31.   Federal law requires that only changes effecting the safety or efficacy of a drug need prior FDA approval.

32.   Fishing trips sometimes required prior approval, and everybody had to be off the water by sundown.

33.   Harvard Pilgrim Health Care, a big Bay State HMO, cut in half the list of procedures for which patients must get prior approval from plan administrators.

34.   Health care analysts said that no longer requiring prior approvals might increase costs slightly if the number of procedures rose, but the change would be popular with customers.

35.   However, their prior approval is not required before the domestic alliances are formed.

36.   In any case, some Japanese expressed doubts that Japan could even have concurred with such measures had prior approval been sought.

37.   In fact, federal regulations prohibit parachute jumps over airports unless prior approval has been given by airport management.

38.   Israel denies transferring any American technology without prior approval.

39.   Israelis accuse the Palestinians of stealth in starting construction last January without prior approval.

40.   It would also allow expanded military use of the land, without requiring prior approval.