<prompt> Translate the following text to EnglishSheria 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.  <response>: Both the proposed and final rule cite the Secretarys broad authority to promulgate regulations necessary for the efficient administration of the Medicare program. 