to carry out this paragraph. (E) Definitions In this paragraph: (i) Internal cost savings sharing arrangement The term internal cost savings sharing arrangement means an arrangement among ACO participants of an ACO for the distributions of internal cost savings to such ACO participants, including to ACO professionals, solely from gains or savings that are a direct result of collaborative efforts among ACO participants of an ACO to improve the quality and efficiency of care furnished to Medicare fee-for-service beneficiaries, but does not include shared savings under subsection (d)(2). (ii) Distribution of internal cost savings The term distribution of internal cost savings means a payment of a percentage of the gains or savings from an internal cost savings sharing arrangement to ACO participants. (iii) ACO participants The term ACO participants means providers of services and suppliers participating in an ACO who voluntarily participate in an internal cost savings sharing arrangement under this paragraph. . (2) Effective date The amendment made by paragraph (1) shall apply as if included in the enactment of section 3022 of Public Law 111–148 . (3) Conforming amendment Effective as if included in the enactment of section 3021 of Public Law 111–148 , the provisions of section 1899(l)(5) of the Social Security Act (relating to authority for distributions of internal cost savings under internal cost savings sharing arrangements), as added by paragraph (1), shall apply to participants in accountable care organization payment and service delivery models (and other appropriate models) tested pursuant to section 1115A of the Social Security Act ( 42 U.S.C. 1315a ). (b) Study and report on feasibility on providing electronic access to Medicare claims data (1) Study The Secretary of Health and Human Services shall conduct a study regarding the feasibility of establishing a system of electronic access of providers of services and suppliers to in-process and complete patient claims data. Such system may be a modification