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Sumoto City: child medical expense subsidy

Hyogo Prefecture

In Sumoto City, 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 Sumoto City is one of them.

Sumoto City 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
40,767(Resident register, 2024)
Share under 15
10.5%(2020 census)

For applications, refunds and visits outside the prefecture, check the official website of Sumoto City.

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 Sumoto City 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 Sumoto City?

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 Sumoto City apply an income limit?

Yes (as of April 1, 2025).

Do the conditions differ between outpatient and inpatient care in Sumoto City?

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 Sumoto City 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 Sumoto City compare with other municipalities in Hyogo Prefecture?

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

Sumoto City 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 Sumoto 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.

Nursery and after-school club waiting lists in Sumoto City

Sumoto City had 0 children on the nursery waiting list as of April 1, 2026 (789 applicants, 774 enrolled; 0 waiting a year earlier). After-school clubs had 2 children waiting as of May 1, 2026 (preliminary; 439 registered).

Nursery and after-school club waiting lists in Sumoto City
ItemValueAs of
Nursery waiting list0Apr 1, 2026
Waiting list a year earlier (April 1, 2025)0Apr 1, 2025
Nursery applicants789Apr 1, 2026
Children enrolled in nurseries774Apr 1, 2026
After-school club waiting list2May 1, 2026 (prelim.)
After-school club registrations439May 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 Sumoto City

Sumoto City has 4 urban parks (10.4 ha), or 3.1 m² per resident (Rank 34 of 41 in the prefecture). It has 2 libraries, 13 community centers, 8 nursery schools and 13 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: Sumoto City
ItemValueRank in prefectureAs of
Urban parks4Rank 34 of 41 in the prefectureMar 31, 2025
Urban park area10.4 ha—Mar 31, 2025
Urban park area per residentDivided by the population of the city-planning area (MLIT's calculation)3.1 m²Rank 34 of 41 in the prefectureMar 31, 2025
Libraries2Rank 11 of 41 in the prefecture2021
Community centers13—2021
Nursery schools8Rank 5 of 41 in the prefecture2023
Kindergartens2—2024
Elementary schools13—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 Sumoto City

PopulationResident register, 2024
40,767Rank 22 of 41 in the prefecture2024
Share under 15
10.5%Rank 34 of 41 in the prefecture2020 census
Share 65 and over
36.8%2020 census
Share of foreign residents
0.7%2020 census
Net migration (move-ins minus move-outs)2024. A positive number means more people moved in than moved out
-290Rank 32 of 41 in the prefecture2024
Births per 1,000 residents
5.1Rank 20 of 41 in the prefecture2023
Nursery schools
82023
Nursery schools per 1,000 children under 15
1.84Rank 5 of 41 in the prefecture2023
Kindergartens
22024
Elementary schools
132024
Doctors per 10,000 residents
49.5Rank 2 of 41 in the prefecture2022
Clinics per 10,000 residents
12.52023
General hospitals
22023
Owner-occupied homes
69.2%2023
Floor area per dwelling
114.1 m²2023
Fiscal strength indexAbove 1 means local tax revenue covers standard spending
0.47Rank 26 of 41 in the prefecture2022
Restaurants
2032021

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
Sumoto City40,767Age 18YesNo / No0
Ako City44,179Age 15YesNo / No0
Minamiawaji City43,732Age 18YesNo / No0
Kasai City41,455Age 18NoNo / No0
Awaji City41,364Age 18YesYes / Yes0
Kato City39,413Age 18NoNo / No1
Tambasasayama City39,095Age 15Yes / NoNo / No1
Nishiwaki City37,688Age 18NoNo / No0
Harima Town34,687Age 18NoNo / No14

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.