Most states, while encouraging flu shots, have not altered their recommendations since the outbreak started.

As the referendum failed, no state altered the appointment method.

But the reality for most women had not changed, and even the state had not altered much.

Today, the general's office emphasized that the state measures "in no way alter the status of marijuana under Federal law."

The guidelines limit how much the state can alter the highway.

Such rules let the states alter the marketplace in a form of industrial policy much criticized by those who advocate a reduced role for government.

And that state of affairs has barely altered.

The state of the specimens has not altered the overall plans for laboratory testing.

Madison wrote, denying that any individual state could alter the compact:

As a result numerous states have altered or partially abrogated the rule by statute.