anchor: However, because of concern over the effects of changes in allocation policies on smaller hospitals and because HHS considered, as an alternative, the possibility of imposing quality standards on transplant hospitals, a voluntary Regulatory Flexibility Analysis was prepared and is included in the rule's preamble.
positive: A voluntary Regulator Flexibility Analysis was prepared in response to concerns over the effects of changes in allocation policies.
negative: The Voluntary Regulatory Flexibility Analysis was never created.