<prompt> Translate the following text to EnglishKatika hatua hii, Serikali ya Marekani inatoa taarifa kwamba sheria hiyo haitaathiri shughuli za idadi kubwa ya hospitali za vijijini, kama inavyotakiwa na kifungu cha 1102 b cha Sheria ya Usalama wa Jamii S.S. 42.  <response>: Also, the Secretary of Health and Human Services has certified that the final rule will not have a significant impact on the operations of a substantial number of rural hospitals, as required by section 1102b of the Social Security Act 42 U.S.C. 