<prompt> Translate the following text to EnglishWafanyakazi wa HCFA wamesema kwamba haikuchukua hatua nyingine yoyote iliyoundwa maalum kuhakikisha ushiriki wa vyombo vidogo, ikiwa ni pamoja na hospitali za vijijini, katika sheria hii.  <response>: HCFA staff has advised that it did not take any other actions specifically designed to ensure participation by small entities, including rural hospitals, in this rulemaking. 