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Harima Town: child medical expense subsidy

Hyogo Prefecture

In Harima Town, Hyogo 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 Hyogo Prefecture, 31 of 41 municipalities cover outpatient care through age 18, and Harima Town is one of them.

Harima Town is one of 22 municipalities in Hyogo 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
34,687(Resident register, 2024)
Share under 15
14.2%(2020 census)

For applications, refunds and visits outside the prefecture, check the official website of Harima Town.

Official websiteFilter by conditions

Child medical expense subsidy

Child medical expense subsidy
ItemOutpatientInpatient
Covered untilAge 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 limitNoNo
Co-paymentNoNo

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 Harima Town 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 Harima Town?

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 Harima Town apply an income limit?

No (as of April 1, 2025).

Do the conditions differ between outpatient and inpatient care in Harima Town?

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 Harima Town 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 Harima Town compare with other municipalities in Hyogo Prefecture?

In Hyogo Prefecture, 31 of 41 municipalities cover outpatient care through age 18, and Harima Town is one of them.

Harima Town is one of 22 municipalities in Hyogo 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 Harima Town, 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.

Nursery and after-school club waiting lists in Harima Town

Harima Town had 14 children on the nursery waiting list as of April 1, 2026 (953 applicants, 869 enrolled; 11 waiting a year earlier). After-school clubs had 0 children waiting as of May 1, 2026 (preliminary; 535 registered).

Nursery and after-school club waiting lists in Harima Town
ItemValueAs of
Nursery waiting list14Apr 1, 2026
Waiting list a year earlier (April 1, 2025)11Apr 1, 2025
Nursery applicants953Apr 1, 2026
Children enrolled in nurseries869Apr 1, 2026
After-school club waiting list0May 1, 2026 (prelim.)
After-school club registrations535May 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 Harima Town

Harima Town has 37 urban parks (35.8 ha), or 10.2 m² per resident (Rank 18 of 41 in the prefecture). It has 1 libraries, 5 community centers, 1 nursery schools and 4 elementary schools.

Urban parks: MLIT inventory as of March 31, 2025. Libraries and community centers: e-Stat, 2021. Nursery and elementary schools: e-Stat.

Places for children: Harima Town
ItemValueRank in prefectureAs of
Urban parks37Rank 20 of 41 in the prefectureMar 31, 2025
Urban park area35.8 ha—Mar 31, 2025
Urban park area per residentDivided by the population of the city-planning area (MLIT's calculation)10.2 m²Rank 18 of 41 in the prefectureMar 31, 2025
Libraries1Rank 21 of 41 in the prefecture2021
Community centers5—2021
Nursery schools1Rank 36 of 41 in the prefecture2023
Kindergartens2—2024
Elementary schools4—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 Harima Town

PopulationResident register, 2024
34,687Rank 26 of 41 in the prefecture2024
Share under 15
14.2%Rank 2 of 41 in the prefecture2020 census
Share 65 and over
27.3%2020 census
Share of foreign residents
1.4%2020 census
Net migration (move-ins minus move-outs)2024. A positive number means more people moved in than moved out
-74Rank 14 of 41 in the prefecture2024
Births per 1,000 residents
7.0Rank 3 of 41 in the prefecture2023
Nursery schools
12023
Nursery schools per 1,000 children under 15
0.21Rank 36 of 41 in the prefecture2023
Kindergartens
22024
Elementary schools
42024
Doctors per 10,000 residents
10.1Rank 38 of 41 in the prefecture2022
Clinics per 10,000 residents
6.32023
General hospitals
12023
Owner-occupied homes
77.7%2023
Floor area per dwelling
100.0 m²2023
Fiscal strength indexAbove 1 means local tax revenue covers standard spending
0.84Rank 7 of 41 in the prefecture2022
Restaurants
1052021

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 Hyogo Prefecture

Compare with similar-sized municipalities in Hyogo Prefecture
MunicipalityPopulationOutpatient untilIncome limitCo-payment (outpatient / inpatient)Nursery waiting list
Harima Town34,687Age 18NoNo / No14
Sumoto City40,767Age 18YesNo / No0
Kato City39,413Age 18NoNo / No1
Tambasasayama City39,095Age 15Yes / NoNo / No1
Nishiwaki City37,688Age 18NoNo / No0
Shiso City33,749Age 18NoNo / No0
Taishi Town33,414Age 15NoNo / No0
Inami Town30,491Age 18NoNo / No20
Inagawa Town28,644Age 15NoNo / No0

Outpatient age limit, income limit and co-payment are the national survey values as of April 1, 2025.

All 41 municipalities in Hyogo Prefecture

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Page updated: . You may quote this table. Please credit Machishirabe and the original survey.