In this chapter, the following terms have the meanings indicated. Terms Defined. “Assessment” means the total dollar amount that the Commission bills payers, hospitals, and nursing homes for a given fiscal year. “Commission” means the Maryland Health Care Commission. “Health benefit plan” has the meaning stated in Insurance Article, §15-201, Annotated Code of Maryland. “Hospital” has the meaning stated in Health-General Article, §19-301, Annotated Code of Maryland. “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. “Payer” means a: Health insurer; Nonprofit health service plan that holds a certificate of authority and provides health insurance policies or contracts in the State; or Health maintenance organization that holds a certificate of authority in this State. “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.