Eniwa City: child medical expense subsidy
In Eniwa City, Hokkaido, the child medical expense subsidy covers outpatient care through the end of the fiscal year in which the child turns 15 (end of junior high school) and inpatient care through the end of the fiscal year in which the child turns 18 (end of high-school age). Income limit: yes. Co-payment: yes. (As of April 1, 2025, Children and Families Agency survey.)
Eniwa City does not meet coverage through age 18 and no income limit and no co-payment of the three conditions (coverage through age 18, no income limit, no co-payment). In Hokkaido, 124 of 179 municipalities meet all three.
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 15(April 1, 2025)
- Covered until (Inpatient)
- Age 18(April 1, 2025)
- Income limit
- Yes(April 1, 2025)
- Co-payment
- Yes(April 1, 2025)
- Coverage through age 18
- No (outpatient to Age 15, inpatient to Age 18)(April 1, 2025)
- Population
- 70,446(Resident register, 2024)
- Share under 15
- 12.4%(2020 census)
For applications, refunds and visits outside the prefecture, check the official website of Eniwa City.
Child medical expense subsidy
| Item | Outpatient | Inpatient |
|---|---|---|
| Covered untilchanged | Age 15 through the end of the fiscal year in which the child turns 15 (end of junior high school) | Age 18 through the end of the fiscal year in which the child turns 18 (end of high-school age) |
| Income limit | Yes | Yes |
| Co-payment | Yes | Yes |
Changed since last year
- Outpatient · Covered until
- Age 12 → Age 15
- Inpatient · Covered until
- Age 15 → Age 18
Changes from last year (as of April 1, 2024) to this year (as of April 1, 2025).
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 Eniwa City subsidize child medical expenses?
Outpatient care is covered through the end of the fiscal year in which the child turns 15 (end of junior high school) and inpatient care through the end of the fiscal year in which the child turns 18 (end of high-school age) (as of April 1, 2025).
A co-payment is charged at the counter.
Are high school students covered in Eniwa City?
Outpatient coverage ends through the end of the fiscal year in which the child turns 15 (end of junior high school), so high school students are not covered for outpatient care, but inpatient care is covered through the end of the fiscal year in which the child turns 18 (end of high-school age).
Does Eniwa City apply an income limit?
Yes (as of April 1, 2025).
Do the conditions differ between outpatient and inpatient care in Eniwa City?
Yes. Outpatient care is covered through the end of the fiscal year in which the child turns 15 (end of junior high school) (income limit: yes; co-payment: yes); inpatient care is covered through the end of the fiscal year in which the child turns 18 (end of high-school age) (income limit: yes; co-payment: yes).
Has Eniwa City changed its conditions since last year?
Yes. Compared with April 1, 2024, the following changed: outpatient age limit, inpatient age limit. See the rows marked "changed" in the table above.
How does Eniwa City compare with other municipalities in Hokkaido?
Eniwa City does not meet coverage through age 18 and no income limit and no co-payment of the three conditions (coverage through age 18, no income limit, no co-payment). In Hokkaido, 124 of 179 municipalities meet all three.
If I move out of Eniwa 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 Hokkaido: Otaru City, Chitose City, Muroran City, Iwamizawa City, Ishikari City, Kitahiroshima City, Noboribetsu City, Hokuto City
Nursery and after-school club waiting lists in Eniwa City
Eniwa City had 0 children on the nursery waiting list as of April 1, 2026 (1,140 applicants, 1,125 enrolled; 0 waiting a year earlier). After-school clubs had 4 children waiting as of May 1, 2026 (preliminary; 825 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 | 1,140 | Apr 1, 2026 |
| Children enrolled in nurseries | 1,125 | Apr 1, 2026 |
| After-school club waiting list | 4 | May 1, 2026 (prelim.) |
| After-school club registrations | 825 | 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 Eniwa City
Eniwa City has 164 urban parks (190.9 ha), or 27.3 m² per resident (Rank 80 of 179 in Hokkaido). It has 3 libraries, 1 community centers, 5 nursery schools and 8 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 | 164 | Rank 12 of 179 in Hokkaido | Mar 31, 2025 |
| Urban park area | 190.9 ha | — | Mar 31, 2025 |
| Urban park area per residentDivided by the population of the city-planning area (MLIT's calculation) | 27.3 m² | Rank 80 of 179 in Hokkaido | Mar 31, 2025 |
| Libraries | 3 | Rank 94 of 179 in Hokkaido | 2021 |
| Community centers | 1 | — | 2021 |
| Nursery schools | 5 | Rank 137 of 179 in Hokkaido | 2023 |
| Kindergartens | 5 | — | 2024 |
| Elementary schools | 8 | — | 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 Eniwa City
- PopulationResident register, 2024
- 70,446Rank 13 of 179 in Hokkaido2024
- Share under 15
- 12.4%Rank 17 of 179 in Hokkaido2020 census
- Share 65 and over
- 28.0%2020 census
- Share of foreign residents
- 0.6%2020 census
- Net migration (move-ins minus move-outs)2024. A positive number means more people moved in than moved out
- +229Rank 6 of 179 in Hokkaido2024
- Births per 1,000 residents
- 5.0Rank 37 of 179 in Hokkaido2023
- Nursery schools
- 52023
- Nursery schools per 1,000 children under 15
- 0.57Rank 137 of 179 in Hokkaido2023
- Kindergartens
- 52024
- Elementary schools
- 82024
- Doctors per 10,000 residents
- 17.0Rank 33 of 179 in Hokkaido2022
- Clinics per 10,000 residents
- 4.82023
- General hospitals
- 52023
- Owner-occupied homes
- 62.2%2023
- Floor area per dwelling
- 100.3 m²2023
- Fiscal strength indexAbove 1 means local tax revenue covers standard spending
- 0.60Rank 10 of 179 in Hokkaido2022
- Restaurants
- 1622021
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 Hokkaido
| Municipality | Population | Outpatient until | Income limit | Co-payment (outpatient / inpatient) | Nursery waiting list |
|---|---|---|---|---|---|
| Eniwa City | 70,446 | Age 15 | Yes | Yes / Yes | 0 |
| Otaru City | 104,432 | Age 18 | Yes | Yes / Yes | 0 |
| Chitose City | 97,355 | Age 12 | Yes | Yes / Yes | 0 |
| Muroran City | 74,855 | Age 18 | No | Yes / Yes | 0 |
| Iwamizawa City | 74,204 | Age 18 | No | No / No | 0 |
| Ishikari City | 57,143 | Age 18 | No | Yes / Yes | 0 |
| Kitahiroshima City | 56,495 | Age 15 | Yes | Yes / Yes | 0 |
| Noboribetsu City | 43,615 | Age 18 | No | Yes / Yes | 0 |
| Hokuto City | 42,810 | 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.