In addition, Title VII sets forth the first federal mandate of tamper-resistant prescription pads for Medicaid reimbursement. The requirement states that "Effective October 1, 2007; Medicaid outpatient drugs will be reimbursable only if non-electronic written prescriptions are executed on a tamper-resistant pad." The recommendation for this provision was previously enumerated by President Bush in his 2008 budget, which projected that the prevention of fraudulent prescriptions could reap $355 million in taxpayer savings.[12][13] Although not objecting to the new requirement's rationale, the American Pharmacists Association (APhA) on July 17, 2007 asked the Centers for Medicare and Medicaid Services (CMS) to delay implementation because of the short timeline.[14] In the request letter to CMS, APhA warned that the immediate implementation of the Act could potentially result in many Medicaid patients being turned away from pharmacies if not possessed of a valid prescription written on a tamper-resistant pad.