Nara Prefecture39 municipalities

Of the 39 municipalities in Nara Prefecture, 38 cover outpatient care through age 18, 38 have no income limit, and 16 charge no outpatient co-payment. Since last year, 3 have changed their conditions (as of April 1, 2025, Children and Families Agency survey).

Since last year, Tenri City, Kashihara City and Katsuragi City changed their conditions.

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	38	38	100.0%
No income limit	38	38	100.0%
No co-payment for outpatient care	16	38	42.1%
Changed since last year	3	38	7.9%

Filter by conditions

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

Kashihara City, Katsuragi City, Ikaruga Town, Sango Town, Heguri Town, Yoshino Town, Shimoichi Town, Totsukawa Village, Higashiyoshino Village, Mitsue Village, Soni Village, Tenkawa Village, Kawakami Village, Shimokitayama Village, Kurotaki Village, Kamikitayama Village, Nosegawa Village

0 municipalities where outpatient coverage ends before age 18

None.

0 municipalities with an income limit

None.

22 municipalities with an outpatient co-payment

Nara City, Ikoma City, Yamatokoriyama City, Kashiba City, Yamatotakada City, Tenri City, Sakurai City, Koryo Town, Tawaramoto Town, Gojo City, Uda City, Oji Town, Gose City, Kammaki Town, Kawai Town, Oyodo Town, Kawanishi Town, Ando Town, Miyake Town, Takatori Town, Asuka Village, Yamazoe Village

3 municipalities that changed their conditions since April 2024

Kashihara City, Tenri City, Katsuragi City

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

All 39 municipalities in Nara 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 39 municipalities of Nara 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
Nara City	Age 18	Age 18	No	Yes	Yes	347,187	No
Kashihara City	Age 18	Age 18	No	No	No	118,556	Yes
Ikoma City	Age 18	Age 18	No	Yes	Yes	116,553	No
Yamatokoriyama City	Age 18	Age 18	No	Yes	Yes	82,598	No
Kashiba City	Age 18	Age 18	No	Yes	Yes	78,324	No
Yamatotakada City	Age 18	Age 18	No	Yes	Yes	61,818	No
Tenri City	Age 18	Age 18	No	Yes	No	60,686	Yes
Sakurai City	Age 18	Age 18	No	Yes	Yes	54,272	No
Katsuragi City	Age 18	Age 18	No	No	No	37,794	Yes
Koryo Town	Age 18	Age 18	No	Yes	Yes	35,020	No
Tawaramoto Town	Age 18	Age 18	No	Yes	Yes	31,379	No
Ikaruga Town	Age 18	Age 18	No	No	No	28,036	No
Gojo City	Age 18	Age 18	No	Yes	Yes	26,900	No
Uda City	Age 18	Age 18	No	Yes	No	26,694	No
Oji Town	Age 18	Age 18	No	Yes	Yes	23,694	No
Gose City	Age 18	Age 18	No	Yes	Yes	23,144	No
Sango Town	Age 18	Age 18	No	No	No	22,349	No
Kammaki Town	Age 18	Age 18	No	Yes	Yes	21,157	No
Heguri Town	Age 18	Age 18	No	No	No	18,142	No
Kawai Town	Age 18	Age 18	No	Yes	Yes	16,614	No
Oyodo Town	Age 18	Age 18	No	Yes	Yes	15,797	No
Kawanishi Town	Age 18	Age 18	No	Yes	Yes	7,986	No
Ando Town	Age 18	Age 18	No	Yes	Yes	6,975	No
Miyake Town	Age 18	Age 18	No	Yes	Yes	6,422	No
Takatori Town	Age 18	Age 18	No	Yes	Yes	6,045	No
Yoshino Townvalue as of April 1, 2024	Age 18	Age 18	No	No	No	5,834	No
Asuka Village	Age 18	Age 18	No	Yes	Yes	5,049	No
Shimoichi Town	Age 18	Age 18	No	No	No	4,405	No
Yamazoe Village	Age 20	Age 20	No	Yes	Yes	3,055	No
Totsukawa Village	Age 18	Age 18	No	No	No	2,757	No
Higashiyoshino Village	Age 18	Age 18	No	No	No	1,498	No
Mitsue Village	Age 18	Age 18	No	No	No	1,347	No
Soni Village	Age 18	Age 18	No	No	No	1,270	No
Tenkawa Village	Age 18	Age 18	No	No	No	1,194	No
Kawakami Village	Age 18	Age 18	No	No	No	1,188	No
Shimokitayama Village	Age 18	Age 18	No	No	No	796	No
Kurotaki Village	Age 18	Age 18	No	No	No	589	No
Kamikitayama Village	Age 18	Age 18	No	No	No	421	No
Nosegawa Village	Age 18	Age 18	No	No	No	322	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)