<prompt> Translate the following text to EnglishUsimamizi wa Ufadhili wa Huduma za Afya HCFA uligundua kuwa sheria iliyopendekezwa itaathiri idadi kubwa ya hospitali ndogo za vijijini, na kwamba athari kwa baadhi inaweza kuwa kubwa.  <response>: The Health Care Financing Administration HCFA determined that the proposed rule would affect a substantial number of small rural hospitals, and that the effects on some could be significant. 