Tomioka City: child medical expense subsidy
In Tomioka City, Gunma Prefecture, the child medical expense subsidy covers both outpatient and inpatient care through the end of the fiscal year in which the child turns 18 (end of high-school age). Income limit: none. Co-payment: none. (As of April 1, 2025, Children and Families Agency survey.) There is no out-of-pocket charge for insured care, so it is effectively free.
In Gunma Prefecture, 35 of 35 municipalities cover outpatient care through age 18, and Tomioka City is one of them.
Tomioka City is one of 34 municipalities in Gunma Prefecture that meet all three conditions: coverage through age 18 for both outpatient and inpatient care, no income limit, and no co-payment.
Municipalities call this program by different names (小児医療費助成, こども医療費助成, 乳幼児医療費助成, 子育て支援医療). This site uses the national survey's term, "child medical expense subsidy".
- Covered until (Outpatient)
- Age 18(April 1, 2025)
- Covered until (Inpatient)
- Age 18(April 1, 2025)
- Income limit
- No(April 1, 2025)
- Co-payment
- No(April 1, 2025)
- Coverage through age 18
- Yes(April 1, 2025)
- Population
- 45,172(Resident register, 2024)
- Share under 15
- 10.7%(2020 census)
For applications, refunds and visits outside the prefecture, check the official website of Tomioka City.
Child medical expense subsidy
| Item | Outpatient | Inpatient |
|---|---|---|
| Covered until | Age 18 through the end of the fiscal year in which the child turns 18 (end of high-school age) | Age 18 through the end of the fiscal year in which the child turns 18 (end of high-school age) |
| Income limit | No | No |
| Co-payment | No | No |
No change since April 1, 2024
Source: Children and Families Agency, Survey on Municipal Child Medical Expense Subsidies (municipal form, attachment 3) (As of April 1, 2025). Last checked September 24, 2026
The national survey records conditions as of April 1 and is published in December. Some municipalities have expanded coverage since then. Confirm the current conditions on the municipality's official website.
Frequently asked questions
Until what age does Tomioka City subsidize child medical expenses?
Both outpatient and inpatient care are covered through the end of the fiscal year in which the child turns 18 (end of high-school age) (as of April 1, 2025).
There is no out-of-pocket charge for insured care, so it is effectively free.
Are high school students covered in Tomioka City?
Yes. Both outpatient and inpatient care are covered through the end of the fiscal year in which the child turns 18 (the end of the third year of high school).
Does Tomioka City apply an income limit?
No (as of April 1, 2025).
Do the conditions differ between outpatient and inpatient care in Tomioka City?
No. Both are covered through the end of the fiscal year in which the child turns 18 (end of high-school age); income limit: no; co-payment: no.
Has Tomioka City changed its conditions since last year?
No. The national surveys as of April 1, 2024 and April 1, 2025 record the same conditions.
How does Tomioka City compare with other municipalities in Gunma Prefecture?
In Gunma Prefecture, 35 of 35 municipalities cover outpatient care through age 18, and Tomioka City is one of them.
Tomioka City is one of 34 municipalities in Gunma Prefecture that meet all three conditions: coverage through age 18 for both outpatient and inpatient care, no income limit, and no co-payment.
If I move out of Tomioka City, do the same conditions apply?
No. The subsidy is run by the municipality you live in, so the new municipality's conditions apply. Check its page on this site, and confirm the procedure on that municipality's official website.
Municipalities of similar size in Gunma Prefecture: Shibukawa City, Fujioka City, Annaka City, Midori City, Numata City, Oizumi Town, Tamamura Town, Ora Town
Nursery and after-school club waiting lists in Tomioka City
Tomioka City had 0 children on the nursery waiting list as of April 1, 2026 (821 applicants, 821 enrolled; 0 waiting a year earlier). After-school clubs had 0 children waiting as of May 1, 2026 (preliminary; 561 registered).
| Item | Value | As of |
|---|---|---|
| Nursery waiting list | 0 | Apr 1, 2026 |
| Waiting list a year earlier (April 1, 2025) | 0 | Apr 1, 2025 |
| Nursery applicants | 821 | Apr 1, 2026 |
| Children enrolled in nurseries | 821 | Apr 1, 2026 |
| After-school club waiting list | 0 | May 1, 2026 (prelim.) |
| After-school club registrations | 561 | May 1, 2026 (prelim.) |
"Waiting" follows the national definition: applicants not enrolled, excluding those on parental leave, those who want only a specific facility, and those who have paused their job search. Zero does not guarantee a place at a preferred facility. After-school club figures are preliminary and may be revised.
Source: Children and Families Agency, Summary of Nursery Care Status (April 1, 2026) / Children and Families Agency, Status of After-School Clubs (May 1, 2026, preliminary)
Parks, libraries, community centers and nursery schools in Tomioka City
Tomioka City has 16 urban parks (60.0 ha), or 13.6 m² per resident (Rank 11 of 35 in the prefecture). It has 1 libraries, 12 community centers, 4 nursery schools and 11 elementary schools.
Urban parks: MLIT inventory as of March 31, 2025. Libraries and community centers: e-Stat, 2021. Nursery and elementary schools: e-Stat.
| Item | Value | Rank in prefecture | As of |
|---|---|---|---|
| Urban parks | 16 | Rank 13 of 35 in the prefecture | Mar 31, 2025 |
| Urban park area | 60.0 ha | — | Mar 31, 2025 |
| Urban park area per residentDivided by the population of the city-planning area (MLIT's calculation) | 13.6 m² | Rank 11 of 35 in the prefecture | Mar 31, 2025 |
| Libraries | 1 | Rank 18 of 35 in the prefecture | 2021 |
| Community centers | 12 | — | 2021 |
| Nursery schools | 4 | Rank 26 of 35 in the prefecture | 2023 |
| Kindergartens | 0 | — | 2024 |
| Elementary schools | 11 | — | 2024 |
Source: MLIT, Inventory of Urban Parks (end of FY2024, as of March 31, 2025) / e-Stat, Statistical Observations of Municipalities 2026 (Statistics Bureau of Japan)
Population, share of children, net migration and doctors in Tomioka City
- PopulationResident register, 2024
- 45,172Rank 11 of 35 in the prefecture2024
- Share under 15
- 10.7%Rank 15 of 35 in the prefecture2020 census
- Share 65 and over
- 34.4%2020 census
- Share of foreign residents
- 1.7%2020 census
- Net migration (move-ins minus move-outs)2024. A positive number means more people moved in than moved out
- -96Rank 16 of 35 in the prefecture2024
- Births per 1,000 residents
- 3.5Rank 25 of 35 in the prefecture2023
- Nursery schools
- 42023
- Nursery schools per 1,000 children under 15
- 0.79Rank 26 of 35 in the prefecture2023
- Kindergartens
- 02024
- Elementary schools
- 112024
- Doctors per 10,000 residents
- 29.0Rank 3 of 35 in the prefecture2022
- Clinics per 10,000 residents
- 8.62023
- General hospitals
- 32023
- Owner-occupied homes
- 81.7%2023
- Floor area per dwelling
- 120.0 m²2023
- Fiscal strength indexAbove 1 means local tax revenue covers standard spending
- 0.63Rank 15 of 35 in the prefecture2022
- Restaurants
- 1982021
Source: e-Stat, Statistical Observations of Municipalities 2026 (Statistics Bureau of Japan)
"—" means e-Stat has no value for this item (the Housing and Land Survey does not cover towns and villages).
Compare with similar-sized municipalities in Gunma Prefecture
| Municipality | Population | Outpatient until | Income limit | Co-payment (outpatient / inpatient) | Nursery waiting list |
|---|---|---|---|---|---|
| Tomioka City | 45,172 | Age 18 | No | No / No | 0 |
| Shibukawa City | 72,090 | Age 18 | No | No / No | 0 |
| Fujioka City | 61,551 | Age 18 | No | No / No | 0 |
| Annaka City | 53,790 | Age 18 | No | No / No | 0 |
| Midori City | 48,470 | Age 18 | No | No / No | 0 |
| Numata City | 43,532 | Age 18 | No | No / No | 0 |
| Oizumi Town | 41,653 | Age 18 | No | No / No | 0 |
| Tamamura Town | 35,620 | Age 18 | No | No / No | 0 |
| Ora Town | 25,558 | Age 18 | No | No / No | 0 |
Outpatient age limit, income limit and co-payment are the national survey values as of April 1, 2025.
Page updated: . You may quote this table. Please credit Machishirabe and the original survey.