations

After our 2005 order, proceedings were commenced in the Arizona Superior Court, Pima County, for the sole purpose of complying with our order that the state court determine whether Arizona was prohibited from executing Smith in accordance with Atkins. The Superior Court noted that the burden was on Smith “to prove the claim of mental retardation by clear and convincing evidence” and that both parties acknowledged that the court was “bound to follow the decision of the Arizona Supreme Court in State v. Grell (Grell II), 212 Ariz. 516, 521, 135 P.3d 696, 701 (2006) in this regard.”

Smith was subjected to testing and evaluations by experts retained by both Smith and Arizona. Testing in August 2005 by Dr. Sergio Martinez, Arizona’s expert, resulted in a finding that Smith “had an IQ score of 93 on the WAIS-III and a score of 89 on a second test, the Slosson Intelligence Test-Revised, within the low-average to average range of intellectual ability.” Testing by Dr. Thomas Thompson, Smith’s expert, utilizing a different appropriate testing instrument, the Reynolds Intellectual Assessment Scale with subtests, resulted in a finding that Defendant, at the time of the testing, had a score of 93. Thus, both experts agree that as of 2005 Smith was not intellectually disabled.

Dr. Thompson, however, was of the opinion that there was a “high probability” that Smith “was mentally retarded at the time the crime was committed in 1980, but that his functioning has improved as a result of his stable, structured prison life and appropriate medication.” Dr. Thompson relied heavily on the Otis test scores from 1964, the Stanford test scores, early grades and recollections by relatives and others concerning Smith’s childhood and early adolescence. Dr. Thompson appeared “to view mental retardation as a fluid condition responsive to any number of changes in a patient’s environment, nutrition, and physical, mental and emotional health.” He considered Smith’s low test scores, low grades, lack of social skills and other deficits as valid indicators of mental retardation.

When asked about evidence of Smith’s intellectual disability in 1980, Dr. Thompson referred to the 1964 IQ tests and noted that the presentence evaluation indicated that he functioned in a borderline range. However, when informed of the two Rule 11 evaluations by Drs. Levy and LaWall, he acknowledged that he would have expected retardation to have been noted in their reports.

Dr. Thompson described Smith’s life after he left school as “characterized by instability in employment, personal relationships and residence, and showed signs of impulsivity and deficits of adaptive functioning, all characteristic of mental retardation.” Nonetheless, he acknowledged that Smith “seemed to have some qualitative independent living skills.”

In contrast, Dr. Martinez, after giving Smith IQ tests and meeting with him, testified that there was a high degree of probability that he was not retarded at the time of the offense. He agreed that increases in intellectual functioning could occur within a highly enriched learning environment, but that a 30-point increase in IQ was unlikely and he did not view prison as an enriching environment.

4. The Arizona Superior Court’s Decision

On March 27, 2008, the Arizona Superior Court issued a 19-page ruling that Smith had failed to show that he was intellectually disabled at the time of his trial and that Arizona was therefore not precluded by Atkins from executing him.

The court first held that the parties agreed that the burden to prove intellectual disability was on Smith, pursuant to Grell II, 212 Ariz. at 521, 135 P.3d 696. However, in view of the procedural differences between Grell II and Smith’s case, the court “considered the evidence under the preponderance of evidence standard applicable to Rule 32 proceedings.” The court held that Smith had failed to show that he was entitled to relief under either the clear and convincing evidence standard or the preponderance of evidence standard.

The trial court expressed serious concerns with Dr. Thompson’s perspective. It noted that his view of “mental retardation as a fluid condition responsive to any number of changes in a patient’s environment, nutrition, and physical, mental and emotional health,” was not necessarily consistent “with the definition of mental retardation provided by Arizona law, and the procedures by which mental retardation is to be determined under A.R.S. § 13-703.02.” The court further noted that Dr. Thompson placed considerable weight on the 1964 IQ tests and the pre-sentence report’s indication of Smith’s “borderline functioning.” It also observed that Dr. Thompson gave little weight to Smith’s ability to live on his own for 15 years between the time he left school and the murder. The court concluded that Dr. Thompson’s “analysis does not permit a finding, with any degree of accuracy, of Defendant’s level of ‘general intellectual functioning’ either before the age of 18, or in the period 1980-82.” Thus, his evaluation “does not support the conclusion that during the pertinent time period, Defendant was mentally retarded.”

The Superior Court recognized that Smith’s “dysfunctional family and troubled early life undoubtedly affected his circumstances in an adverse way,” and that he likely “has suffered from clinically cognizable conditions probably including a personality disorder.” However, the circumstances “do not point to mental retardation with any degree of certainty.” Based on all the evidence the Superior Court found that:

Defendant, has failed to meet his burden of showing that he was mentally retarded at the time of the offense and trial in this case. There was insufficient evidence from which this Court could find that Defendant exhibited “significantly subaverage general intellectual functioning” during the period of the offense and his trial. While unorthodox and unstable, Defendant’s pre-arrest life did not show “significant impairment in adaptive behavior” existing concurrently with the deficit in general intellectual functioning. In the absence of adequate information concerning the early Otis IQ tests, and in view of the alternative explanations for his early school and social deficits, Defendant failed to show the onset of mental retardation before the age of 18. The Court therefore FINDS that the State of Arizona is not precluded, on Atkins grounds from executing Defendant.

5. The Arizona Court of Appeals’ Opinion

Smith appealed to the Arizona Court of Appeals, which unanimously affirmed the Superior Court. Smith v. Kearney, No. 2CA-SA-2008-0019, 2008 WL 2721155 (Ariz.App. Jul. 11, 2008). It noted that the trial court “had considered the evidence under the applicable clear-and-convincing standard as well as under the lesser burden of a preponderance of the evidence standard that applies to post-conviction proceedings.” The appellate court reviewed the evidence and the Superior Court’s decision noting that the trial court had found: (a) Dr. Thompson’s opinion was based on an approach to defining mental retardation that was inconsistent with the requirements of Arizona law; (b) lay witness Martha Hight’s opinion that Smith was mentally retarded was inconsistent with the testimony of witnesses who had lived with Smith in the 1970’s; and (c) Smith’s own written statements were “lengthy, neatly written, logical, detailed, structured and coherent.” The appellate court concluded that the Superior Court had carefully considered all the evidence and “exercised its discretion in resolving conflicts in the evidence, in assessing the reliability of the test results, and credibility of the witnesses, and in weighing evidence.” The court concluded that it had no basis for interfering with the Superior Court’s discretionary judgments or for reweighing the evidence.

6. The District Court’s Order Denying Habeas Relief

Following the conclusion of his state court proceedings, Smith renewed his proceedings in the United States District Court for the District of Arizona. In a 21-page order issued on December 3, 2012, the court found that Smith’s Atkins related claims were without merit.

The court recognized that because Smith filed his initial federal habeas petition pri- or to AEDPA’s effective- date, pre-AEDPA standards applied. Accordingly, the court reviewed de novo mixed questions of law and fact as well as pure questions of law. See Robinson v. Schriro, 595 F.3d 1086, 1099 (9th Cir.2010). However, the court held, citing Robinson, that the state court factual findings were entitled to a presumption of correctness, subject to eight exceptions enumerated in the previous version of 28 U.S.C. § 2254(d). The district court, citing Marshall v. Lonberger, 459 U.S. 422, 432, 103 S.Ct. 843, 74 L.Ed.2d 646 (1983), held that before it could reject a state court’s factual determination it would have to conclude “that the state court’s findings lacked even fair support in the' record.” It further determined that whether Smith “is mentally retarded is a question of fact.”

The district court noted that Smith did not dispute that the state court’s finding as to intellectual disability was entitled to a presumption of correctness. The district court concluded that there was ample evidence in the record to support the state court’s conclusion that Smith had failed to establish either “subaverage general intellectual functioning” or “significant impairment in adaptive behavior” before the age of 18. In particular, the district court agreed that the 1964 Otis tests were unreliable and entitled to little weight. It noted that the record was “devoid of any evidence concerning the testing, including the raw test data, identification of the administrators and their qualifications, or the protocols followed.” Moreover, both Drs. Thompson and Martinez testified that the Otis test was outdated when administered to Smith in 1964 and would not be used today to determine an individual’s IQ.

The district court further commented:

[A]s noted by the state court, the evidence presented at the hearing indicated it is just as likely that Petitioner’s poor school performance and unstable lifestyle was the result of a severely dysfunctional upbringing and personality disorder as it was mental retardation. Petitioner led a transient lifestyle, frequently changing employment and residences, but many of his jobs (such as being a mechanic, a cable installer, and a truck driver) required at least a minimal degree of intellectual functioning. Although witnesses agreed that Petitioner is not “book smart,” he learns quickly when shown how to do something. In addition, the record supports a finding that Petitioner began living an independent life after dropping out of school at age 16 and was not dependent on others to function in his daily life.

The district court concluded that Smith had not overcome the presumption of correctness that attached to the state court’s finding that he was not intellectually disabled at the time of the offense.

B. Analysis

The majority does not question the adequacy of the state court’s proceedings. Instead, invoking the eighth exception enumerated under the 1994 version of § 2254(d), it concludes that the state court’s findings are “not fairly supported by the record.” Op. 1181. This is simply wrong. An objective review of the conflicting evidence reveals that there is substantial un-refuted evidence supporting the state court’s determination that Smith was not intellectually disabled in 1980. The majority’s preference for Dr. Thompson’s perspective does not justify its setting aside all the evidence — including portions of Dr. Thompson’s testimony — that supports the determinations by the state court and the district court that Smith has not demonstrated that he was intellectually disabled in 1980.

First, the majority cannot deny that as of 2005, Smith was not intellectually disabled. Even Dr. Thompson’s test indicated that Smith had an IQ of 93. Thus, this case is relatively unique in that the courts are required to determine whether a person who now is clearly not intellectually disabled, was intellectually disabled some 25 years earlier when he committed a murder and was tried. The fact that Smith was not intellectually disabled in 2005, gives rise to at least a presumption that Smith was not intellectually disabled in 1980.

Second, the evidence supporting the majority’s determination is inherently problematic. Smith’s 1964 IQ tests, his poor performance on the Stanford achievement tests, and his poor grades could be signs of intellectual disability. But the test administered in 1964 was out-moded and there is nothing in the record as to how the test was administered. Also, by the time that the test was administered, Smith had failed in school, and there is nothing to suggest that he made any effort to perform well on the test. Moreover, there is substantial evidence that Smith had difficulty with the written word, which indicates that his written test results were likely to underrate his intelligence.

Other than the test scores and his academic performance, the evidence of Smith’s alleged intellectual disability is primarily the testimony of lay witness Martha Hight who compared Smith to her sister who had been diagnosed as intellectually disabled. However, the trial court found that her statement “was inconsistent with the testimony of others who lived with [Smith] at or near the same period of time in the 1970’s.”

There was evidence, as the majority notes, of Smith’s horrendous childhood. That his stepfather frequently belittled him and beat him. That his mother frequently ignored her children and was promiscuous in front of them. See Op. 1187-88. This upbringing, the majority notes, led Dr. Thompson to opine that Smith “became intellectually disabled with frontal lobe abnormalities.” Op. 1187.

But it is Dr. Thompson’s view of intellectual disability “as a fluid condition responsive to any number of changes in a patient’s environment, nutrition and physical, mental and emotional health” that renders his diagnosis problematic. If a person’s mental ability is fluid, if it can change in response to changes in the person’s environment, nutrition, and physical, mental and emotional health, then by definition, even assuming that Smith was intellectually disabled in 1964, when he was 16 years old, he was not necessarily disabled in 1980, when he committed the murder.

Critically, by 1980, Smith had lived independently for 15 years, had been married a number of times, and had held numerous jobs. This inherently raises questions as to whether, assuming that Smith was intellectually disabled in 1964, the subsequent improvement of his mental ability was due to his living alone away from his oppressive family for 15 years, as Dr. Martinez suggests, or to his being in prison from 1980 to 2005, as Dr. Thompson suggests. Smith’s independent life from 1964 to 1980 is strong circumstantial evidence that by 1980 he was not intellectually disabled, even if he had been intellectually disabled in 1964.

In addition, Dr. Thompson’s perception of intellectual disability is in tension with Arizona’s definition. Arizona’s statute assumes that a person’s intellectual ability is relatively stable. See Ariz.Rev.Stat. Ann. § 13-703.02(K)(3). In fact, the statute requires that the onset of intellectual disability be before an individual is 18 years of age. Dr. Thompson’s approach begs the question of whether Smith was intellectually disabled as defined by Arizona when he was 16, or only suffered from “frontal lobe abnormalities” that affected his performance but cleared up once he was in a less toxic environment. It is not clear that the alleged “frontal lobe abnormalities” resulted in “significant subaverage intellectual functioning” or caused “significant impairment of adaptive behavior” as required by the Arizona statute. See A.R.S. § 13-703.02(E).

In any event, the critical issue here is not whether Smith was intellectually disabled in 1964, but in 1980. Dr. Martinez’s perspective that Smith was never disabled is certainly supported by the 2005 IQ tests. Dr. Thompson’s suggestion that Smith was disabled in 1980 depends first on a determination that Smith was disabled in 1964 and second on the acceptance that prison rather than 15 years of living alone, explains Smith’s present IQ level. However, as noted, Smith’s ability to live on his own for 15 years from 1964 to 1980 is strong evidence that even if Smith had developed “frontal lobe abnormalities” as a result of his horrendous childhood, they had dissipated by 1980. Moreover, this conclusion is supported by the fact that the two doctors who examined Smith for competency to stand trial for the murder in 1980 failed to detect any signs of intellectual disability. Even Dr. Thompson admitted that he would have expected the doctors to note some sign of intellectual disability.

In sum, there is substantial — if not overwhelming — evidence to support the state court’s determination that Smith had failed to demonstrate that he was intellectually disabled in 1980. Indeed, the majority does not really try to refute this evidence. Instead, it explains at length why it prefers Dr. Thompson’s perspective to that of Dr. Martinez. But that is not the proper inquiry. The question is whether the state court’s factual determination is “fairly supported by the record.” Marshall, 459 U.S. at 432, 103 S.Ct. 843. Perhaps if all the conflicting evidence could be explained away, the majority’s approach might be acceptable. But the evidence remains obstinate in support of the state court’s determinations: Smith is not now intellectually disabled, he lived independently for 15 years before he committed the murder, and the doctors who examined him for competency in 1980 failed to detect any signs of intellectual disability. Moreover, although Dr. Thompson offers an explanation for how Smith’s mental ability could change over time, his own theory cannot pinpoint when Smith overcame his alleged initial intellectual disability. The factual record fully supports the state court’s determinations that Smith failed to carry his burden, and that, accordingly, he was not intellectually disabled in 1980.

In addition, the Supreme Court’s recent opinion in Hall v. Florida, — U.S.—, 134 S.Ct. 1986, 188 L.Ed.2d 1007 (2014), supports the denial of relief. The Supreme Court was critical of Florida’s over-reliance on the measurement of an IQ test. It concluded that “[i]ntellectual disability is a condition, not a number.” 134 S.Ct. at 2001. It held that courts “must recognize, as does the medical community, that the IQ test is imprecise.” Id. The Supreme Court concluded:

Florida’s rule is in direct opposition to the views of those who design, administer, and interpret the IQ test. By failing to take into account the standard error of measurement, Florida’s law not only contradicts the test’s own design but also bars an essential part of a sentencing court’s inquiry into adaptive functioning. Freddie Lee Hall may or may not be intellectually disabled, but the law requires that he have the opportunity to present evidence of his intellectual disability, including deficits in adaptive functioning over his lifetime.

Id.

Here, Smith had precisely this opportunity. He had a full “opportunity to present evidence of his intellectual disability, including deficits in adaptive functioning over his lifetime.” Id. However, the state courts and the district court concluded that the evidence did not show that he was intellectually disabled in 1980. It is the majority and Dr. Thompson who cling to the 1964 test results. But other evidence such as Smith’s 2005 IQ test results, his living independently on his own for 15 years before the murder, and the failure of the doctors who examined Smith for mental competence in 1980 to detect any sign of intellectual disability, strongly support the state court’s determination.

Accordingly, because the district court’s denial of Smith’s petition should be affirmed, I dissent from the majority’s opinion.

II. The Arizona Courts Applied the Appropriate Standard of Proof.

A. The Superior Court’s Use of the Words “with any degree of certainty” Does Not in Any Way Suggest that it Applied an Inappropriate Standard of Proof.

Despite the lack of any concurrence, Judge Reinhardt includes in his opinion an argument that the Arizona courts applied an unconstitutional standard of proof. Section II C.2, pages 42-52. Accordingly, I offer the following rebuttal to his inaccurate accusations.

1. The State Court and District Court Decisions

As noted, the Arizona Superior Court held extensive hearings and admitted considerable evidence as to whether Smith was intellectually disabled at the time of his trial. It agreed with the parties that the burden to prove intellectual disability was on Smith, pursuant to Grell II, 212 Ariz. 516, 135 P.3d 696. However, in view of the procedural differences between Grell II and Smith’s case, the court “considered the evidence under the preponderance of evidence standard applicable to Rule 32 proceedings.” The court held that its decision was the same under this lower standard.

After carefully considering all the evidence, the Superior Court concluded:

Although Defendant’s dysfunctional family and troubled early life undoubtedly affected his circumstances in an adverse way, and while it is likely Defendant has suffered from clinically cognizable conditions probably including a personality disorder, the circumstances described at the hearing do not point to mental retardation with any degree of certainty. The Court has carefully considered all of the testimony presented at the hearing, and has reviewed and considered all of the exhibits received in evidence at that proceeding. Based on all of the evidence, the Court FINDS that Defendant has failed to meet his burden of showing that he was mentally retarded at the time of the offense and trial in this case. There was insufficient evidence from which this Court could find that Defendant exhibited “significant subaverage general intellectual functioning” during the period of the offense and his trial. While unorthodox and unstable, Defendant’s pre-arrest life did not show “significant impairment in adaptive behavior” existing concurrently with the deficit in general intellectual functioning. In the absence of adequate information concerning the early Otis IQ tests, and in view of the alternative explanations for his early school and social deficits, Defendant failed to show the onset of mental retardation before the age of 18. The Court therefore FINDS that the State of Arizona is not precluded, on Adkins grounds, from executing Defendant.

The Arizona Court of Appeals affirmed the Superior Court. It noted that the trial court “had considered the evidence under the applicable clear-and-convincing evidence standard as well as under the lesser burden of a preponderance of the evidence that applies to post conviction proceedings ... and concluded that under either standard Smith had failed to establish he was mentally retarded at the time of the offense and at trial.”

Similarly, the district court denied Smith’s petition. It noted that although Smith did not “identify deficiencies in the state court’s ruling,” he contended that his proffered evidence “overwhelmingly established the subaverage intellectual functioning and adaptive skills prongs of Arizona’s mental retardation test as of the time of the offense in 1980.” The district court rejected this contention. It noted that Smith did not dispute that the 1964 Otis tests were unreliable, and commented that “the evidence presented at the hearing indicated it is just as likely that Petitioner’s poor school performance and unstable lifestyle was the result of a severely dysfunctional upbringing and personality disorder as it was mental retardation.” The district court concluded that there was “ample evidence in the record to support the state courts’ conclusion that Petitioner failed to establish either ‘subaverage general intellectual functioning’ or ‘significant impairment in adaptive behavior’ before the age of 18.” Accordingly, he had “not overcome the presumption of correctness attached to the state court’s finding that he was not mentally retarded.” Moreover, in denying a certificate of appealability the district court found “that reasonable jurists could not debate its resolution of Petitioner’s Ai/fcms-related claims,” and that “[t]he question of whether the state court erred in finding that Petitioner was not mentally retarded under Arizona law is not debatable among jurists of reason.”

2. Discussion

In light of the unanimous perspective of the Arizona trial and appellate courts and the district court, how does Judge Reinhardt conclude that the Superior Court applied an unconstitutional standard of proof? His concurrence does so by first disbelieving the state courts’ statements that the Superior Court applied the preponderance of the evidence standard. Second, the concurrence ignores the court’s factual findings and misconstrues the Superior Court’s statement that “the circumstances described at the hearing do not point to mental retardation with any degree of certainty.” Nee Op. 1197. Thus, the concurrence takes five words from the trial court’s decision out of context and then gives them an improper definition. By attacking this incorrect -definition, the concurrence, in essence, argues that the death penalty cannot be constitutionally applied.

Both the Superior Court and the Arizona Court of Appeals stated that the Superior Court applied the lesser preponderance of the evidence standard. The concurrence dismisses their considered opinions in a footnote arguing that the body of the Superior Court’s opinion “did not fulfill that promise, however, but, rather, the court concluded after reviewing all the evidence that it did not meet a ‘certainty’ standard.” Op. 1196-97 n.25. This is wrong on a number of levels.

The concurrence takes “with any degree of certainty” out of context, endows it with a incorrect meaning and then argues that the stilted meaning it has conjured up is unconstitutional. But, considering the factual evidence in this case, an objective jurist must admit to the lack of some precision in an evaluation of Smith’s intellectual ability in 1980. On the one hand, there are the Otis IQ tests from 1964 and Dr. Thompson’s testimony that Smith’s intellectual disability was not a constant. On the other hand, both Dr. Thompson and Dr. Martinez agreed that by 2005 Smith was not intellectually disabled, and there is evidence that for some 15 years after dropping out of school, and before committing the murder, Smith lived independently and was not dependent on anyone. Thus, given that Smith had the burden to prove an intellectual disability, the Superior Court reasonably concluded that he had failed to do so, even by a preponderance of the evidence. In other words, the evidence as presented by Smith did not “point to mental retardation with any degree of certainty.” Both the Arizona Court of Appeals and the District Court agreed.

But the concurrence eschews the trial court’s intent and suggests that “the ‘any degree of certainty’ standard ... is more akin to the ‘reasonable doubt’ standard than the clear and convincing standard mandated by Arizona’s Atkins statute, which requires only that the issue under consideration be ‘highly probable.’ ” Op. 1197. In support of this assertion, the concurrence cites a 27-year old Arizona case that involved a jury instruction. State v. King, 158 Ariz. 419, 763 P.2d 239 (1988). This case, which affirmed placing the burden on the defendant to prove insanity, disapproved defining “clear and convincing evidence” as evidence that “is certain, plain to the understanding, unambiguous, and convincing in the sense that it is so reasonable and persuasive as to cause you to believe it.” Id. at 241. The court held that “the better instruction would inform a jury that clear and convincing evidence is evidence that makes the existence of the issue propounded highly probable.” Id. at 244.

In Smith’s proceedings, no court used the definition of clear and convincing evidence disapproved in King. Indeed, our precedent requires that we presume that the state judges know and follow the law. See Lopez v. Schriro, 491 F.3d 1029, 1043 (9th Cir.2007). We have further held that we should not lightly disregard the trial court’s determinations. Id. In Parker v. Dugger, 498 U.S. 308, 315, 111 S.Ct. 731, 112 L.Ed.2d 812 (1991), the Supreme Court held “[w]e must assume that the trial judge considered all this [mitigation] evidence before passing sentence. For one thing, he said he did.” Thus, we have no basis for finding that the Superior Court did not apply the preponderance of the evidence standard that it said it did (and which the Arizona Court of Appeals affirmed) or that the Superior Court somehow applied “certainty” in a way that has been improper in Arizona since King was decided in 1988.

Furthermore, even if there were some ambiguity in the Superior Court’s decision — which there is not — we would still have to construe any ambiguity in the language in the state court’s favor. See Woodford v. Visciotti 537 U.S. 19, 24, 123 S.Ct. 357, 154 L.Ed.2d 279 (2002) (“This readiness to attribute error is inconsistent with the presumption that state courts know and follow the law”). Indeed, the Supreme Court has indicated that we should not “demand a formulary statement” by state courts. Early v. Packer, 537 U.S. 3, 9, 123 S.Ct. 362, 154 L.Ed.2d 263 (2002) (per curiam) (an AEDPA case, but citing a pre-AEDPA decision, Lowenfield v. Phelps, 484 U.S. 231, 108 S.Ct. 546, 98 L.Ed.2d 568 (1988), in support of its admonition). Thus, the concurrence’s approach goes against both Supreme Court and Ninth Circuit case law when it not only construes the trial court’s clear language as ambiguous, but then interprets the ambiguity as reflecting an unconstitutional standard.

The concurrence then proceeds to argue that Atkins proceedings are different. “Consequently, where a state court analyzing an Atkins claim fails to follow binding state law, its decision does not simply violate state law, but also violates the Eighth Amendment right provided by Atkins and the violation is therefore cognizable by a federal habeas court.” Op. 1197. Again relying on its stilted definition of “certainty,” the concurrence asserts:

Here, the “certainty” standard applied by the state trial court was plainly contrary to the clear and convincing standard required by Arizona’s statute and adopted by its supreme court. See Ariz. Rev.Stat. Ann. § 13-703.02(G); Grell II, 135 P.3d at 701 (“The statute places on ‘the defendant ... the burden of proving mental retardation by clear and convincing evidence’ in the pretrial hearing.” (quoting § 13-703.02(G)) (alteration in original)). Accordingly, the standard of proof applied by the state trial court was not simply contrary to state law but was also unconstitutional under Atkins, see Williams, 792 F.3d 606, 612; Black, 664 F.3d at 97, and, accordingly, the state court’s findings are not due any deference. See Lafferty, 949 F.2d at 1551 n. 4; Walker, 167 F.3d at 1345.

But this is not right. First, as noted, the state court applied the less demanding preponderance of the evidence test. Second, there is nothing in either the trial court’s decision or the state appellate court’s memorandum disposition that suggests that either court defined “certainty” in a way that violated King, 763 P.2d 239. Third, Grell II, which the majority cites, affirms that Smith had the burden of proving mental retardation by clear and convincing evidence. Fourth, a review of the record in this case fully supports the Superior Court’s factual determination that Smith had failed either by clear and convincing evidence or a preponderance of the evidence to show that he was intellectually disabled at the time of the crime and his trial. Cherry-picking words from the trial court’s decision and then giving them an incorrect meaning does not undermine the clear logic of the decision as affirmed by the state appellate court.

Perhaps aware that its first argument is less than persuasive, the concurrence offers a second argument: that “the standard of proof applied by the state trial court is unconstitutional.” Op. 1198. Again, based largely on its incorrect definition of “certainty,” the concurrence asserts that “a ‘certainty’ standard of proof transgresses the limits of the state’s authority to craft appropriate procedures to enforce Atkins and, in doing so, encroaches on the substantive constitutional right.” Op. 1198.

This argument appears, in essence, to be an argument against the constitutionality of the death penalty. The majority claims that it does not “need to determine what standard of proof the federal Constitution requires,” but “only whether the Arizona court applied a standard it forbids.” Op. 1198. It posits that “[w]hen the natural operation of a state’s procedures for rendering factual determinations transgresses a substantive constitutional right, those procedures are unconstitutional.” Op. 1198. The concurrence argues that “[i]t is elementary that the ‘natural operation’ of applying a heightened standard of proof can determine the outcome of litigation, and thus the availability of a constitutional right.” Op. 1198.

The concurrence next objects to the death penalty based on the “inherent imprecision of psychiatric determinations of mental illness.” Op. 1199. Citing Addington v. Texas, 441 U.S. 418, 430-32, 99 S.Ct. 1804, 60 L.Ed.2d 323 (1979), it comments: “[a]s the Supreme Court explained in rejecting the argument that the Constitution requires use of a reasonable doubt standard in the context of civil commitment proceedings, the unique nature of psychiatric diagnosis renders factual determinations uniquely unsusceptible to certainty.” Op. 1199. The concurrence posits that when, as in this case, the determination of an individual’s intellectual ability at the time of the crime is not made until years after the crime, certainty is “even less attainable and a certainty standard is even less constitutionally acceptable in such cases.” Op. 1200.

The concurrence concludes with the assertion that capital punishment requires a “heightened degree of certainty.” Op 1200. Accordingly, “where, as in Atkins, the Eighth Amendment renders a class of individuals categorically ineligible for execution, the procedures used to determine whether a defendant falls into that class may not allocate nearly all of the risk of an erroneous determination to the defendant.” Op. 1201. It reasons that by requiring Smith to demonstrate with a “degree of certainty” that he was intellectually disabled, the Arizona court allocated “nearly the entire risk of an erroneous determination to Smith.” Op. 1201. Thus, according to the concurrence, because “the factual determination in question concerned an issue for which certainty may be unattainable ... and a penalty for which a greater degree of reliability is required ... [,] the constitutional violation [is] even more clear.” Op. 1201.

Judge Reinhardt is certainly entitled to his opinion, but it is not the opinion of the panel or of the Ninth Circuit. The concurrence is clearly contrary to the position of the Arizona Supreme Court. State v. Grell (Grell III), 212 Ariz. 516, 135 P.3d 696, 702 (2006) (en banc) (“We find no constitutional bar to imposing the burden of proving mental retardation on the defendant.”). The concurrence cites no Ninth Circuit case to support its perspective. And it is not supported by any decision by the United States Supreme Court, which denied certiorari in Grell II (Grell v. Arizona, 550 U.S. 937, 127 S.Ct. 2246, 167 L.Ed.2d 1095 (2007)), and accepted certain provisions of Arizona’s proceedings in Hall, 134 S.Ct. at 1996-97.

In sum, the assertion that the Arizona courts applied an unconstitutional standard of proof fails first because it misconstrues the Arizona Superior Court’s decision, and ignores the ruling of the Arizona Court of Appeals, contrary to both Supreme Court and Ninth Circuit precedent. See Woodford, 537 U.S. at 24,123 S.Ct. 357; Parker, 498 U.S. at 315, 111 S.Ct. 731; Lopez, 491 F.3d at 1043 (stating “there are ways to construe the state court’s ruling that would not make it ‘clearly untenable,’ and we are therefore bound by the state courts’ interpretation and application of its own procedural rules.”). The second arrow in the concurrence’s quiver — that there is not sufficient certainty to impose the death penalty on Smith — similarly lacks support from either the Supreme Court or the Ninth Circuit, as Arizona’s placement of the burden on the defendant to prove his intellectual disability has not been disturbed in the eight years that have passed since the Arizona Supreme Court decided Grell II in 2007.

III. Conclusion

The district court’s denial of the Smith’s petition should be affirmed because an objective review of the extensive record reveals that there is substantial evidence, if not overwhelming evidence, that Smith failed to meet his burden of showing that he was intellectually disabled in 1980-82, when he murdered Sandy Owen and was tried, convicted and sentenced. At a minimum, this conclusion is compelled by the undeniable facts that: (a) Smith in 2005 had an IQ between 87 and 98; (b) Smith lived independently and supported himself for 15 years after he dropped out of school and before the murder; and (c) the doctors who examined Smith in 1980 to determine his competency to be tried found no signs of intellectual disability. Furthermore, Dr. Thompson’s approach of considering intellectual ability to be fluid, while allowing for Smith’s alleged intellectual disability to dissipate, offers no assurance as to when it did so. The state courts took Smith’s claim of intellectual disability seriously, and gave his assertions and the evidence full consideration. An objective review of this record will not support a finding — and certainly not a finding by this court on review of a state habeas petition — that Smith met his burden of showing that he was intellectually disabled in 1980. I would affirm the district court’s denial of Smith’s petition and I therefore dissent. 
      
      . Judge Reinhardt’s opinion is the opinion of the court except for Section II.C.2. in which neither Judge Schroeder nor Judge Callahan joins.
     
      
      . Because we grant relief on the Atkins claim, we find it unnecessary to reach Smith’s claim of ineffective assistance of counsel.
     
      
      . Because the lengthy factual and procedural history of this case is known to the parties and set forth in prior opinions, we recount only those portions directly relevant to the issues discussed herein.
     
      
      .Although both the parties and prior opinions in this case use the term "mental retardation,” we employ the term "intellectually disabled.” See Hall v. Florida,-U.S.-, 134 S.Ct. 1986, 1990, 188 L.Ed.2d 1007 (2014). We use "mental retardation” only when quoting material employing that term.
     
      
      . The Fourth and Fifth Circuits have held that the question of whether a person is intellectually disabled under Atkins constitutes an issue of fact. See Walker v. Kelly, 593 F.3d 319, 323 (4th Cir.2010); Maldonado v. Thaler, 625 F.3d 229, 236 (5th Cir.2010). The Nevada, Pennsylvania, and Tennessee Supreme Courts have held that the question is instead a mixed question of law and fact. Ybarra v. State, 247 P.3d 269, 276 (Nev.2011); Commonwealth v. Crawley, 592 Pa. 222, 924 A.2d 612, 615 (2007); State v. Strode, 232 S.W.3d 1, 8 (Tenn.2007). We have not yet decided the issue in our Circuit, but have held in a separate context that the question of intellectual disability is a mixed question of law and fact. See Gregory K. v. Longview Sch. Dist., 811 F.2d 1307, 1310 (9th Cir.1987) (whether student was intellectually disabled, as defined by state regulations, for the purpose of the federal Education for All Handicapped Children Act is a mixed question of law and fact).
     
      
      . Section 13-703.02 was subsequently renumbered as § 13-753. 2008 Ariz. Sess. Laws, Ch. 301, § 26. In 2011, the statute was amended to substitute the term "intellectual disability” for "mental retardation.” Ariz. Sess. Laws 2011, Ch. 89, § 5. Unless otherwise stated, all references to § 13-703.02 are to the version in effect at the time of Smith’s Atkins evidentiary hearing.
     
      
      . The mere fact that the record contains contrary opinions by two expert witnesses does not render it ambiguous. Once we look behind each expert’s conclusion and consider the evidence on which he relies, it becomes clear that the great majority of the evidence strongly reinforces Dr. Thompson's opinion and that Dr. Martinez’s contrary conclusion lacks even fair evidentiary support.
     
      
      . When a state court's decision to discount certain evidence constitutes a factual determination, we may apply § 2254(d)(8) to determine whether deference is due. See Carriger, 132 F.3d at 473-76, 478 (applying § 2254(d)(8) to reject the state court’s ancillary factual determination that a witness lacked credibility and holding, based in part upon our decision to credit that witness's testimony, that the petitioner had satisfied the Schlup "miscarriage of justice” standard); see also Schlup v. Delo, 513 U.S. 298, 314, 115 S.Ct. 851, 130 L.Ed.2d 808 (1995). Where a state court’s decision to discount certain evidence results from legal error, the presumption of correctness does not apply. See Sivak, 658 F.3d at 905.
     
      
      . Because it applies equally to the time of the crime and trial, the constitutional right announced in Atkins is unlike the rights provided by Pate v. Robinson, 383 U.S. 375, 378, 86 S.Ct. 836, 15 L.Ed.2d 815 (1966) (right to not to be tried while legally incompetent), and Ford v. Wainwright, 477 U.S. 399, 409-10, 106 S.Ct. 2595, 91 L.Ed.2d 335 (1986) (right not to be executed while insane), which attach, respectively, to the time of trial and execution.
     
      
      . Many states expressly recognize that Atkins applies to individuals who may be deemed intellectually disabled at the time the crime was committed or at trial. See, e.g., Smith v. State, No. 1060427, - So.3d -, -, 2007 WL 1519869, at *8 (Ala. May 25, 2007); Ark.Code Ann. § 5-4-618(b); Del.Code Ann. tit. 11, § 4209(d)(3)(c); Ga.Code Ann. § 17-7-131(c); Pizzuto v. State, 146 Idaho 720, 202 P.3d 642, 653, 654 (2008); Chase v. State, 171 So.3d 463, 468 (Miss.2015); S.D. Codified Laws § 23A-27A-26.1; Tenn.Code Ann. § 39-13-203(b); Ex parte Cathey, 451 S.W.3d 1, 19 (Tex.Crim.App.2014); Wash. Rev.Code § 10.95.030(2).
     
      
      . The version of the statute in effect at the time of Smith’s evidentiary hearing uses an identical definition. Ariz.Rev.Stat. Ann. § 13-703.02(K)(5).
     
      
      . Given the substantial time between the commission of the crime and the IQ tests administered by Drs. Thompson and Martinez, this inference is not particularly strong. Moreover, as discussed below, substantial evidence demonstrates that Smith’s IQ did in fact fall below the threshold necessary to demonstrate significantly subaverage general intellectual functioning at the time the crime was committed.
     
      
      . While the standard for overcoming the statutory presumption of intellectual disability is not particularly clear, the general rule in Arizona suggests it is low. Cf. State v. Lewis, 236 Ariz. 336, 340 P.3d 415, 420 (App.2014) (”[A]s with other rebuttable presumptions, the presumption of continued incompetence ‘disappears entirely upon the introduction of any contradicting evidence and when such evidence is introduced the existence or non-existence of the presumed [incompetence] is to be determined exactly as if no presumption had ever been operative.' ” (quoting Sheehan v. Pima Cnty., 135 Ariz. 235, 660 P.2d 486, 489 (App.1982))).
     
      
      . Courts have taken a range of approaches with regard to the Flynn effect. Some courts have gone beyond the Fourth and Eleventh Circuits by mandating its application to defendants’ IQ scores. See Thomas v. Allen, 614 F.Supp.2d 1257, 1281 (N.D.Ala.2009) ("A court must also consider the Flynn effect and the standard error of measurement in determining whether a petitioner's IQ score falls within a range containing scores that are less than 70.”); United States v. Parker, 65 MJ 626, 629 (NM.Ct.Crim.App.2007); People v. Superior Court,-Cal.App.4th-, 28 Cal.Rptr.3d 529, 558-559 (2005), overruled on other grounds ("In determining [a petitioner's] IQ score, consideration must be given to the so-called Flynn effect”). Other courts have left to the trial court’s discretion whether to apply the Flynn Effect. See State v. Burke, No. 04AP-1234, 2005 WL 3557641, at *13 (Ohio Ct.App. Dec. 30, 2005) ("We conclude that a trial court must consider evidence presented on the Flynn effect, but, consistent with its prerogative to determine the persuasiveness of the evidence, the trial court is not bound to, but may, conclude the Flynn effect is a factor in a defendant’s IQ score.”). Still other courts have rejected use of the Flynn Effect. See Bowling v. Commonwealth, 163 S.W.3d 361 (Ky.2005) (neither the Flynn effect nor standard margins of error properly are considered); Howell v. State, 151 S.W.3d 450, 458 (Tenn.2004); Neal v. State, 256 S.W.3d 264, 273 (Tex.Crim.App.2008) (“We have previously refrained from applying the Flynn effect, however, noting that it is an 'unexamined scientific concept’ that does not provide a reliable basis for concluding that an appellant has significant sub-average general intellectual functioning.”); In re Mathis, 483 F.3d 395, 398 n. 1 (5th Cir.2007) ("The Flynn Effect ... has not been accepted in this Circuit as scientifically valid.”).
     
      
      . The state court also noted that expert testimony regarding Quantitative Electronence-phalography (QEEG) testing on Smith, which it held inadmissible, played a role in Dr. Thompson’s opinion that Smith's functional limitations were related to his frontal lobe dysfunction. Because testimony regarding the QEEG testing played a non-essential and limited role in Dr. Thompson’s conclusion, his opinion cannot be discounted on this basis.
     
      
      . The state court committed legal error when it discounted Dr. Thompson’s opinion that Smith's abusive upbringing contributed to his intellectual disability, which was manifested by poor test scores and grades, and instead adopted the state’s theory that Smith’s abusive upbringing itself caused his poor academic performance but that he was not intellectually disabled. The state’s theory misapprehends Arizona’s definition of intellectual disability, which centers on indicators such as low IQ scores and impaired adaptive behavior and not the purported etiology of these indicators. See Ariz.Rev.Stat. Ann. § 13-703.02(K)(1), (3), (5). Simply stated, while the specific cause of intellectual disability is significant with regard to whether the condition is static or mutable, the threshold question whether an individual is intellectually disabled is answered simply by the presence of impaired, functioning regardless of its purported cause. See AAIDD 11th ed., supra, at 59-61 (describing intellectual disability as arising from cultural-familial factors, biological factors, or a combination of the two, and stating that "[b]ecause [intellectual disability] is characterized by impaired functioning, its etiology is whatever caused this impairment in functioning.”).
     
      
      . The State’s citation to cases describing intellectual disability as a static condition does not alter our conclusion, Heller v. Doe, 509 U.S. 312, 323, 113 S.Ct. 2637, 125 L.Ed.2d 257 (1993); Moormann v. Schriro, 672 F.3d 644, 649 (9th Cir.2012); State v. Arellano, 213 Ariz. 474, 143 P.3d 1015, 1020 (2006). Moormann and Arellano each rely on Heller, which cites a 1985 report for the proposition that intellectual disability "is a permanent, relatively static condition.” Heller, 509 U.S. at 323, 113 S.Ct. 2637 (citing Samuel J. Brak-el et al., The Mentally Disabled and the Law 37 (3d ed.1985)). Thus, all of this case law relies on a single study that substantially predates developments in the clinical understanding of intellectual disability as a fluid condition subject to change. See Am. Ass'n on Mental Retardation, Mental Retardation: Definition, Classification, and Systems of Supports 1, 5 (9th ed.1992) [hereinafter AAMR 9th ed.] ("With appropriate supports over a sustained period, the life functioning of the person with mental retardation will generally improve.”); id. at 18 ("Mental retardation begins prior to age 18 but may not be of lifelong duration.”); Am. Psychiatric Ass'n, Diagnostic and Statistical Manual of Mental Disorders 47 (4th ed.2000) [hereinafter DSM-IV] ("Mental Retardation is not necessarily a lifelong disorder. Individuals who had Mild Mental Retardation earlier in their lives manifested by failure in academic learning tasks may, with appropriate training and opportunities, develop good adaptive skills in other domains and may no longer have the level of impairment required for a diagnosis of Mental Retardation.”); AAIDD 11th ed., supra, at xiii (“ID is no longer considered entirely an absolute, invariant trait of the person.”). This contemporary clinical understanding necessarily informs the law on intellectual disability. See Hall v. Florida,-U.S.-, 134 S.Ct. 1986, 1993, 188 L.Ed.2d 1007 (2014) (stating that legal definitions of intellectual disability "are informed by the work of medical experts”). In addition, unlike the record in this case, none of the cases on which the State relies involves an evidentiary record containing extensive expert testimony describing intellectual disability as a condition that is neither fixed nor static where (as in Smith's case) it is influenced by environmental factors rather than an underlying medical condition.
     
      
      . Although state courts generally construed Atkins as imposing no binding definition of impaired adaptive behavior, the Supreme Court held in Hall that states must comply with elements of the clinical definition about which there exists a national consensus. 134 S.Ct. at 1998-99. Because Arizona’s definition of adaptive behavior is far more restrictive than the clinical definition, Williams, 303 P.3d at 548 (Eckerstrom, P.J., dissenting), and because a national consensus exists with regard to this aspect of the clinical definition, see Concurring Opinion of Reinhardt, J., Arizona’s definition may well be violative of the rules established in Hall, and unconstitutional for that reason. Because Hall was not decided until after the state court had rendered its decision denying Smith’s Atkins claim, however, Smith had no opportunity to make this argument before the state court and the state had no opportunity to respond. In such circumstance, we might remand to allow the state court to consider the more recent Supreme Court decision, although we express no view on that question. Here, however, we need not apply Hall in light of our conclusion that Smith clearly satisfies even Arizona’s more onerous standard.
     
      
      . Due to the unique procedural posture of the case, the Grell III court applied
      Ariz.Rev.Stat. Ann. § 13-751(C). Under this statute, a defendant may present evidence at the penalty phase of mitigating circumstances, which must be proven by a preponderance of the evidence. We note that the Grell III court applied a lower standard of proof than governs Smith’s claim, but nonetheless regard the case as a useful guidepost demonstrating the Arizona Supreme Court’s approach to the adaptive behavior prong. Grell III contains the Court’s most extended analysis on this element and identifies numerous attributes supporting a finding of significantly impaired adaptive behavior.
     
      
      . Dr. Martinez attributed Smith's inability to hold jobs in part to Smith's impulsivity, itself an indicator of impaired adaptive behavior. See Grell III, 291 P.3d at 353-55; Atkins, 536 U.S. at 318, 122 S.Ct. 2242.
     
      
      . The presentence report lists "Duck” and "Crazy Duck” as aliases for Smith.
     
      
      . The record does not fairly support the state court’s decision to discount Hight’s testimony that Smith resembled her intellectually disabled sister on the sole ground that it was inconsistent with testimony by McCarver and a second lay witness, Sidney LeBlanc, who lived in Smith’s apartment building and drove trucks for the same company as Smith. We credit Hight’s testimony because, among these witnesses, only she had firsthand experience with someone diagnosed with intellectual disability. See Grell, 291 P.3d at 353; Arel-lano, 143 P.3d at 1020. More important, testimony by McCarver and LeBlanc does not contradict Hight’s assessment of Smith as intellectually disabled. McCarver's testimony, as recounted above, strongly reinforces the conclusion that Smith was intellectually disabled. LeBlanc’s explanation that he and Smith held a large number of short-term jobs as a result of their "footloose and fancy free” transient lifestyle, is at least as suggestive of traits indicating intellectual disability as of the standard of adaptive behavior expected of Smith’s age and cultural group. Accordingly, we find the state court’s determination that McCarver and LeBlanc were more credible witnesses than Hight is not fairly supported by the record.
     
      
      . Dr. Thompson testified that he found this assessment in the presentence report credible notwithstanding the lack of evidence regarding the author’s level of training because, in his experience working with the Department of Corrections, the probation and parole officers who wrote such reports had experience with prisoners and diagnostic evaluations that provided them a reasonable basis from which to determine whether an individual has low or borderline cognitive functioning and because the report’s findings are corroborated by substantial evidence of Smith's impaired mental functioning. We agree that the report constitutes probative lay witness testimony of Smith’s disability. See Arellano, 143 P.3d at 1020. Accordingly, and in light of the foregoing discussion of the limitations of the Rule 11 reports, we find the state court’s determination to afford the Rule 11 reports greater weight than the presentence report, and its critique of Dr. Thompson's contrary conclusion, lacks fair support in the record.
     
      
      . The dissent in Lafferty contended that the majority erred by inserting an additional, preliminary step in its review of the state court's factual determination, contrary to the requirements of 28 U.S.C. § 2254(d). 949 F.2d at 1558-59 & nn. 2-3 (Brorby, J., dissenting). The majority is clearly correct. Because a factual determination rendered under an erroneously inflated and unconstitutional legal standard does not resolve the question of whether the same answer obtains under the correct lower standard, the factual determination rendered cannot be said to constitute a valid finding. Where a state court has made no valid finding, there is nothing to which a presumption of correctness may attach.
     
      
      . In its introductory statement regarding the standard of review, the state court stated that Smith had the burden of proving his Atkins claim by clear and convincing evidence. It added that, due to the unique procedural posture of the case, it would also apply the preponderance of the evidence standard applicable to Rule 32 proceedings, and that its decision would be the same under that lower standard. The body of the opinion did not fulfill that promise, however, but, rather, the court concluded after reviewing all the evidence that it did not meet a “certainty” standard.
     
      
      . It is of no consequence to the analysis that Addington and Atkins involve different burdens of proof than the case at bar, because the focus here is on the effect of the standard of proof. Under Addington, a state desiring the civil commitment of an individual must demonstrate that he suffers from mental illness, whereas under Atkins an individual seeking to avoid execution by the state must demonstrate intellectual disability. In both situations, the determination heavily relies upon psychiatric opinion, and thus in both situations a standard of proof requiring "any degree of certainty” as defined by Arizona law will often render it impossible for a party to cariy its burden. See Addington, 441 U.S. at 432, 99 S.Ct. 1804.
     
      
      . Only Georgia applies a more onerous standard, requiring proof of intellectual disability beyond a reasonable doubt. By contrast, every other state to establish a standard of proof imposes a more relaxed standard than the state court applied here. In addition to Arizona, only four states — Colorado, Delaware, Florida, and North Carolina — apply even a clearly convincing standard, and the remaining twenty-two states imposing the death penalty and the federal government apply a preponderance standard. Hill v. Humphrey, 662 F.3d 1335, 1365 n. 1 (11th Cir.2011) (en banc) (Barkett, J., dissenting).
     
      
      . Because Smith satisfies the lower "clearly convincing” standard required by Arizona’s Atkins statute, it can be assumed without deciding that the statutory standard is constitutional. However, many of the concerns expressed here apply to the clear and convincing standard as well.
     
      
      . Bureau of Justice Statistics, "Prisoners executed under civil authority in the United States, by year, region, and jurisdiction, 1977-2014” (Dec. 10, 2014).
     
      
      . This figure is current as of July 1, 2015. See Death Penalty Information Center, Death Row Inmates by State, http://www.death penahyinfo.org/death-row-inmates-state-and-size-deathrow-year?scid=9&did= 188# state (last visited Jan. 12, 2016).
     
      
      . The third element of the Arizona statute requires that the onset of the intellectual functioning and adaptive behavior deficits occur before the age of eighteen. Ariz.Rev.Stat. Ann. § 13-703.02(K)(3) (2006); Ariz.Rev.Stat. Ann. § 13-753(K)(3) (2015). There is no reason to believe that this element is in itself unconstitutional.
     
      
      . A complete list of states referenced in this section and accompanying authorities is provided in Appendix A.
     
      
      . The ten adaptive skill areas enumerated in the ninth edition of the AAMR are communication, self-care, home living, social skills, community use, self-direction, health and safety, functional academics, leisure, and work. AAMR 9th ed., supra, at 1, 5, 38. The DSM-IV sets forth a nearly identical list of eleven skill areas, consisting of communication, self-care, home living, social/interpersonal skills, use of community resources, self-direction, functional academic skills, work, leisure, health, and safety. DSM-IV, supra, at 41. See John H. Blume et ah, Of Atkins and Men: Deviations from Clinical Definitions of Mental Retardation in Death Penalty Cases, 18 Cornell J.L. & Pub. Pol’y 689, 691 (2009)’ (describing the clinical criteria set forth in the AAMR and DSM-IV as "virtually identical”).
     
      
      . The relevant portions of each professional manual's definition of adaptive behavior are
     
      
      . Death Penalty Information Center, http:// www.deathpenaltyinfo.org/node/5741 (last visited July 31, 2015).
     
      
      . Id.
      
     
      
      . Death Penalty Information Center, States With and Without the Death Penalty, http:// www.deathpenaltyinfo.org/states-and-without-death-penalty (last visited July 20, 2015).
     
      
      . As does the majority opinion, I use the term "intellectually disabled” rather than "mentally retarded” except where the term is used in quoted material.
     
      
      . Under pre-AEDPA law:
      We review the district court's decision to grant habeas relief de novo. We review de novo questions of law and mixed questions of law and fact, whether decided by the district court or the state courts. The district court’s factual findings are reviewed for clear error. We therefore accept its findings "absent a definite and firm conviction that a mistake has been committed.” State court factual findings are entitled to a presumption of correctness, subject to eight exceptions enumerated in the previous version of 28 U.S.C. § 2254(d).
      
        Sivak v. Hardison, 658 F.3d 898, 905-06 (9th Cir.2011) (internal citations omitted).
     
      
      . Lebrecque further noted that because of Smith's "lack of basic grade-school academic skills, and his short stature, Lebrecque initially thought his maturity level was that of a 12 to 14 year old.”
     
      
      . The state court further explained:
      The pre-sentence report contains detailed descriptions of the offense, including a recitation of information obtained from written statements of Defendant to the court and his statements to law enforcement officers. Information concerning Defendant's social, marital, educational, religious, and employment history, was also apparently obtained primarily from Defendant. The pre-sen-tence report does not mention any difficulty in obtaining this information from Defendant. The section entitled "Physical and Mental Health,” while noting Defendant's depression, "veiy poor self concept,” sexual issues, drug abuse and early psychiatric treatment, did not mention mental retardation. The references to retardation were two. In the "education” section, the pre-sentence report writer stated: "Appended records indicate that intelligence tests administered during his eighth grade year revealed an IQ of 71, indicating that he is borderline but educable.” The “Evaluation Summary” includes the following sentence: "His borderline mentality probably makes him an easy person to manipulate and somewhat of a follower in social situations.” Defendant’s so-called "borderline mentality” is not mentioned as a mitigating circumstance — in fact, the pre-sentence report noted that, "In view of the defendant’s known history and the circumstances of the instant offense, the Court may feel that there are no applicable mitigating circumstances.” It is at least as likely that the “borderline” language in the Evaluation Summary section simply reflected the pre-sentence report writer’s knowledge of the 1964 IQ test referenced in the school records, as that the pre-sentence report writer based the comment on an analysis of Defendant’s history and characteristics grounded in the appropriate expertise. There simply is no way to know.
     
      
      .Smith apparently complained of memory problems, but there was no evaluation for organic brain syndrome or seizure disorder.
     
      
      . In reference to Smith’s prior 1970 hospitalization and diagnosis for personality disorder with psychotic features, Dr. Thompson "acknowledged that this disorder included features described as 'inadequate and immature,' and that this condition included anxiety and depression which could display the impulsivity causing the job changes and relationship issues characterizing Defendant's early adulthood.”
     
      
      . The state court commented:
      The State ... contends that the family dysfunction and abuse, faulty nutrition, depression and anxiety rather than mental retardation contributed to the low test scores, low grades and other signs. In other words, the defense view is that Defendant's early difficulties cause his retardation, and that he got better in prison. The prosecution’s perspective is that Defendant’s dysfunctional background and other mental health problems rather than mental retardation caused the factors pointed to by Dr. Thompson as diagnostic of retardation.
     
      
      . The Arizona Supreme Court summarily denied Smith’s petition for review.
     
      
      . The district court listed the exceptions as:
      (1) that the merits of the factual dispute were not resolved in the State court hearing;
      (2) that the factfinding procedure employed by the State court was not adequate to afford a full and fair hearing;
      (3) that the material facts were not adequately developed at the State court hearing;
      (4) that the State court lacked jurisdiction of the subject matter or over the person of the applicant in the State court proceeding;
      (5) that the applicant was an indigent and the State court, in deprivation of his constitutional right, failed to appoint counsel to represent him in the State court proceeding;
      (6) that the applicant did not receive a full, fair and adequate hearing in the State court proceeding; or
      
        (7) that the applicant was otherwise denied due process of law in the State court proceeding;
      (8) or unless ... the Federal court on consideration of [the relevant] part of the record as a whole concludes that such factual determination is not fairly supported by the record.
      28 U.S.C. § 2254(d) (1994).
     
      
      . Smith nonetheless sought de novo review for at least one of four grounds: "(1) an inadequate factfinding procedure by the state court; (2) the failure to adequately develop material facts at the state court Atkins hearing; (3) the failure to provide Petitioner a full, fair and adequate hearing; and (4) a violation of Petitioner's due process rights.” The district court rejected Smith's claim to a right to funding for a Positron Emission Tomography (PET) scan and his assertion that he was entitled to jury determination on mental retardation. The majority opinion does not discuss either of these claims. Rejecting Smith’s other grounds, the district court noted that the "state court provided a lengthy period of time for Petitioner to prepare for the Atkins hearing and authorized Petitioner's expert of choice, his initial diagnostic testing requests, investigative resources, and numerous depositions of lay witnesses.” It noted that Smith "identifies nothing to support a finding that the state court's factfinding procedures were inadequate, that material facts were left undeveloped, that the state court failed to provide a full and fair hearing, or that his due process rights were violated. Accordingly, the district court found that Smith had not overcome the presumption of correctness on any of these grounds.
     
      
      . Dr. Martinez testified as to the importance of an awareness of an individual’s behavior during an assessment. He noted that in a group-administered test you don't have the ability to "directly assess how the individual is doing, whether they’re paying attention or not.”
     
      
      . The Court explained:
      Florida’s rule disregards established medical practice in two interrelated ways. It takes an IQ score as final and conclusive evidence of a defendant’s intellectual capacity, when experts in the field would consider other evidence. It also relies on a purportedly scientific measurement of the defendant’s abilities, his IQ score, while refusing to recognize that the score is, on its own terms, imprecise.
      134 S.Ct. at 1995.
     
      
      . The Court continued:
      This is not to say that an IQ test score is unhelpful. It is of considerable significance, as the medical community recognizes. But in using these scores to assess a defendant's eligibility for the death penalty, a State must afford these test scores the same studied skepticism that those who design and use the tests do, and understand that an IQ test score represents a range rather than a fixed number.
      134 S.Ct. at 2001.
     
      
      .Finally, it should be noted that the Supreme Court in Hall considered the Arizona’s statute and suggested that it passed constitutional muster.
      Arizona’s statute appears to set a broad statutory cutoff at 70, Ariz.Rev.Stat. Ann. § 13-753 (F) (West 2013), but another provision instructs courts to “take into account the margin of error for a test administered.” Id. at § 14-753(K)(5). How courts are meant to interpret the statute in a situation like Hall’s is not altogether clear. The principal Arizona case on the matter, State v. Roque, 213 Ariz. 193, 141 P.3d 368, (2006), states that "the statute accounts for margin of error by requiring multiple tests,” and that "if the defendant achieves a full-scale score of 70 or below on any one of the tests, then the court proceeds to a hearing.” Id. at 403.
      134 S.Ct. at 1996.
     
      
      . Although Judge Reinhardt specifically addresses the constitutionality of the Arizona death penalty statute in his separate concurrence, its spirit clearly informs his concurrence set forth in the majority opinion.
     
      
      . Of course, this argument is only relevant if one ignores the trial court’s determination, affirmed by the state court of appeals, that Smith had failed to demonstrate an intellectual disability by the preponderance of the evidence.
     
      
      . Although Woodford concerned review under AEDPA, the Supreme court indicated, citing Parker, 498 U.S. at 314-16, 111 S.Ct. 731, and other cases, that the presumption that state courts know and follow the law was established before the enactment of AEDPA and thus applies to pre-AEDPA cases. Wood-ford, 537 U.S. at 24, 123 S.Ct. 357.
     
      
      . The concurrence's authority for these assertions is a 1911 Supreme Court opinion, Bailey v. Alabama, 219 U.S. 219, 31 S.Ct. 145, 55 L.Ed. 191 (1911), which held that an Alabama statute that created a presumption of intent to injure violated the 13th Amendment.
     
      
      . In footnote 26, the concurrence asserts:
      It is of no consequence to the analysis that Addington and Atkins involve different burdens of proof than the case at bar, because the focus here is on the effect of the standard of proof. Under Addington, a state desiring the civil commitment of an individual must demonstrate that he suffers from mental illness, whereas under Atkins an individual seeking to avoid execution by the state must demonstrate intellectual disability. In both situations, the determination heavily relies upon psychiatric opinion, and thus in both situations a standard of proof requiring "any degree of certainty” as defined by Arizona law will often render it impossible for a party to carry its burden. See Addington, 441 U.S. at 432, 99 S.Ct. 1804.
      Again, this argument is based on the concurrence’s misinterpretation of the trial court's decision. Deciding whether a person has carried his burden of showing an intellectual disability may well be difficult, but here the state court carefully did so. Indeed, it is telling that the majority attacks the decision by giving the words "any degree of certainty” a meaning that they do not have.
     
      
      . I would also affirm the district court’s holding that Smith has failed to demonstrate cause to overcome his procedural default of his ineffective assistance of counsel claim. His invocation of Martinez v. Ryan, -U.S. -, 132 S.Ct. 1309, 182 L.Ed.2d 272 (2012) fails because he has not demonstrated ineffective assistance of counsel in his first state post-conviction proceeding, and even if he did, this would not excuse Smith's new counsel from raising ineffective assistance of trial counsel in Smith's second state post-conviction proceeding. Moreover, Smith has not shown a reasonable probability that he received ineffective assistance of counsel at sentencing. See Strickland v. Washington, 466 U.S. 668, 104 S.Ct. 2052, 80 L.Ed.2d 674 (1984). Smith's other arguments are unavailing. He fails to demonstrate the existence of a conflict of interest pervading the Pima County Public Defender’s Office; the state habeas court’s denial of a psychological exam does not provide cause for his procedural default; and to the extent that his claim was not covered by Stewart v. Smith, 536 U.S. 856, 860-61, 122 S.Ct. 2578, 153 L.Ed.2d 762 (2002), the state court’s application of its post-conviction waiver rule is adequate and independent.