SELECT 
  IF(
    vi_ult_language_values.value IS NULL, 
    lang.value, vi_ult_language_values.value
  ) as value 
FROM 
  vi_language_values lang 
  LEFT JOIN vi_ult_language_values ON vi_ult_language_values.name = lang.name 
  AND company_id = 1 
  AND vi_ult_language_values.lang_code = lang.lang_code 
WHERE 
  lang.lang_code = 'en' 
  AND lang.name = 'state_field_required_only_for_countries_with_regions'

Query time 0.00014

JSON explain

{
  "query_block": {
    "select_id": 1,
    "nested_loop": [
      {
        "table": {
          "table_name": "vi_ult_language_values",
          "access_type": "system",
          "possible_keys": ["PRIMARY"],
          "rows": 0,
          "filtered": 0,
          "const_row_not_found": true
        }
      },
      {
        "table": {
          "table_name": "lang",
          "access_type": "const",
          "possible_keys": ["PRIMARY"],
          "key": "PRIMARY",
          "key_length": "392",
          "used_key_parts": ["lang_code", "name"],
          "ref": ["const", "const"],
          "rows": 1,
          "filtered": 100
        }
      }
    ]
  }
}

Result

value
The "State" field is required for all countries with states or provinces. If you don't have states for the customer's country, then the field will be required at checkout only if it is required in the customer's profile.