Municipalities where outpatient coverage ends before age 18

155 municipalities end outpatient coverage before the end of the fiscal year in which the child turns 18 (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.

155 municipalities

Municipalities where outpatient coverage ends before age 18（155）
Prefecture	Municipality	Outpatient until	Inpatient until	Income limit (out / in)	Co-payment (outpatient)	Co-payment (inpatient)	Population	Changed
Hokkaido	Asahikawa City	Age 15	Age 15	No	No	No	316,183	No
Hokkaido	Obihiro City	Age 15	Age 15	No	Yes	Yes	160,810	No
Hokkaido	Yubari City	Age 15	Age 15	Yes	No	No	6,107	No
Hokkaido	Ebetsu City	Age 15	Age 15	No	Yes	Yes	118,055	Yes
Hokkaido	Shibetsu City	Age 15	Age 15	No	No	No	16,440	No
Hokkaido	Chitose City	Age 12	Age 15	Yes	Yes	Yes	97,355	No
Hokkaido	Takikawa City	Age 15	Age 15	No	No	No	36,515	No
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	Makkari Village	Age 15	Age 15	No	No	No	1,938	No
Hokkaido	Kimobetsu Town	Age 15	Age 15	No	No	No	1,928	No
Hokkaido	Pippu Town	Age 15	Age 15	No	No	No	3,425	No
Hokkaido	Kembuchi Town	Age 15	Age 15	No	No	No	2,728	No
Hokkaido	Otoineppu Village	Age 15	Age 15	No	No	No	601	No
Hokkaido	Horokanai Town	Age 15	Age 15	No	No	No	1,222	No
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	Engaru Town	Until school entry	Age 15	Yes	Yes	Yes	17,646	No
Hokkaido	Atsuma Town	Until school entry	Age 12	No	Yes	Yes	4,227	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	Erimo Town	Age 15	Age 15	No	No	No	4,060	No
Hokkaido	Shinhidaka Town	Age 15	Age 15	No	No	No	20,229	No
Hokkaido	Otofuke Town	Age 15	Age 15	No	Yes	No	42,683	No
Hokkaido	Shibecha Town	Until school entry	Age 12	No	Yes	Yes	6,836	No
Hokkaido	Nakashibetsu Town	Until school entry	Age 12	Yes	Yes	Yes	22,257	No
Miyagi	Sendai City	Age 15	Age 15	No	Yes	Yes	1,064,142	No
Kanagawa	Yokohama City	Age 15	Age 15	No	No	No	3,753,398	No
Kanagawa	Kawasaki City	Age 15	Age 15	No	Yes	No	1,535,141	No
Toyama	Toyama City	Age 15	Age 15	No	No	No	403,757	No
Ishikawa	Kanazawa City	Age 15	Age 18	No	Yes	No	443,123	No
Fukui	Ikeda Town	Age 15	Age 15	No	Yes	Yes	2,186	No
Gifu	Mino City	Age 15	Age 22	No	No	No	18,991	Yes
Gifu	Minokamo City	Age 15	Age 18	No	No	No	57,595	Yes
Gifu	Shirakawa Village	Age 15	Age 15	No	No	No	1,470	No
Aichi	Okazaki City	Age 15	Age 18	No	No	No	382,656	No
Aichi	Ichinomiya City	Age 15	Age 18	No	No	No	376,861	No
Aichi	Nishio City	Age 15	Age 18	No	No	No	169,528	No
Aichi	Chiryu City	Age 15	Age 18	No	No	No	72,646	No
Aichi	Takahama City	Age 15	Age 18	No	No	No	49,041	Yes
Aichi	Ama City	Age 15	Age 18	No	No	No	88,393	No
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	Nabari City	Age 15	Age 15	Yes	No	No	74,229	No
Mie	Kameyama City	Age 15	Age 15	No	No	No	49,130	No
Mie	Toba City	Age 15	Age 15	No	No	No	16,424	No
Mie	Iga City	Age 15	Age 15	No	No	No	84,603	No
Mie	Toin Town	Age 15	Age 15	Yes	No	No	25,737	No
Mie	Komono Town	Age 15	Age 15	No	No	No	40,758	Yes
Mie	Asahi Town	Age 15	Age 15	No	No	No	11,107	No
Mie	Taki Town	Age 15	Age 15	No	No	No	13,637	No
Mie	Meiwa Town	Age 15	Age 15	Yes	No	No	22,630	No
Mie	Tamaki Town	Age 15	Age 15	No	No	No	15,035	No
Mie	Watarai Town	Age 15	Age 15	No	No	No	7,556	Yes
Kyoto	Kyoto City	Age 15	Age 15	No	Yes	Yes	1,373,887	No
Kyoto	Fukuchiyama City	Age 15	Age 18	No	Yes	Yes	74,540	No
Kyoto	Ayabe City	Age 15	Age 18	No	Yes	Yes	31,072	No
Kyoto	Uji City	Age 15	Age 15	No	Yes	Yes	179,582	No
Kyoto	Joyo City	Age 15	Age 15	No	Yes	Yes	73,321	No
Kyoto	Muko City	Age 15	Age 18	No	Yes	No	56,186	No
Kyoto	Nagaokakyo City	Age 15	Age 18	No	Yes	Yes	82,218	No
Hyogo	Amagasaki City	Age 15	Age 18	No	Yes	No	457,508	No
Hyogo	Itami City	Age 15	Age 18	No	No	No	200,284	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	Takarazuka City	Age 15	Age 18	No	No	No	227,645	No
Hyogo	Kawanishi City	Age 15	Age 18	No	No	No	152,914	No
Hyogo	Tambasasayama City	Age 15	Age 18	Yes / No	No	No	39,095	No
Hyogo	Inagawa Town	Age 15	Age 18	No	No	No	28,644	Yes
Hyogo	Taishi Town	Age 15	Age 18	No	No	No	33,414	No
Hyogo	Kamigori Town	Age 15	Age 18	Yes	No	No	13,543	No
Wakayama	Tanabe City	Age 15	Age 15	No	No	No	67,316	No
Okayama	Kurashiki City	Age 15	Age 15	No	No	No	473,670	No
Okayama	Kasaoka City	Age 15	Age 18	No	No	No	44,030	No
Okayama	Soja City	Age 15	Age 15	No	No	No	69,625	No
Hiroshima	Hiroshima City	Age 15	Age 15	Yes	Yes	No	1,173,543	Yes
Hiroshima	Fukuyama City	Age 15	Age 15	No	Yes	Yes	455,028	No
Hiroshima	Fuchu Town	Age 15	Age 15	No	Yes	Yes	52,074	Yes
Hiroshima	Kaita Town	Age 15	Age 15	Yes	Yes	Yes	30,810	No
Yamaguchi	Shimonoseki City	Age 15	Age 18	No	No	No	243,422	No
Yamaguchi	Iwakuni City	Age 15	Age 15	No	No	No	124,568	No
Yamaguchi	Sanyoonoda City	Age 15	Age 15	No	No	No	58,871	No
Kochi	Kochi City	Age 15	Age 15	No	No	No	312,228	Yes
Fukuoka	Omuta City	Age 15	Age 15	No	Yes	No	104,688	Yes
Fukuoka	Kurume City	Age 15	Age 15	No	Yes	No	300,199	No
Fukuoka	Nogata City	Age 15	Age 18	No	Yes	Yes	54,838	No
Fukuoka	Iizuka City	Age 15	Age 18	No	Yes	Yes	124,118	No
Fukuoka	Yanagawa City	Age 15	Age 15	No	Yes	No	61,536	Yes
Fukuoka	Yame City	Age 15	Age 15	No	No	No	59,544	Yes
Fukuoka	Okawa City	Age 15	Age 15	No	Yes	Yes	31,147	No
Fukuoka	Buzen City	Age 15	Age 15	No	Yes	No	23,322	No
Fukuoka	Ogori City	Age 15	Age 15	No	Yes	Yes	59,509	No
Fukuoka	Chikushino City	Age 15	Age 15	No	Yes	No	106,375	Yes
Fukuoka	Onojo City	Age 15	Age 15	No	Yes	No	103,537	Yes
Fukuoka	Fukutsu City	Age 15	Age 15	No	Yes	Yes	69,201	No
Fukuoka	Miyawaka City	Age 15	Age 15	No	Yes	Yes	26,092	No
Fukuoka	Asakura City	Age 15	Age 15	No	Yes	Yes	50,024	No
Fukuoka	Itoshima City	Age 15	Age 15	No	Yes	Yes	104,175	No
Fukuoka	Nakagawa City	Age 15	Age 15	No	Yes	No	49,435	No
Fukuoka	Umi Town	Age 15	Age 15	No	Yes	No	36,878	No
Fukuoka	Sasaguri Town	Age 15	Age 15	No	Yes	No	31,261	No
Fukuoka	Shime Town	Age 15	Age 15	No	Yes	No	46,379	No
Fukuoka	Sue Town	Age 15	Age 15	No	Yes	No	29,307	No
Fukuoka	Kasuya Town	Age 15	Age 15	No	Yes	No	48,723	No
Fukuoka	Keisen Town	Age 15	Age 18	No	Yes	Yes	12,738	No
Fukuoka	Chikuzen Town	Age 15	Age 18	No	Yes	Yes	30,805	No
Fukuoka	Oki Town	Age 15	Age 15	No	No	No	13,653	No
Fukuoka	Kawara Town	Age 15	Age 15	No	No	No	9,962	No
Fukuoka	Soeda Town	Age 15	Age 15	No	No	No	8,311	No
Fukuoka	Itoda Town	Age 15	Age 15	No	No	No	8,269	No
Fukuoka	Kawasaki Town	Age 15	Age 15	No	No	No	14,804	No
Fukuoka	Fukuchi Town	Age 15	Age 15	No	No	No	20,888	No
Saga	Saga City	Age 15	Age 15	No	Yes	Yes	226,481	No
Oita	Hita City	Age 15	Age 15	No	No	No	60,207	No
Miyazaki	Miyazaki City	Age 15	Age 15	No	Yes	No	394,504	No
Miyazaki	Miyakonojo City	Age 15	Age 15	No	No	No	162,574	No
Miyazaki	Nichinan City	Age 15	Age 15	No	Yes	No	48,198	No
Miyazaki	Kobayashi City	Age 15	Age 15	No	Yes	Yes	42,075	No
Miyazaki	Hyuga City	Age 15	Age 15	No	Yes	Yes	57,847	No
Miyazaki	Kushima City	Age 15	Age 15	No	No	No	16,047	No
Miyazaki	Ebino City	Age 15	Age 15	No	Yes	No	17,067	No
Miyazaki	Mimata Town	Age 15	Age 15	No	Yes	No	25,684	No
Miyazaki	Takaharu Town	Age 15	Age 15	No	Yes	Yes	8,393	No
Miyazaki	Kunitomi Town	Age 15	Age 15	No	No	No	18,243	No
Miyazaki	Aya Town	Age 15	Age 15	No	No	No	6,785	No
Miyazaki	Shiiba Village	Age 15	Age 15	No	No	No	2,406	No
Miyazaki	Misato Town	Age 15	Age 15	No	No	No	4,522	No
Miyazaki	Takachiho Town	Age 15	Age 15	No	No	No	10,805	No
Miyazaki	Gokase Town	Age 15	Age 15	No	No	No	3,278	No
Kagoshima	Kagoshima City	Age 15	Age 15	No	No	No	591,263	Yes
Kagoshima	Ibusuki City	Age 15	Age 15	No	No	No	37,207	No
Kagoshima	Hioki City	Age 15	Age 15	No	No	No	46,134	No
Kagoshima	Kirishima City	Age 15	Age 15	No	No	No	123,070	Yes
Kagoshima	Aira City	Age 15	Age 15	No	No	No	78,123	Yes
Kagoshima	Tokunoshima Town	Until school entry	Until school entry	No	No	No	9,844	Yes
Okinawa	Naha City	Age 15	Age 15	No	No	No	313,424	No
Okinawa	Ginowan City	Age 15	Age 15	No	No	No	100,443	No
Okinawa	Urasoe City	Age 15	Age 15	No	No	No	115,486	No
Okinawa	Itoman City	Age 15	Age 15	No	No	No	62,250	No
Okinawa	Tomigusuku City	Age 15	Age 15	No	No	No	65,889	No
Okinawa	Uruma City	Age 15	Age 15	No	No	No	126,948	No
Okinawa	Miyakojima City	Age 15	Age 15	No	No	No	55,656	No
Okinawa	Nanjo City	Age 15	Age 18	No	No	No	46,929	No
Okinawa	Nakijin Village	Age 15	Age 15	No	No	No	9,183	No
Okinawa	Yomitan Village	Age 15	Age 15	No	No	No	42,289	No
Okinawa	Kitanakagusuku Village	Age 15	Age 15	No	No	No	17,951	No
Okinawa	Nishihara Town	Age 15	Age 15	No	No	No	35,659	No
Okinawa	Tokashiki Village	Age 15	Age 15	No	No	No	665	No
Okinawa	Zamami Village	Age 15	Age 15	No	No	No	873	No
Okinawa	Iheya Village	Age 15	Age 15	No	No	No	1,191	No
Okinawa	Kumejima Town	Age 15	Age 15	No	No	No	7,140	No
Okinawa	Yaese Town	Age 15	Age 15	No	No	No	33,255	No

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

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