Nagano Prefecture77 municipalities

Of the 77 municipalities in Nagano Prefecture, 77 cover outpatient care through age 18, 77 have no income limit, and 42 charge no outpatient co-payment. Since last year, 19 have changed their conditions (as of April 1, 2025, Children and Families Agency survey).

Child medical expense subsidy, national totals (as of April 1, 2025, Children and Families Agency survey)
Condition	Municipalities	Municipalities in survey	Share
Outpatient care covered through age 18	77	77	100.0%
No income limit	77	77	100.0%
No co-payment for outpatient care	42	77	54.5%
Changed since last year	19	77	24.7%

Filter by conditions

42 municipalities in Nagano Prefecture where child medical care is free through age 18 (no income limit, no co-payment)

Nagano City, Matsumoto City, Azumino City, Shiojiri City, Ina City, Nakano City, Komagane City, Minowa Town, Iiyama City, Tatsuno Town, Minamiminowa Village, Takamori Town, Yamanochi Town, Kiso Town, Matsukawa Village, Iijima Town, Miyada Village, Yamagata Village, Hara Village, Toyoka Village, Takayama Village, Achi Village, Nagawa Town, Nakagawa Village, Asahi Village, Kijimadaira Village, Aoki Village, Chikuhoku Village, Agematsu Town, Nagiso Town, Nozawaonsen Village, Shimojo Village, Okuwa Village, Omi Village, Ogawa Village, Ikusaka Village, Sakae Village, Tenryu Village, Oshika Village, Neba Village, Otaki Village, Hiraya Village

0 municipalities where outpatient coverage ends before age 18

None.

0 municipalities with an income limit

None.

35 municipalities with an outpatient co-payment

Ueda City, Saku City, Iida City, Chikuma City, Chino City, Suzaka City, Suwa City, Okaya City, Komoro City, Tomi City, Omachi City, Karuizawa Town, Shimosuwa Town, Miyota Town, Fujimi Town, Sakaki Town, Matsukawa Town, Obuse Town, Iizuna Town, Sakuho Town, Hakuba Village, Ikeda Town, Shinano Town, Tateshina Town, Takagi Village, Komi Town, Anan Town, Kawakami Village, Minamimaki Village, Otari Village, Kiso Village, Yasuoka Village, Minamiaiki Village, Kitaaiki Village, Urugi Village

19 municipalities that changed their conditions since April 2024

Nagano City, Matsumoto City, Azumino City, Shiojiri City, Nakano City, Takamori Town, Matsukawa Village, Yamagata Village, Toyoka Village, Takayama Village, Asahi Village, Kijimadaira Village, Chikuhoku Village, Agematsu Town, Nagiso Town, Nozawaonsen Village, Ogawa Village, Ikusaka Village, Oshika Village

National survey values as of April 1, 2025. Later changes confirmed on official websites are noted on each municipality's page.

All 77 municipalities in Nagano Prefecture

Subsidy conditions as of April 1, 2025. Population from the resident register, 2024. Last checked September 24, 2026.

Child medical expense subsidy in the 77 municipalities of Nagano Prefecture (as of April 1, 2025, Children and Families Agency survey)
Municipality	Outpatient until	Inpatient until	Income limit (out / in)	Co-payment (outpatient)	Co-payment (inpatient)	Population	Changed
Nagano City	Age 18	Age 18	No	No	No	362,609	Yes
Matsumoto City	Age 18	Age 18	No	No	No	234,111	Yes
Ueda City	Age 18	Age 18	No	Yes	Yes	151,540	No
Saku City	Age 18	Age 18	No	Yes	Yes	97,380	No
Azumino City	Age 18	Age 18	No	No	No	95,868	Yes
Iida City	Age 18	Age 18	No	Yes	Yes	94,944	No
Shiojiri City	Age 18	Age 18	No	No	No	65,205	Yes
Ina City	Age 18	Age 18	No	No	No	64,901	No
Chikuma City	Age 18	Age 18	No	Yes	Yes	58,845	No
Chino City	Age 18	Age 18	No	Yes	Yes	54,066	No
Suzaka City	Age 18	Age 18	No	Yes	Yes	49,149	No
Suwa City	Age 18	Age 18	No	Yes	Yes	47,559	No
Okaya City	Age 18	Age 18	No	Yes	Yes	46,469	No
Nakano City	Age 18	Age 18	No	No	No	42,162	Yes
Komoro City	Age 18	Age 18	No	Yes	Yes	41,248	No
Komagane City	Age 18	Age 18	No	No	No	31,325	No
Tomi City	Age 18	Age 18	No	Yes	Yes	28,958	No
Omachi City	Age 18	Age 18	No	Yes	Yes	25,301	No
Minowa Town	Age 18	Age 18	No	No	No	24,387	No
Karuizawa Town	Age 18	Age 18	No	Yes	Yes	21,752	No
Iiyama City	Age 18	Age 18	No	No	No	18,812	No
Shimosuwa Town	Age 18	Age 18	No	Yes	Yes	18,470	No
Tatsuno Town	Age 18	Age 18	No	No	No	18,009	No
Miyota Town	Age 18	Age 18	No	Yes	Yes	16,770	No
Minamiminowa Village	Age 18	Age 18	No	No	No	16,051	No
Fujimi Town	Age 18	Age 18	No	Yes	Yes	14,107	No
Sakaki Town	Age 18	Age 18	No	Yes	Yes	13,872	No
Takamori Town	Age 18	Age 18	No	No	No	12,606	Yes
Matsukawa Town	Age 18	Age 18	No	Yes	Yes	12,445	No
Yamanochi Town	Age 18	Age 18	No	No	No	11,229	No
Obuse Town	Age 18	Age 18	No	Yes	Yes	10,987	No
Iizuna Town	Age 18	Age 18	No	Yes	Yes	10,274	No
Sakuho Town	Age 18	Age 18	No	Yes	Yes	10,179	No
Kiso Town	Age 18	Age 18	No	No	No	9,817	No
Matsukawa Village	Age 18	Age 18	No	No	No	9,648	Yes
Hakuba Village	Age 18	Age 18	No	Yes	Yes	9,525	No
Ikeda Town	Age 18	Age 18	No	Yes	Yes	9,114	No
Iijima Town	Age 18	Age 18	No	No	No	8,863	No
Miyada Village	Age 18	Age 18	No	No	No	8,743	No
Yamagata Village	Age 18	Age 18	No	No	No	8,486	Yes
Hara Village	Age 18	Age 18	No	No	No	8,090	No
Shinano Town	Age 18	Age 18	No	Yes	Yes	7,560	No
Tateshina Town	Age 18	Age 18	No	Yes	Yes	6,674	No
Toyoka Village	Age 18	Age 18	No	No	No	6,501	Yes
Takayama Village	Age 18	Age 18	No	No	No	6,413	Yes
Achi Village	Age 18	Age 18	No	No	No	5,941	No
Takagi Village	Age 18	Age 18	No	Yes	Yes	5,888	No
Nagawa Town	Age 18	Age 18	No	No	No	5,514	No
Nakagawa Village	Age 18	Age 18	No	No	No	4,620	No
Asahi Village	Age 18	Age 18	No	No	No	4,263	Yes
Kijimadaira Village	Age 18	Age 18	No	No	No	4,237	Yes
Komi Town	Age 18	Age 18	No	Yes	Yes	4,196	No
Aoki Village	Age 18	Age 18	No	No	No	4,086	No
Chikuhoku Village	Age 18	Age 18	No	No	No	3,976	Yes
Anan Town	Age 18	Age 18	No	Yes	Yes	3,931	No
Agematsu Town	Age 18	Age 18	No	No	No	3,930	Yes
Nagiso Town	Age 18	Age 18	No	No	No	3,674	Yes
Kawakami Village	Age 18	Age 18	No	Yes	Yes	3,631	No
Nozawaonsen Village	Age 18	Age 18	No	No	No	3,582	Yes
Shimojo Village	Age 18	Age 18	No	No	No	3,421	No
Okuwa Village	Age 18	Age 18	No	No	No	3,206	No
Minamimaki Village	Age 18	Age 18	No	Yes	Yes	2,977	No
Otari Village	Age 18	Age 18	No	Yes	Yes	2,811	No
Kiso Village	Age 18	Age 18	No	Yes	Yes	2,516	No
Omi Village	Age 18	Age 18	No	No	No	2,412	No
Ogawa Village	Age 18	Age 18	No	No	No	2,198	Yes
Ikusaka Village	Age 18	Age 18	No	No	No	1,615	Yes
Sakae Village	Age 18	Age 18	No	No	No	1,560	No
Yasuoka Village	Age 18	Age 18	No	Yes	Yes	1,426	No
Tenryu Village	Age 18	Age 18	No	No	No	1,028	No
Minamiaiki Village	Age 18	Age 18	No	Yes	Yes	926	No
Oshika Village	Age 18	Age 18	No	No	No	868	Yes
Neba Village	Age 18	Age 18	No	No	No	806	No
Kitaaiki Village	Age 18	Age 18	No	Yes	Yes	647	No
Otaki Village	Age 18	Age 18	No	No	No	640	No
Urugi Village	Age 18	Age 18	No	Yes	Yes	472	No
Hiraya Village	Age 18	Age 18	No	No	No	377	No

Source: Children and Families Agency, Survey on Municipal Child Medical Expense Subsidies (municipal form, attachment 3) / e-Stat, Statistical Observations of Municipalities 2026 (Statistics Bureau of Japan)