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).

Condition	Municipalities	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%

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All 179 municipalities in Hokkaido

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

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

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)