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Sekikawa Village: child medical expense subsidy

Niigata Prefecture

In Sekikawa Village, 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 Sekikawa Village is one of them.

Sekikawa Village 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
4,691(Resident register, 2024)
Share under 15
9.1%(2020 census)

For applications, refunds and visits outside the prefecture, check the official website of Sekikawa Village.

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 Sekikawa Village 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 Sekikawa Village?

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 Sekikawa Village apply an income limit?

No (as of April 1, 2025).

Do the conditions differ between outpatient and inpatient care in Sekikawa Village?

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 Sekikawa Village 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 Sekikawa Village compare with other municipalities in Niigata Prefecture?

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

Sekikawa Village 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 Sekikawa Village, 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 Sekikawa Village

Sekikawa Village had 0 children on the nursery waiting list as of April 1, 2026 (63 applicants, 63 enrolled; 0 waiting a year earlier). After-school clubs had 0 children waiting as of May 1, 2026 (preliminary; 52 registered).

Nursery and after-school club waiting lists in Sekikawa Village
ItemValueAs of
Nursery waiting list0Apr 1, 2026
Waiting list a year earlier (April 1, 2025)0Apr 1, 2025
Nursery applicants63Apr 1, 2026
Children enrolled in nurseries63Apr 1, 2026
After-school club waiting list0May 1, 2026 (prelim.)
After-school club registrations52May 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 Sekikawa Village

Sekikawa Village has 1 urban parks (6.1 ha), or 12.2 m² per resident (Rank 18 of 30 in the prefecture). It has 0 libraries, 1 community centers, 2 nursery schools and 1 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: Sekikawa Village
ItemValueRank in prefectureAs of
Urban parks1Rank 25 of 30 in the prefectureMar 31, 2025
Urban park area6.1 ha—Mar 31, 2025
Urban park area per residentDivided by the population of the city-planning area (MLIT's calculation)12.2 m²Rank 18 of 30 in the prefectureMar 31, 2025
Libraries0Rank 29 of 30 in the prefecture2021
Community centers1—2021
Nursery schools2Rank 4 of 30 in the prefecture2023
Kindergartens0—2024
Elementary schools1—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 Sekikawa Village

PopulationResident register, 2024
4,691Rank 27 of 30 in the prefecture2024
Share under 15
9.1%Rank 27 of 30 in the prefecture2020 census
Share 65 and over
43.1%2020 census
Share of foreign residents
0.4%2020 census
Net migration (move-ins minus move-outs)2024. A positive number means more people moved in than moved out
-49Rank 29 of 30 in the prefecture2024
Births per 1,000 residents
3.2Rank 24 of 30 in the prefecture2023
Nursery schools
22023
Nursery schools per 1,000 children under 15
4.28Rank 4 of 30 in the prefecture2023
Kindergartens
02024
Elementary schools
12024
Doctors per 10,000 residents
6.4Rank 25 of 30 in the prefecture2022
Clinics per 10,000 residents
8.52023
General hospitals
02023
Owner-occupied homes
—2023
Floor area per dwelling
—2023
Fiscal strength indexAbove 1 means local tax revenue covers standard spending
0.22Rank 28 of 30 in the prefecture2022
Restaurants
92021

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
Sekikawa Village4,691Age 18NoYes / Yes0
Aga Town9,047Age 18NoNo / No0
Tsunan Town8,456Age 18NoYes / No0
Yuzawa Town8,268Age 18NoNo / No0
Yahiko Village7,534Age 18NoNo / No0
Kariwa Village4,222Age 18NoYes / Yes0
Izumozaki Town3,886Age 18NoNo / No0
Awashimaura Village312Age 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.