<prompt> Translate the following text to SwahiliThe 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.  <response>: Usimamizi 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. 