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Mitsuke City: child medical expense subsidy

Niigata Prefecture

In Mitsuke City, Niigata Prefecture, the child medical expense subsidy covers both outpatient and inpatient care through the end of the fiscal year in which the child turns 18 (end of high-school age). Income limit: none. Co-payment: yes. (As of April 1, 2025, Children and Families Agency survey.)

In Niigata Prefecture, 30 of 30 municipalities cover outpatient care through age 18, and Mitsuke City is one of them.

Mitsuke City does not meet no co-payment of the three conditions (coverage through age 18, no income limit, no co-payment). In Niigata Prefecture, 11 of 30 municipalities meet all three.

Municipalities call this program by different names (小児医療費助成, こども医療費助成, 乳幼児医療費助成, 子育て支援医療). This site uses the national survey's term, "child medical expense subsidy".

Covered until (Outpatient)
Age 18(April 1, 2025)
Covered until (Inpatient)
Age 18(April 1, 2025)
Income limit
No(April 1, 2025)
Co-payment
Yes(April 1, 2025)
Coverage through age 18
Yes(April 1, 2025)
Population
38,061(Resident register, 2024)
Share under 15
11.5%(2020 census)

For applications, refunds and visits outside the prefecture, check the official website of Mitsuke City.

Official websiteFilter by conditions

Child medical expense subsidy

Child medical expense subsidy
ItemOutpatientInpatient
Covered untilAge 18
through the end of the fiscal year in which the child turns 18 (end of high-school age)
Age 18
through the end of the fiscal year in which the child turns 18 (end of high-school age)
Income limitNoNo
Co-paymentYesYes

No change since April 1, 2024

Source: Children and Families Agency, Survey on Municipal Child Medical Expense Subsidies (municipal form, attachment 3) (As of April 1, 2025). Last 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.

Frequently asked questions

Until what age does Mitsuke City subsidize child medical expenses?

Both outpatient and inpatient care are covered through the end of the fiscal year in which the child turns 18 (end of high-school age) (as of April 1, 2025).

A co-payment is charged at the counter.

Are high school students covered in Mitsuke City?

Yes. Both outpatient and inpatient care are covered through the end of the fiscal year in which the child turns 18 (the end of the third year of high school).

Does Mitsuke City apply an income limit?

No (as of April 1, 2025).

Do the conditions differ between outpatient and inpatient care in Mitsuke City?

No. Both are covered through the end of the fiscal year in which the child turns 18 (end of high-school age); income limit: no; co-payment: yes.

Has Mitsuke City changed its conditions since last year?

No. The national surveys as of April 1, 2024 and April 1, 2025 record the same conditions.

How does Mitsuke City compare with other municipalities in Niigata Prefecture?

In Niigata Prefecture, 30 of 30 municipalities cover outpatient care through age 18, and Mitsuke City is one of them.

Mitsuke City does not meet no co-payment of the three conditions (coverage through age 18, no income limit, no co-payment). In Niigata Prefecture, 11 of 30 municipalities meet all three.

If I move out of Mitsuke City, do the same conditions apply?

No. The subsidy is run by the municipality you live in, so the new municipality's conditions apply. Check its page on this site, and confirm the procedure on that municipality's official website.

Nursery and after-school club waiting lists in Mitsuke City

Mitsuke City had 0 children on the nursery waiting list as of April 1, 2026 (976 applicants, 976 enrolled; 0 waiting a year earlier). After-school clubs had 0 children waiting as of May 1, 2026 (preliminary; 525 registered).

Nursery and after-school club waiting lists in Mitsuke City
ItemValueAs of
Nursery waiting list0Apr 1, 2026
Waiting list a year earlier (April 1, 2025)0Apr 1, 2025
Nursery applicants976Apr 1, 2026
Children enrolled in nurseries976Apr 1, 2026
After-school club waiting list0May 1, 2026 (prelim.)
After-school club registrations525May 1, 2026 (prelim.)

"Waiting" follows the national definition: applicants not enrolled, excluding those on parental leave, those who want only a specific facility, and those who have paused their job search. Zero does not guarantee a place at a preferred facility. After-school club figures are preliminary and may be revised.

Source: Children and Families Agency, Summary of Nursery Care Status (April 1, 2026) / Children and Families Agency, Status of After-School Clubs (May 1, 2026, preliminary)

Parks, libraries, community centers and nursery schools in Mitsuke City

Mitsuke City has 31 urban parks (33.2 ha), or 9.0 m² per resident (Rank 22 of 30 in the prefecture). It has 1 libraries, 7 community centers, 8 nursery schools and 8 elementary schools.

Urban parks: MLIT inventory as of March 31, 2025. Libraries and community centers: e-Stat, 2021. Nursery and elementary schools: e-Stat.

Places for children: Mitsuke City
ItemValueRank in prefectureAs of
Urban parks31Rank 8 of 30 in the prefectureMar 31, 2025
Urban park area33.2 ha—Mar 31, 2025
Urban park area per residentDivided by the population of the city-planning area (MLIT's calculation)9.0 m²Rank 22 of 30 in the prefectureMar 31, 2025
Libraries1Rank 20 of 30 in the prefecture2021
Community centers7—2021
Nursery schools8Rank 23 of 30 in the prefecture2023
Kindergartens2—2024
Elementary schools8—2024

Source: MLIT, Inventory of Urban Parks (end of FY2024, as of March 31, 2025) / e-Stat, Statistical Observations of Municipalities 2026 (Statistics Bureau of Japan)

Population, share of children, net migration and doctors in Mitsuke City

PopulationResident register, 2024
38,061Rank 14 of 30 in the prefecture2024
Share under 15
11.5%Rank 10 of 30 in the prefecture2020 census
Share 65 and over
33.0%2020 census
Share of foreign residents
0.6%2020 census
Net migration (move-ins minus move-outs)2024. A positive number means more people moved in than moved out
-80Rank 7 of 30 in the prefecture2024
Births per 1,000 residents
5.8Rank 3 of 30 in the prefecture2023
Nursery schools
82023
Nursery schools per 1,000 children under 15
1.78Rank 23 of 30 in the prefecture2023
Kindergartens
22024
Elementary schools
82024
Doctors per 10,000 residents
8.1Rank 22 of 30 in the prefecture2022
Clinics per 10,000 residents
7.92023
General hospitals
12023
Owner-occupied homes
84.8%2023
Floor area per dwelling
140.0 m²2023
Fiscal strength indexAbove 1 means local tax revenue covers standard spending
0.55Rank 10 of 30 in the prefecture2022
Restaurants
1142021

Source: e-Stat, Statistical Observations of Municipalities 2026 (Statistics Bureau of Japan)

"—" means e-Stat has no value for this item (the Housing and Land Survey does not cover towns and villages).

Compare with similar-sized municipalities in Niigata Prefecture

Compare with similar-sized municipalities in Niigata Prefecture
MunicipalityPopulationOutpatient untilIncome limitCo-payment (outpatient / inpatient)Nursery waiting list
Mitsuke City38,061Age 18NoYes / Yes0
Sado City48,103Age 18NoYes / No0
Tokamachi City47,124Age 18NoYes / Yes0
Gosen City45,690Age 18NoYes / No0
Agano City39,165Age 18NoNo / No0
Itoigawa City38,041Age 18NoNo / No0
Ojiya City32,602Age 18NoNo / No0
Uonuma City32,522Age 18NoNo / No0
Myoko City29,514Age 18NoNo / No0

Outpatient age limit, income limit and co-payment are the national survey values as of April 1, 2025.

All 30 municipalities in Niigata Prefecture

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Page updated: . You may quote this table. Please credit Machishirabe and the original survey.