In this part the following words have the meanings indicated. “False representation” means the knowing and willful: concealing, falsifying, or omitting of a material fact; making of a materially false or fraudulent statement; or use of a document that contains a statement of material fact that the user knows to be false or fraudulent. “Health care service” means health or medical care procedures, goods, or services that: provide testing, diagnosis, or treatment of human disease or dysfunction; or dispense drugs, medical devices, medical appliances, or medical goods for the treatment of human disease or dysfunction. “Health care service” includes any procedure, goods, or service that is a required benefit of a State health plan. “Representation” includes an acknowledgment, certification, claim, ratification, report of demographic statistics, encounter data, enrollment claims, financial information, health care services available or rendered, and qualifications of a person rendering health care or ancillary services. “Serious injury” means an injury that: creates a substantial risk of death; causes serious permanent or serious protracted disfigurement; causes serious permanent or serious protracted loss of the function of any body part, organ, or mental faculty; causes serious permanent or serious protracted impairment of the function of any bodily member or organ; or involves extreme physical pain. “State health plan” includes: the State Medical Assistance Plan established in accordance with Title XIX of the federal Social Security Act of 1939; a medical assistance plan established by the State; or a private health insurance carrier, health maintenance organization, managed care organization as defined in § 15-101 of the Health - General Article, health care cooperative or alliance, or other person that provides or contracts to provide health care services that are wholly or partly reimbursed by or are a required benefit of a health plan established in accordance with Title XIX of the federal Social Security Act of 1939 or by the State. “State health plan” includes a person that provides or contracts or subcontracts to provide health care services for an entity described in paragraph (1) of this subsection.