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Kami Town: child medical expense subsidy

Hyogo Prefecture

In Kami 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: yes. 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 Kami Town is one of them.

Kami Town does not meet no income limit of the three conditions (coverage through age 18, no income limit, no co-payment). In Hyogo Prefecture, 22 of 41 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 18(April 1, 2025)
Covered until (Inpatient)
Age 18(April 1, 2025)
Income limit
Yes(April 1, 2025)
Co-payment
No(April 1, 2025)
Coverage through age 18
Yes(April 1, 2025)
Population
15,303(Resident register, 2024)
Share under 15
10.3%(2020 census)

For applications, refunds and visits outside the prefecture, check the official website of Kami 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 limitYesYes
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 Kami 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 Kami 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 Kami Town apply an income limit?

Yes (as of April 1, 2025).

Do the conditions differ between outpatient and inpatient care in Kami 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: yes; co-payment: no.

Has Kami 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 Kami Town compare with other municipalities in Hyogo Prefecture?

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

Kami Town does not meet no income limit of the three conditions (coverage through age 18, no income limit, no co-payment). In Hyogo Prefecture, 22 of 41 municipalities meet all three.

If I move out of Kami 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 Kami Town

Kami Town had 0 children on the nursery waiting list as of April 1, 2026 (199 applicants, 199 enrolled; 0 waiting a year earlier). After-school clubs had 0 children waiting as of May 1, 2026 (preliminary; 157 registered).

Nursery and after-school club waiting lists in Kami Town
ItemValueAs of
Nursery waiting list0Apr 1, 2026
Waiting list a year earlier (April 1, 2025)0Apr 1, 2025
Nursery applicants199Apr 1, 2026
Children enrolled in nurseries199Apr 1, 2026
After-school club waiting list0May 1, 2026 (prelim.)
After-school club registrations157May 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 Kami Town

Kami Town has 0 urban parks (0.0 ha), or 0.0 m² per resident (Rank 41 of 41 in the prefecture). It has 0 libraries, 11 community centers, 4 nursery schools and 9 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: Kami Town
ItemValueRank in prefectureAs of
Urban parks0Rank 41 of 41 in the prefectureMar 31, 2025
Urban park area0.0 ha—Mar 31, 2025
Urban park area per residentDivided by the population of the city-planning area (MLIT's calculation)0.0 m²Rank 41 of 41 in the prefectureMar 31, 2025
Libraries0Rank 41 of 41 in the prefecture2021
Community centers11—2021
Nursery schools4Rank 2 of 41 in the prefecture2023
Kindergartens7—2024
Elementary schools9—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 Kami Town

PopulationResident register, 2024
15,303Rank 36 of 41 in the prefecture2024
Share under 15
10.3%Rank 37 of 41 in the prefecture2020 census
Share 65 and over
40.6%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
-106Rank 31 of 41 in the prefecture2024
Births per 1,000 residents
2.8Rank 38 of 41 in the prefecture2023
Nursery schools
42023
Nursery schools per 1,000 children under 15
2.41Rank 2 of 41 in the prefecture2023
Kindergartens
72024
Elementary schools
92024
Doctors per 10,000 residents
13.7Rank 34 of 41 in the prefecture2022
Clinics per 10,000 residents
6.52023
General hospitals
22023
Owner-occupied homes
86.8%2023
Floor area per dwelling
169.8 m²2023
Fiscal strength indexAbove 1 means local tax revenue covers standard spending
0.23Rank 41 of 41 in the prefecture2022
Restaurants
512021

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
Kami Town15,303Age 18YesNo / No0
Aioi City27,058Age 18YesNo / No0
Yabu City21,005Age 18NoNo / No0
Taka Town18,605Age 18NoNo / No0
Fukusaki Town18,573Age 18NoNo / No0
Sayo Town14,727Age 18NoNo / No0
Kamigori Town13,543Age 15YesNo / No0
Shinonsen Town12,829Age 18NoNo / No0
Ichikawa Town10,660Age 18NoNo / 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.