You are not paid for clicks at all, but rather for qualifying purchases. I believe qualifying purchases can come from any state or country. The eligibility requirements by state simply determine who can become an Amazon Associate.
See quotes below from the Amazon Associates Program operating agreement as to the definition of a qualifying purchase.
"We will pay you advertising fees on Qualifying Purchases in accordance with Section 8 and the Associates Program Advertising Fee Schedule. Subject to the exclusions set forth below, a “Qualifying Purchase” occurs when (a) a customer clicks through a Special Link on your site to the Amazon Site; (b) during a single Session that customer either (i) adds a Product to his or her shopping cart and places the order for that Product no later than 89 days following the customer’s initial click-through, (ii) purchases a Product via our 1-Click feature, or (iii) streams or downloads a Product from the Amazon Site if the Product is a Digital Product; and (c) the Product is shipped to or streamed or downloaded by, and paid for by, the customer."
"A “Session” begins when a customer clicks through a Special Link on your site to the Amazon Site and ends upon the first to occur of the following: (x) 24 hours elapses from the customer’s initial click-through; (y) the customer places an order for a Product that is not a Digital Product; or (z) the customer follows a link to the Amazon Site that is formatted with an Associate’s tag that is not assigned to you."