Osakasayama City: child medical expense subsidy
In Osakasayama City, Osaka 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 Osaka Prefecture, 43 of 43 municipalities cover outpatient care through age 18, and Osakasayama City is one of them.
Osakasayama City does not meet no co-payment of the three conditions (coverage through age 18, no income limit, no co-payment). In Osaka Prefecture, 1 of 43 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
- 57,746(Resident register, 2024)
- Share under 15
- 13.6%(2020 census)
For applications, refunds and visits outside the prefecture, check the official website of Osakasayama City.
Child medical expense subsidy
| Item | Outpatient | Inpatient |
|---|---|---|
| Covered until | Age 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 limit | No | No |
| Co-payment | Yes | Yes |
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 Osakasayama 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 Osakasayama 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 Osakasayama City apply an income limit?
No (as of April 1, 2025).
Do the conditions differ between outpatient and inpatient care in Osakasayama 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 Osakasayama 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 Osakasayama City compare with other municipalities in Osaka Prefecture?
In Osaka Prefecture, 43 of 43 municipalities cover outpatient care through age 18, and Osakasayama City is one of them.
Osakasayama City does not meet no co-payment of the three conditions (coverage through age 18, no income limit, no co-payment). In Osaka Prefecture, 1 of 43 municipalities meet all three.
If I move out of Osakasayama 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.
Municipalities of similar size in Osaka Prefecture: Izumiotsu City, Kashiwara City, Fujiidera City, Sennan City, Takaishi City, Shijonawate City, Hannan City, Kumatori Town
Nursery and after-school club waiting lists in Osakasayama City
Osakasayama City had 14 children on the nursery waiting list as of April 1, 2026 (1,543 applicants, 1,507 enrolled; 38 waiting a year earlier). After-school clubs had 48 children waiting as of May 1, 2026 (preliminary; 1,059 registered).
| Item | Value | As of |
|---|---|---|
| Nursery waiting list | 14 | Apr 1, 2026 |
| Waiting list a year earlier (April 1, 2025) | 38 | Apr 1, 2025 |
| Nursery applicants | 1,543 | Apr 1, 2026 |
| Children enrolled in nurseries | 1,507 | Apr 1, 2026 |
| After-school club waiting list | 48 | May 1, 2026 (prelim.) |
| After-school club registrations | 1,059 | May 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 Osakasayama City
Osakasayama City has 115 urban parks (38.5 ha), or 6.6 m² per resident (Rank 18 of 43 in the prefecture). It has 1 libraries, 1 community centers, 4 nursery schools and 7 elementary schools.
Urban parks: MLIT inventory as of March 31, 2025. Libraries and community centers: e-Stat, 2021. Nursery and elementary schools: e-Stat.
| Item | Value | Rank in prefecture | As of |
|---|---|---|---|
| Urban parks | 115 | Rank 16 of 43 in the prefecture | Mar 31, 2025 |
| Urban park area | 38.5 ha | — | Mar 31, 2025 |
| Urban park area per residentDivided by the population of the city-planning area (MLIT's calculation) | 6.6 m² | Rank 18 of 43 in the prefecture | Mar 31, 2025 |
| Libraries | 1 | Rank 28 of 43 in the prefecture | 2021 |
| Community centers | 1 | — | 2021 |
| Nursery schools | 4 | Rank 27 of 43 in the prefecture | 2023 |
| Kindergartens | 3 | — | 2024 |
| Elementary schools | 7 | — | 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 Osakasayama City
- PopulationResident register, 2024
- 57,746Rank 30 of 43 in the prefecture2024
- Share under 15
- 13.6%Rank 6 of 43 in the prefecture2020 census
- Share 65 and over
- 28.1%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
- +95Rank 12 of 43 in the prefecture2024
- Births per 1,000 residents
- 7.0Rank 7 of 43 in the prefecture2023
- Nursery schools
- 42023
- Nursery schools per 1,000 children under 15
- 0.50Rank 27 of 43 in the prefecture2023
- Kindergartens
- 32024
- Elementary schools
- 72024
- Doctors per 10,000 residents
- 122.8Rank 1 of 43 in the prefecture2022
- Clinics per 10,000 residents
- 9.72023
- General hospitals
- 62023
- Owner-occupied homes
- 75.8%2023
- Floor area per dwelling
- 94.7 m²2023
- Fiscal strength indexAbove 1 means local tax revenue covers standard spending
- 0.66Rank 24 of 43 in the prefecture2022
- Restaurants
- 1682021
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 Osaka Prefecture
| Municipality | Population | Outpatient until | Income limit | Co-payment (outpatient / inpatient) | Nursery waiting list |
|---|---|---|---|---|---|
| Osakasayama City | 57,746 | Age 18 | No | Yes / Yes | 14 |
| Izumiotsu City | 72,762 | Age 18 | No | Yes / Yes | 0 |
| Kashiwara City | 66,500 | Age 18 | No | Yes / Yes | 0 |
| Fujiidera City | 62,304 | Age 18 | No | Yes / Yes | 0 |
| Sennan City | 58,145 | Age 18 | No | Yes / Yes | 0 |
| Takaishi City | 55,968 | Age 18 | No | Yes / Yes | 0 |
| Shijonawate City | 53,749 | Age 18 | No | Yes / Yes | 3 |
| Hannan City | 50,080 | Age 18 | No | Yes / Yes | 0 |
| Kumatori Town | 42,544 | Age 18 | No | Yes / Yes | 0 |
Outpatient age limit, income limit and co-payment are the national survey values as of April 1, 2025.
Page updated: . You may quote this table. Please credit Machishirabe and the original survey.