<prompt> Translate the following text to SwahiliBoth the proposed and final rule cite the Secretarys broad authority to promulgate regulations necessary for the efficient administration of the Medicare program.  <response>: Sheria hiyo ya mwisho na ile iliyopendekezwa inataja mamlaka ya Katibu wa Marekani ya kutangaza sheria zinazohitajika kwa ajili ya usimamizi mzuri wa mpango wa Medicare. 