The testimony was introduced at a preliminary hearing held to determine whether prosecutors have enough evidence to put the 78-year-old TV star on trial on sexual assault charges that could bring 10 years in prison.
It was not the face-to-face confrontation between accuser and accused that some had anticipated: Constand was not in the courtroom, and the judge ruled that she would not have to testify at the hearing and that prosecutors could instead have her statements to police read into the record.
Cosby's lawyers argued unsuccessfully that that would be hearsay and would deprive him of his right to confront his accuser. Such testimony from law enforcement officers is common practice at preliminary hearings in Pennsylvania, which have a far lower burden of proof than trials.
In her statement, Constand said Cosby penetrated her with his fingers as she drifted in and out of consciousness soon after he gave her the pills at his suburban Philadelphia mansion in 2004.