Municipalities that removed the outpatient income limit in 2025

48 municipalities had an outpatient income limit as of April 1, 2024 and none 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.

48 municipalities

Municipalities that removed the outpatient income limit in 2025（48）
Prefecture	Municipality	Outpatient until	Inpatient until	Income limit (out / in)	Co-payment (outpatient)	Co-payment (inpatient)	Population	Changed
Hokkaido	Muroran City	Age 18	Age 18	No	Yes	Yes	74,855	Yes
Hokkaido	Iwamizawa City	Age 18	Age 18	No	No	No	74,204	Yes
Hokkaido	Tomakomai City	Age 18	Age 18	No	Yes	Yes	165,590	Yes
Hokkaido	Ebetsu City	Age 15	Age 15	No	Yes	Yes	118,055	Yes
Hokkaido	Mombetsu City	Age 18	Age 18	No	Yes	Yes	19,760	Yes
Hokkaido	Noboribetsu City	Age 18	Age 18	No	Yes	Yes	43,615	Yes
Hokkaido	Date City	Age 18	Age 18	No	Yes	Yes	31,208	Yes
Hokkaido	Tobetsu Town	Age 18	Age 18	No	Yes	No	15,113	Yes
Hokkaido	Kikonai Town	Age 18	Age 18	No	No	No	3,528	Yes
Hokkaido	Kyogoku Town	Age 18	Age 18	No	No	No	2,776	Yes
Hokkaido	Bihoro Town	Age 18	Age 18	No	No	No	17,329	Yes
Hokkaido	Okoppe Town	Age 18	Age 18	No	Yes	Yes	3,495	Yes
Hokkaido	Shiraoi Town	Age 18	Age 18	No	No	No	15,095	Yes
Hokkaido	Teshikaga Town	Age 18	Age 18	No	No	No	6,432	Yes
Aomori	Aomori City	Age 18	Age 18	No	No	No	263,512	Yes
Iwate	Tono City	Age 18	Age 18	No	No	No	23,930	Yes
Iwate	Ichinohe Town	Age 18	Age 18	No	No	No	10,603	Yes
Akita	Akita City	Age 18	Age 18	No	Yes	Yes	293,729	Yes
Akita	Odate City	Age 18	Age 18	No	Yes	Yes	65,492	Yes
Ibaraki	Sakai Town	Age 20	Age 20	No	No	No	24,769	Yes
Tokyo	Ome City	Age 18	Age 18	No	Yes	No	129,105	Yes
Tokyo	Machida City	Age 18	Age 18	No	Yes	No	430,170	Yes
Tokyo	Kodaira City	Age 18	Age 18	No	Yes	No	196,799	Yes
Tokyo	Higashiyamato City	Age 18	Age 18	No	No	No	84,996	Yes
Tokyo	Kiyose City	Age 18	Age 18	No	Yes	No	75,011	Yes
Tokyo	Musashimurayama City	Age 18	Age 18	No	No	No	70,696	Yes
Tokyo	Aogashima Village	Age 18	Age 18	No	Yes	No	160	Yes
Mie	Tsu City	Age 15	Age 15	No	No	No	268,388	Yes
Mie	Ise City	Age 15	Age 15	No	No	No	118,849	Yes
Mie	Matsusaka City	Age 18	Age 18	No	No	No	156,026	Yes
Mie	Kumano City	Age 18	Age 18	No	No	No	14,981	Yes
Mie	Shima City	Age 18	Age 18	No	No	No	44,110	Yes
Mie	Komono Town	Age 15	Age 15	No	No	No	40,758	Yes
Mie	Odai Town	Age 18	Age 18	No	No	No	8,204	Yes
Mie	Watarai Town	Age 15	Age 15	No	No	No	7,556	Yes
Mie	Kihoku Town	Age 18	Age 18	No	No	No	13,759	Yes
Mie	Mihama Town	Age 18	Age 18	No	No	No	7,809	Yes
Hyogo	Himeji City	Age 18	Age 18	No	No	No	523,181	Yes
Hyogo	Ashiya City	Age 18	Age 18	No	Yes	No	94,007	Yes
Hyogo	Asago City	Age 18	Age 18	No	No	No	27,754	Yes
Hyogo	Tatsuno City	Age 18	Age 18	No	No	No	72,271	Yes
Hyogo	Shinonsen Town	Age 18	Age 18	No	No	No	12,829	Yes
Wakayama	Hashimoto City	Age 18	Age 18	No	No	No	58,792	Yes
Hiroshima	Higashihiroshima City	Age 18	Age 18	No	Yes	Yes	190,911	Yes
Hiroshima	Fuchu Town	Age 15	Age 15	No	Yes	Yes	52,074	Yes
Hiroshima	Kumano Town	Age 18	Age 18	No	Yes	Yes	23,475	Yes
Kagoshima	Tokunoshima Town	Until school entry	Until school entry	No	No	No	9,844	Yes
Kagoshima	Isen Town	Age 18	Age 18	No	No	No	6,132	Yes

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

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