<prompt> Translate the following text to EnglishKulingana na ripoti ya Wizara ya Afya ya Marekani, Kwa sababu ya mabadiliko ya programu yaliyoamriwa na Sheria ya Usalama wa Wajibu wa Kibinafsi na Fursa za Kazi ya 1996, hakukuwa na njia mbadala muhimu zinazopatikana ambazo zingeweza kutimiza malengo ya sheria na kupunguza athari yoyote kubwa ya kiuchumi kwa vyombo vidogo.  <response>: The Department points out that due to the programmatic changes mandated by the Personal Responsibility and Work Opportunity Reconciliation Act of 1996, there were no significant alternatives available that would both accomplish the objectives of the act and minimize any significant economic impact on the small entities. 