Hokkaido179 municipalities

Of the 179 municipalities in Hokkaido, 150 cover outpatient care through age 18, 153 have no income limit, and 141 charge no outpatient co-payment. Since last year, 27 have changed their conditions (as of April 1, 2025, Children and Families Agency survey).

Child medical expense subsidy, national totals (as of April 1, 2025, Children and Families Agency survey)
Condition	Municipalities	Municipalities in survey	Share
Outpatient care covered through age 18	150	179	83.8%
No income limit	153	179	85.5%
No co-payment for outpatient care	141	179	78.8%
Changed since last year	27	179	15.1%

Filter by conditions

124 municipalities in Hokkaido where child medical care is free through age 18 (no income limit, no co-payment)

Hakodate City, Kushiro City, Iwamizawa City, Hokuto City, Abashiri City, Nanae Town, Makubetsu Town, Nayoro City, Nemuro City, Furano City, Bibai City, Kushiro Town, Rumoi City, Memuro Town, Bihoro Town, Yoichi Town, Sunagawa City, Shiraoi Town, Yakumo Town, Betsukai Town, Mori Town, Ashibetsu City, Kuriyama Town, Shari Town, Naganuma Town, Higashikagura Town, Kamifurano Town, Biei Town, Shimizu Town, Higashikawa Town, Akabira City, Akkeshi Town, Namporo Town, Toyako Town, Yubetsu Town, Abira Town, Shiranuka Town, Setana Town, Esashi Town (江差町), Takasu Town, Ozora Town, Teshikaga Town, Shintotsukawa Town, Toma Town, Hombetsu Town, Ashoro Town, Haboro Town, Ikeda Town, Hiro Town, Matsumae Town, Shihoro Town, Niseko Town, Shintoku Town, Kyowa Town, Taiki Town, Hamanaka Town, Shikaoi Town, Kamishihoro Town, Naie Town, Oshamambe Town, Saroma Town, Rankoshi Town, Nakafurano Town, Imakane Town, Koshimizu Town, Rausu Town, Kaminokuni Town, Urahoro Town, Tsubetsu Town, Nakasatsunai Village, Shiriuchi Town, Samani Town, Bifuka Town, Kiyosato Town, Kikonai Town, Toyotomi Town, Shikabe Town, Toyora Town, Fukushima Town, Assabu Town, Hamatombetsu Town, Kamikawa Town, Sarabetsu Village, Niki Town, Toyokoro Town, Shimokawa Town, Wassamu Town, Numata Town, Kyogoku Town, Tsukigata Town, Shinshinotsu Village, Tomamae Town, Obira Town, Teshio Town, Furubira Town, Utashinai City, Moseushi Town, Oketo Town, Tsurui Village, Aibetsu Town, Kamisunagawa Town, Sobetsu Town, Embetsu Town, Minamifurano Town, Takinoe Town, Rebun Town, Chippubetsu Town, Rikubetsu Town, Uryu Town, Horonobe Town, Rusutsu Village, Rishiri Town, Shakotan Town, Hokuryu Town, Shimukappu Village, Urausu Town, Akaigawa Village, Nakatombetsu Town, Tomari Village, Nakagawa Town, Shimamaki Village, Shosambetsu Village, Nishiokoppe Village, Kamoenai Village

29 municipalities where outpatient coverage ends before age 18

Asahikawa City, Obihiro City, Ebetsu City, Chitose City, Eniwa City, Kitahiroshima City, Otofuke Town, Takikawa City, Nakashibetsu Town, Shinhidaka Town, Engaru Town, Shibetsu City, Urakawa Town, Hidaka Town, Esashi Town (枝幸町), Shibecha Town, Yubari City, Niikappu Town, Biratori Town, Atsuma Town, Erimo Town, Mashike Town, Pippu Town, Kembuchi Town, Okushiri Town, Makkari Village, Kimobetsu Town, Horokanai Town, Otoineppu Village

26 municipalities with an income limit

Sapporo City, Kitami City, Otaru City, Chitose City, Eniwa City, Kitahiroshima City, Wakkanai City, Nakashibetsu Town, Fukagawa City, Engaru Town, Urakawa Town, Iwanai Town, Hidaka Town, Mikasa City, Mukawa Town, Esashi Town (枝幸町), Yubari City, Niikappu Town, Shibetsu Town, Yuni Town, Biratori Town, Mashike Town, Suttsu Town, Kuromatsunai Town, Rishirifuji Town, Okushiri Town

38 municipalities with an outpatient co-payment

Sapporo City, Tomakomai City, Obihiro City, Ebetsu City, Kitami City, Otaru City, Chitose City, Muroran City, Eniwa City, Ishikari City, Kitahiroshima City, Noboribetsu City, Otofuke Town, Date City, Wakkanai City, Nakashibetsu Town, Mombetsu City, Engaru Town, Kutchan Town, Tobetsu Town, Urakawa Town, Iwanai Town, Mikasa City, Mukawa Town, Esashi Town (枝幸町), Shibecha Town, Yuni Town, Kunneppu Town, Biratori Town, Atsuma Town, Omu Town, Mashike Town, Okoppe Town, Otobe Town, Suttsu Town, Sarufutsu Village, Rishirifuji Town, Okushiri Town

27 municipalities that changed their conditions since April 2024

Sapporo City, Tomakomai City, Kushiro City, Ebetsu City, Kitami City, Otaru City, Muroran City, Iwamizawa City, Eniwa City, Ishikari City, Noboribetsu City, Abashiri City, Date City, Nayoro City, Mombetsu City, Fukagawa City, Bihoro Town, Kutchan Town, Tobetsu Town, Shiraoi Town, Teshikaga Town, Shibetsu Town, Yuni Town, Kikonai Town, Okoppe Town, Kyogoku Town, Akaigawa Village

National survey values as of April 1, 2025. Later changes confirmed on official websites are noted on each municipality's page.

All 179 municipalities in Hokkaido

Subsidy conditions as of April 1, 2025. Population from the resident register, 2024. Last checked September 24, 2026.

Child medical expense subsidy in the 179 municipalities of Hokkaido (as of April 1, 2025, Children and Families Agency survey)
Municipality	Outpatient until	Inpatient until	Income limit (out / in)	Co-payment (outpatient)	Co-payment (inpatient)	Population	Changed
Sapporo City	Age 18	Age 18	Yes	Yes	Yes	1,955,678	Yes
Asahikawa City	Age 15	Age 15	No	No	No	316,183	No
Hakodate City	Age 18	Age 18	No	No	No	236,515	No
Tomakomai City	Age 18	Age 18	No	Yes	Yes	165,590	Yes
Obihiro City	Age 15	Age 15	No	Yes	Yes	160,810	No
Kushiro City	Age 18	Age 18	No	No	No	154,271	Yes
Ebetsu City	Age 15	Age 15	No	Yes	Yes	118,055	Yes
Kitami City	Age 18	Age 18	Yes	Yes	Yes	110,046	Yes
Otaru City	Age 18	Age 18	Yes	Yes	Yes	104,432	Yes
Chitose City	Age 12	Age 15	Yes	Yes	Yes	97,355	No
Muroran City	Age 18	Age 18	No	Yes	Yes	74,855	Yes
Iwamizawa City	Age 18	Age 18	No	No	No	74,204	Yes
Eniwa City	Age 15	Age 18	Yes	Yes	Yes	70,446	Yes
Ishikari City	Age 18	Age 18	No	Yes	Yes	57,143	Yes
Kitahiroshima City	Age 15	Age 15	Yes	Yes	Yes	56,495	No
Noboribetsu City	Age 18	Age 18	No	Yes	Yes	43,615	Yes
Hokuto City	Age 18	Age 18	No	No	No	42,810	No
Otofuke Town	Age 15	Age 15	No	Yes	No	42,683	No
Takikawa City	Age 15	Age 15	No	No	No	36,515	No
Abashiri City	Age 18	Age 18	No	No	No	32,199	Yes
Date City	Age 18	Age 18	No	Yes	Yes	31,208	Yes
Wakkanai City	Age 18	Age 18	Yes	Yes	Yes	30,336	No
Nanae Town	Age 18	Age 18	No	No	No	27,139	No
Makubetsu Town	Age 18	Age 18	No	No	No	25,269	No
Nayoro City	Age 18	Age 18	No	No	No	24,742	Yes
Nemuro City	Age 18	Age 18	No	No	No	22,468	No
Nakashibetsu Town	Until school entry	Age 12	Yes	Yes	Yes	22,257	No
Shinhidaka Town	Age 15	Age 15	No	No	No	20,229	No
Mombetsu City	Age 18	Age 18	No	Yes	Yes	19,760	Yes
Furano City	Age 18	Age 18	No	No	No	19,624	No
Bibai City	Age 18	Age 18	No	No	No	18,427	No
Kushiro Town	Age 18	Age 18	No	No	No	18,380	No
Fukagawa City	Age 18	Age 18	Yes	No	No	18,329	Yes
Rumoi City	Age 18	Age 18	No	No	No	18,169	No
Memuro Town	Age 18	Age 18	No	No	No	17,773	No
Engaru Town	Until school entry	Age 15	Yes	Yes	Yes	17,646	No
Bihoro Town	Age 18	Age 18	No	No	No	17,329	Yes
Kutchan Town	Age 18	Age 18	No	Yes	Yes	17,120	Yes
Yoichi Town	Age 18	Age 18	No	No	No	16,954	No
Shibetsu City	Age 15	Age 15	No	No	No	16,440	No
Sunagawa City	Age 18	Age 18	No	No	No	15,231	No
Tobetsu Town	Age 18	Age 18	No	Yes	No	15,113	Yes
Shiraoi Town	Age 18	Age 18	No	No	No	15,095	Yes
Yakumo Town	Age 18	Age 18	No	No	No	14,514	No
Betsukai Town	Age 18	Age 18	No	No	No	13,964	No
Mori Town	Age 18	Age 18	No	No	No	13,582	No
Ashibetsu City	Age 18	Age 18	No	No	No	11,243	No
Urakawa Town	Until school entry	Age 12	Yes	Yes	Yes	11,231	No
Iwanai Town	Age 18	Age 18	Yes	Yes	Yes	10,913	No
Hidaka Town	Age 15	Age 18	Yes	No	No	10,904	No
Kuriyama Town	Age 18	Age 18	No	No	No	10,653	No
Shari Town	Age 18	Age 18	No	No	No	10,513	No
Naganuma Town	Age 18	Age 18	No	No	No	9,937	No
Higashikagura Town	Age 18	Age 18	No	No	No	9,775	No
Kamifurano Town	Age 18	Age 18	No	No	No	9,706	No
Biei Town	Age 18	Age 18	No	No	No	9,283	No
Shimizu Town	Age 18	Age 18	No	No	No	8,755	No
Higashikawa Town	Age 18	Age 18	No	No	No	8,673	No
Akabira City	Age 18	Age 18	No	No	No	8,464	No
Akkeshi Town	Age 18	Age 18	No	No	No	8,195	No
Namporo Town	Age 18	Age 18	No	No	No	7,933	No
Toyako Town	Age 18	Age 18	No	No	No	7,906	No
Yubetsu Town	Age 18	Age 18	No	No	No	7,901	No
Mikasa City	Age 18	Age 18	Yes	Yes	Yes	7,268	No
Mukawa Town	Age 18	Age 18	Yes	Yes	Yes	7,221	No
Abira Town	Age 18	Age 18	No	No	No	7,214	No
Esashi Town (枝幸町)	Until school entry	Age 12	Yes	Yes	Yes	7,199	No
Shiranuka Town	Age 18	Age 18	No	No	No	7,003	No
Shibecha Town	Until school entry	Age 12	No	Yes	Yes	6,836	No
Setana Town	Age 18	Age 18	No	No	No	6,730	No
Esashi Town (江差町)	Age 18	Age 18	No	No	No	6,607	No
Takasu Town	Age 18	Age 18	No	No	No	6,463	No
Ozora Town	Age 18	Age 18	No	No	No	6,441	No
Teshikaga Town	Age 18	Age 18	No	No	No	6,432	Yes
Shintotsukawa Town	Age 18	Age 18	No	No	No	6,229	No
Yubari City	Age 15	Age 15	Yes	No	No	6,107	No
Toma Town	Age 18	Age 18	No	No	No	6,054	No
Hombetsu Town	Age 18	Age 18	No	No	No	6,046	No
Ashoro Town	Age 18	Age 18	No	No	No	5,952	No
Haboro Town	Age 18	Age 18	No	No	No	5,945	No
Ikeda Town	Age 18	Age 18	No	No	No	5,906	No
Hiro Town	Age 18	Age 18	No	No	No	5,880	No
Matsumae Town	Age 18	Age 18	No	No	No	5,818	No
Shihoro Town	Age 18	Age 18	No	No	No	5,690	No
Niseko Town	Age 18	Age 18	No	No	No	5,551	No
Shintoku Town	Age 18	Age 18	No	No	No	5,503	No
Kyowa Town	Age 18	Age 18	No	No	No	5,364	No
Taiki Town	Age 18	Age 18	No	No	No	5,266	No
Hamanaka Town	Age 18	Age 18	No	No	No	5,246	No
Niikappu Town	Age 15	Age 15	Yes	No	No	5,011	No
Shikaoi Town	Age 18	Age 18	No	No	No	4,928	No
Shibetsu Town	Age 18	Age 18	Yes	No	No	4,798	Yes
Kamishihoro Town	Age 18	Age 18	No	No	No	4,758	No
Naie Town	Age 18	Age 18	No	No	No	4,704	No
Oshamambe Town	Age 18	Age 18	No	No	No	4,696	No
Saroma Town	Age 18	Age 18	No	No	No	4,646	No
Yuni Town	Age 18	Age 18	Yes	Yes	Yes	4,527	Yes
Rankoshi Town	Age 18	Age 18	No	No	No	4,501	No
Nakafurano Town	Age 18	Age 18	No	No	No	4,486	No
Kunneppu Town	Age 18	Age 18	No	Yes	Yes	4,448	No
Imakane Town	Age 18	Age 18	No	No	No	4,444	No
Biratori Town	Until school entry	Age 12	Yes	Yes	Yes	4,435	No
Koshimizu Town	Age 18	Age 18	No	No	No	4,342	No
Rausu Town	Age 18	Age 18	No	No	No	4,267	No
Atsuma Town	Until school entry	Age 12	No	Yes	Yes	4,227	No
Kaminokuni Town	Age 18	Age 18	No	No	No	4,133	No
Urahoro Town	Age 18	Age 18	No	No	No	4,108	No
Erimo Town	Age 15	Age 15	No	No	No	4,060	No
Omu Town	Age 18	Age 18	No	Yes	Yes	4,033	No
Tsubetsu Town	Age 18	Age 18	No	No	No	3,970	No
Nakasatsunai Village	Age 18	Age 18	No	No	No	3,823	No
Shiriuchi Town	Age 18	Age 18	No	No	No	3,783	No
Samani Town	Age 18	Age 18	No	No	No	3,777	No
Bifuka Town	Age 18	Age 18	No	No	No	3,681	No
Kiyosato Town	Age 18	Age 18	No	No	No	3,622	No
Mashike Town	Until school entry	Age 12	Yes	Yes	Yes	3,620	No
Kikonai Town	Age 18	Age 18	No	No	No	3,528	Yes
Toyotomi Town	Age 18	Age 18	No	No	No	3,515	No
Shikabe Town	Age 18	Age 18	No	No	No	3,508	No
Okoppe Town	Age 18	Age 18	No	Yes	Yes	3,495	Yes
Toyora Town	Age 18	Age 18	No	No	No	3,491	No
Pippu Town	Age 15	Age 15	No	No	No	3,425	No
Fukushima Town	Age 18	Age 18	No	No	No	3,378	No
Assabu Town	Age 18	Age 18	No	No	No	3,269	No
Hamatombetsu Town	Age 18	Age 18	No	No	No	3,221	No
Otobe Town	Age 18	Age 18	No	Yes	Yes	3,107	No
Kamikawa Town	Age 18	Age 18	No	No	No	3,085	No
Sarabetsu Village	Age 18	Age 18	No	No	No	3,084	No
Niki Town	Age 18	Age 18	No	No	No	3,051	No
Toyokoro Town	Age 18	Age 18	No	No	No	2,878	No
Shimokawa Town	Age 18	Age 18	No	No	No	2,836	No
Wassamu Town	Age 18	Age 18	No	No	No	2,807	No
Numata Town	Age 18	Age 18	No	No	No	2,798	No
Kyogoku Town	Age 18	Age 18	No	No	No	2,776	Yes
Tsukigata Town	Age 18	Age 18	No	No	No	2,732	No
Shinshinotsu Village	Age 18	Age 18	No	No	No	2,730	No
Kembuchi Town	Age 15	Age 15	No	No	No	2,728	No
Tomamae Town	Age 18	Age 18	No	No	No	2,666	No
Obira Town	Age 18	Age 18	No	No	No	2,664	No
Teshio Town	Age 18	Age 18	No	No	No	2,642	No
Suttsu Town	Age 18	Age 18	Yes	Yes	Yes	2,629	No
Furubira Town	Age 18	Age 18	No	No	No	2,589	No
Sarufutsu Village	Age 18	Age 18	No	Yes	Yes	2,589	No
Utashinai City	Age 18	Age 18	No	No	No	2,584	No
Moseushi Town	Age 18	Age 18	No	No	No	2,565	No
Oketo Town	Age 18	Age 18	No	No	No	2,543	No
Kuromatsunai Town	Age 18	Age 18	Yes	No	No	2,446	No
Tsurui Village	Age 18	Age 18	No	No	No	2,432	No
Aibetsu Town	Age 18	Age 18	No	No	No	2,418	No
Kamisunagawa Town	Age 18	Age 18	No	No	No	2,360	No
Sobetsu Town	Age 18	Age 18	No	No	No	2,313	No
Embetsu Town	Age 18	Age 18	No	No	No	2,258	No
Minamifurano Town	Age 22	Age 22	No	No	No	2,236	No
Takinoe Town	Age 18	Age 18	No	No	No	2,208	No
Rebun Town	Age 18	Age 18	No	No	No	2,183	No
Chippubetsu Town	Age 18	Age 18	No	No	No	2,182	No
Rishirifuji Town	Age 18	Age 18	Yes	Yes	Yes	2,151	No
Okushiri Town	Age 15	Age 15	Yes	Yes	Yes	2,138	No
Rikubetsu Town	Age 18	Age 18	No	No	No	2,120	No
Uryu Town	Age 18	Age 18	No	No	No	2,044	No
Horonobe Town	Age 18	Age 18	No	No	No	2,042	No
Rusutsu Village	Age 18	Age 18	No	No	No	2,018	No
Makkari Village	Age 15	Age 15	No	No	No	1,938	No
Kimobetsu Town	Age 15	Age 15	No	No	No	1,928	No
Rishiri Town	Age 18	Age 18	No	No	No	1,830	No
Shakotan Town	Age 18	Age 18	No	No	No	1,702	No
Hokuryu Town	Age 18	Age 18	No	No	No	1,593	No
Shimukappu Village	Age 18	Age 18	No	No	No	1,590	No
Urausu Town	Age 18	Age 18	No	No	No	1,577	No
Akaigawa Village	Age 18	Age 18	No	No	No	1,492	Yes
Nakatombetsu Town	Age 18	Age 18	No	No	No	1,472	No
Tomari Village	Age 18	Age 18	No	No	No	1,420	No
Nakagawa Town	Age 18	Age 18	No	No	No	1,269	No
Shimamaki Village	Age 18	Age 18	No	No	No	1,246	No
Horokanai Town	Age 15	Age 15	No	No	No	1,222	No
Shosambetsu Village	Age 18	Age 18	No	No	No	1,005	No
Nishiokoppe Village	Age 18	Age 18	No	No	No	956	No
Kamoenai Village	Age 18	Age 18	No	No	No	740	No
Otoineppu Village	Age 15	Age 15	No	No	No	601	No

Source: Children and Families Agency, Survey on Municipal Child Medical Expense Subsidies (municipal form, attachment 3) / e-Stat, Statistical Observations of Municipalities 2026 (Statistics Bureau of Japan)