<prompt> Translate the following text to EnglishKatika utangulizi wa sheria ya mwisho, HCFA inazungumzia, katika fomu ya mchanganyiko wa Uchambuzi wa Athari za Udhibiti na Uchambuzi wa Uwezo wa Udhibiti, athari za sheria ya mwisho kwa vyombo vidogo.  <response>: In the preamble to the final rule, HCFA discusses, in the form of a combined Regulatory Impact Analysis and Regulatory Flexibility Analysis, the effect of the final rule on small entities. 