; and (B) includes services provided (either on a compensated or volunteer basis) at the location of the emergency or en route to, or at, a health care facility by an emergency medical services provider or other provider that is licensed or certified by the State involved as an emergency medical technician, a paramedic, or an equivalent professional (as determined by the State). (3) Medical transport The term medical transport means the transportation, by ambulance, of sick, injured, or otherwise incapacitated persons who require emergency medical care to a health care facility, including a hospital, clinic, or alternative destination. (4) Qualified applicant The term qualified applicant means— (A) an EMS organization; or (B) a State (or a political subdivision thereof), Indian Tribe, Tribal organization (as those terms are defined in section 4 of the Indian Self-Determination and Education Assistance Act ( 25 U.S.C. 5304 )), territory, or municipality. (5) Rural area The term rural area means— (A) a nonmetropolitan statistical area; (B) an area designated as a rural area by any law or regulation of a State; or (C) a rural census tract of a metropolitan statistical area (as determined under the most recent rural urban commuting area code as set forth by the Office of Management and Budget). (6) State The term State means a State of the United States, the District of Columbia, Puerto Rico, the Virgin Islands, American Samoa, the Northern Mariana Islands, and Guam.