Municipalities with an income limit on the child medical expense subsidy

49 municipalities apply an income limit to outpatient or inpatient care (as of April 1, 2025, Children and Families Agency survey, 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.

49 municipalities

Municipalities with an income limit on the child medical expense subsidy（49）
Prefecture	Municipality	Outpatient until	Inpatient until	Income limit (out / in)	Co-payment (outpatient)	Co-payment (inpatient)	Population	Changed
Hokkaido	Sapporo City	Age 18	Age 18	Yes	Yes	Yes	1,955,678	Yes
Hokkaido	Otaru City	Age 18	Age 18	Yes	Yes	Yes	104,432	Yes
Hokkaido	Kitami City	Age 18	Age 18	Yes	Yes	Yes	110,046	Yes
Hokkaido	Yubari City	Age 15	Age 15	Yes	No	No	6,107	No
Hokkaido	Wakkanai City	Age 18	Age 18	Yes	Yes	Yes	30,336	No
Hokkaido	Mikasa City	Age 18	Age 18	Yes	Yes	Yes	7,268	No
Hokkaido	Chitose City	Age 12	Age 15	Yes	Yes	Yes	97,355	No
Hokkaido	Fukagawa City	Age 18	Age 18	Yes	No	No	18,329	Yes
Hokkaido	Eniwa City	Age 15	Age 18	Yes	Yes	Yes	70,446	Yes
Hokkaido	Kitahiroshima City	Age 15	Age 15	Yes	Yes	Yes	56,495	No
Hokkaido	Okushiri Town	Age 15	Age 15	Yes	Yes	Yes	2,138	No
Hokkaido	Suttsu Town	Age 18	Age 18	Yes	Yes	Yes	2,629	No
Hokkaido	Kuromatsunai Town	Age 18	Age 18	Yes	No	No	2,446	No
Hokkaido	Iwanai Town	Age 18	Age 18	Yes	Yes	Yes	10,913	No
Hokkaido	Yuni Town	Age 18	Age 18	Yes	Yes	Yes	4,527	Yes
Hokkaido	Mashike Town	Until school entry	Age 12	Yes	Yes	Yes	3,620	No
Hokkaido	Esashi Town (枝幸町)	Until school entry	Age 12	Yes	Yes	Yes	7,199	No
Hokkaido	Rishirifuji Town	Age 18	Age 18	Yes	Yes	Yes	2,151	No
Hokkaido	Engaru Town	Until school entry	Age 15	Yes	Yes	Yes	17,646	No
Hokkaido	Mukawa Town	Age 18	Age 18	Yes	Yes	Yes	7,221	No
Hokkaido	Hidaka Town	Age 15	Age 18	Yes	No	No	10,904	No
Hokkaido	Biratori Town	Until school entry	Age 12	Yes	Yes	Yes	4,435	No
Hokkaido	Niikappu Town	Age 15	Age 15	Yes	No	No	5,011	No
Hokkaido	Urakawa Town	Until school entry	Age 12	Yes	Yes	Yes	11,231	No
Hokkaido	Nakashibetsu Town	Until school entry	Age 12	Yes	Yes	Yes	22,257	No
Hokkaido	Shibetsu Town	Age 18	Age 18	Yes	No	No	4,798	Yes
Iwate	Kuji City	Age 18	Age 18	Yes	No	No	31,216	No
Tokyo	Higashimurayama City	Age 18	Age 18	Yes	Yes	No	151,795	No
Tokyo	Komae City	Age 18	Age 18	Yes	Yes	No	82,048	No
Tokyo	Higashikurume City	Age 18	Age 18	Yes	Yes	No	116,325	No
Tokyo	Hamura City	Age 18	Age 18	Yes	Yes	No	54,126	No
Kanagawa	Sagamihara City	Age 18	Age 18	Yes	Yes	No	716,494	Yes
Mie	Nabari City	Age 15	Age 15	Yes	No	No	74,229	No
Mie	Owase City	Age 18	Age 18	Yes	No	No	15,524	No
Mie	Toin Town	Age 15	Age 15	Yes	No	No	25,737	No
Mie	Meiwa Town	Age 15	Age 15	Yes	No	No	22,630	No
Kyoto	Kyotango City	Age 22	Age 22	Yes	Yes	Yes	50,042	No
Hyogo	Sumoto City	Age 18	Age 18	Yes	No	No	40,767	No
Hyogo	Aioi City	Age 18	Age 18	Yes	No	No	27,058	No
Hyogo	Toyoka City	Age 15	Age 15	Yes	Yes	No	75,177	No
Hyogo	Ako City	Age 15	Age 18	Yes	No	No	44,179	No
Hyogo	Tambasasayama City	Age 15	Age 18	Yes / No	No	No	39,095	No
Hyogo	Minamiawaji City	Age 18	Age 18	Yes	No	No	43,732	No
Hyogo	Awaji City	Age 18	Age 18	Yes	Yes	Yes	41,364	No
Hyogo	Kamigori Town	Age 15	Age 18	Yes	No	No	13,543	No
Hyogo	Kami Town	Age 18	Age 18	Yes	No	No	15,303	No
Hiroshima	Hiroshima City	Age 15	Age 15	Yes	Yes	No	1,173,543	Yes
Hiroshima	Kaita Town	Age 15	Age 15	Yes	Yes	Yes	30,810	No
Yamaguchi	Hagi City	Age 18	Age 18	Yes	Yes	Yes	41,637	No

Source: Children and Families Agency, Survey on Municipal Child Medical Expense Subsidies (municipal form, attachment 3)

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