# COMAR Title 10 — Maryland Department of Health

## Subtitle 25 — Maryland Health Care Commission

### Chapter 03 — User Fee Assessment on Payers, Hospitals, and Nursing Homes

#### Regulation .01 Definitions.

*COMAR 10.25.03.01*

A. In this chapter, the following terms have the meanings indicated.

B. Terms Defined.

  (1) “Assessment” means the total dollar amount that the Commission bills payers, hospitals, and nursing homes for a given fiscal year.

  (2) “Commission” means the Maryland Health Care Commission.

  (3) “Health benefit plan” has the meaning stated in Insurance Article, §15-201, Annotated Code of Maryland.

  (4) “Hospital” has the meaning stated in Health-General Article, §19-301, Annotated Code of Maryland.

  (5) “Nursing home” means a related institution, as defined in Health-General Article, §19-301, Annotated Code of Maryland, that is classified as a nursing home.

  (6) “Payer” means a:

    (a) Health insurer;

    (b) Nonprofit health service plan that holds a certificate of authority and provides health insurance policies or contracts in the State; or

    (c) Health maintenance organization that holds a certificate of authority in this State.

  (7) “User fee” means that portion of the assessment that each payer remits to the Administration pursuant to the formula established in Health-General Article, §19-111, Annotated Code of Maryland.