Osaka Prefecture43 municipalities

Of the 43 municipalities in Osaka Prefecture, 43 cover outpatient care through age 18, 43 have no income limit, and 1 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, Takatsuki City, Hannan City and Shimamoto Town 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	43	43	100.0%
No income limit	43	43	100.0%
No co-payment for outpatient care	1	43	2.3%
Changed since last year	3	43	7.0%

Filter by conditions

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

Takatsuki City

0 municipalities where outpatient coverage ends before age 18

None.

0 municipalities with an income limit

None.

3 municipalities that changed their conditions since April 2024

Takatsuki City, Hannan City, Shimamoto Town

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

All 43 municipalities in Osaka 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 43 municipalities of Osaka 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
Osaka City	Age 18	Age 18	No	Yes	Yes	2,778,917	No
Sakai City	Age 18	Age 18	No	Yes	Yes	811,993	No
Higashiosaka City	Age 18	Age 18	No	Yes	Yes	477,700	No
Toyonaka City	Age 18	Age 18	No	Yes	Yes	405,955	No
Hirakata City	Age 18	Age 18	No	Yes	Yes	392,328	No
Suita City	Age 18	Age 18	No	Yes	Yes	384,506	No
Takatsuki City	Age 18	Age 18	No	No	No	345,589	Yes
Ibaraki City	Age 18	Age 18	No	Yes	Yes	286,042	No
Yao City	Age 18	Age 18	No	Yes	Yes	259,158	No
Neyagawa City	Age 18	Age 18	No	Yes	Yes	224,378	No
Kishiwada City	Age 18	Age 18	No	Yes	Yes	186,596	No
Izumi City	Age 18	Age 18	No	Yes	Yes	182,481	No
Moriguchi City	Age 18	Age 18	No	Yes	Yes	140,923	No
Mino City	Age 18	Age 18	No	Yes	Yes	139,527	No
Matsubara City	Age 18	Age 18	No	Yes	Yes	116,259	No
Kadoma City	Age 18	Age 18	No	Yes	Yes	116,179	No
Daito City	Age 18	Age 18	No	Yes	Yes	115,687	No
Habikino City	Age 18	Age 18	No	Yes	Yes	107,406	No
Tondabayashi City	Age 18	Age 18	No	Yes	Yes	105,715	No
Ikeda City	Age 18	Age 18	No	Yes	Yes	102,636	No
Izumisano City	Age 18	Age 18	No	Yes	Yes	99,318	No
Kawachinagano City	Age 18	Age 18	No	Yes	Yes	97,912	No
Settsu City	Age 18	Age 18	No	Yes	Yes	86,344	No
Kaizuka City	Age 18	Age 18	No	Yes	Yes	81,420	No
Katano City	Age 18	Age 18	No	Yes	Yes	77,191	No
Izumiotsu City	Age 18	Age 18	No	Yes	Yes	72,762	No
Kashiwara City	Age 18	Age 18	No	Yes	Yes	66,500	No
Fujiidera City	Age 18	Age 18	No	Yes	Yes	62,304	No
Sennan City	Age 18	Age 18	No	Yes	Yes	58,145	No
Osakasayama City	Age 18	Age 18	No	Yes	Yes	57,746	No
Takaishi City	Age 18	Age 18	No	Yes	Yes	55,968	No
Shijonawate City	Age 18	Age 18	No	Yes	Yes	53,749	No
Hannan City	Age 18	Age 18	No	Yes	Yes	50,080	Yes
Kumatori Town	Age 18	Age 18	No	Yes	Yes	42,544	No
Shimamoto Town	Age 18	Age 18	No	Yes	Yes	32,247	Yes
Toyono Town	Age 18	Age 18	No	Yes	Yes	17,804	No
Tadaoka Town	Age 18	Age 18	No	Yes	Yes	16,317	No
Kanan Town	Age 18	Age 18	No	Yes	Yes	14,556	No
Misaki Town	Age 18	Age 18	No	Yes	Yes	14,295	No
Taishi Town	Age 18	Age 18	No	Yes	Yes	12,673	No
Nose Town	Age 18	Age 18	No	Yes	Yes	8,940	No
Tajiri Town	Age 18	Age 18	No	Yes	Yes	8,484	No
Chihayaakasaka-mu	Age 18	Age 18	No	Yes	Yes	4,687	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)