; (B) at least 1 rural State with an above average sepsis mortality rate; (C) a diverse array of other States in such a manner as to ensure diversity of population density, geographic location, and general healthcare access and infrastructure; and (D) other States in such a manner as to ensure geographic and population diversity. (5) Alternative criteria If no State meeting the criteria specified in paragraph (4) establishes a pilot program in coordination with the Secretary within 36 months after the date of enactment of this section, the Secretary may identify alternative requirements for such States. (6) Sepsis repository activities A State receiving a grant under this subsection shall use funds received through the grant to, in consultation with the applicable State sepsis advisory committee established pursuant to paragraph (2), establish a statewide sepsis repository that integrates— (A) demographic information about each case of sepsis in such State; (B) administrative information with respect to each such case; (C) characterizations of each such case, including pathological analysis and uninterpreted data; (D) clinical information, including relevant diagnoses, treatment, and patient-reported outcomes of the individuals with sepsis and sepsis survivors; and (E) provider payments that result from a sepsis diagnosis. (7) Guidelines The Secretary shall establish governance guidelines, information access requirements, privacy and security protocols, and other such standards as may be necessary to support the establishment of interoperable statewide sepsis repositories. (8) State reporting Not later than 18 months after the date on which a State successfully establishes a statewide sepsis repository using funds received through a grant under this subsection, the State shall submit to the Secretary a report. Such report shall include, with respect to the repository— (A) the process by which the State established the repository