Shimamoto Town: child medical expense subsidy
In Shimamoto Town, 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 Shimamoto Town is one of them.
Shimamoto Town 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
- 32,247(Resident register, 2024)
- Share under 15
- 14.8%(2020 census)
For applications, refunds and visits outside the prefecture, check the official website of Shimamoto Town.
Child medical expense subsidy
| Item | Outpatient | Inpatient |
|---|---|---|
| Covered untilchanged | 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 |
Changed since last year
- Outpatient · Covered until
- Age 15 → Age 18
- Inpatient · Covered until
- Age 15 → Age 18
Changes from last year (as of April 1, 2024) to this year (as of April 1, 2025).
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 Shimamoto Town 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 Shimamoto Town?
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).
High school students have been covered since April 2025 or earlier.
Does Shimamoto Town apply an income limit?
No (as of April 1, 2025).
Do the conditions differ between outpatient and inpatient care in Shimamoto Town?
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 Shimamoto Town changed its conditions since last year?
Yes. Compared with April 1, 2024, the following changed: outpatient age limit, inpatient age limit. See the rows marked "changed" in the table above.
How does Shimamoto Town compare with other municipalities in Osaka Prefecture?
In Osaka Prefecture, 43 of 43 municipalities cover outpatient care through age 18, and Shimamoto Town is one of them.
Shimamoto Town 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 Shimamoto Town, 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: Takaishi City, Shijonawate City, Hannan City, Kumatori Town, Toyono Town, Tadaoka Town, Kanan Town, Misaki Town
Nursery and after-school club waiting lists in Shimamoto Town
Shimamoto Town had 0 children on the nursery waiting list as of April 1, 2026 (1,197 applicants, 1,153 enrolled; 0 waiting a year earlier). After-school clubs had 0 children waiting as of May 1, 2026 (preliminary; 674 registered).
| Item | Value | As of |
|---|---|---|
| Nursery waiting list | 0 | Apr 1, 2026 |
| Waiting list a year earlier (April 1, 2025) | 0 | Apr 1, 2025 |
| Nursery applicants | 1,197 | Apr 1, 2026 |
| Children enrolled in nurseries | 1,153 | Apr 1, 2026 |
| After-school club waiting list | 0 | May 1, 2026 (prelim.) |
| After-school club registrations | 674 | 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 Shimamoto Town
Shimamoto Town has 12 urban parks (11.0 ha), or 3.4 m² per resident (Rank 34 of 43 in the prefecture). It has 1 libraries, 0 community centers, 5 nursery schools and 4 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 | 12 | Rank 39 of 43 in the prefecture | Mar 31, 2025 |
| Urban park area | 11.0 ha | — | Mar 31, 2025 |
| Urban park area per residentDivided by the population of the city-planning area (MLIT's calculation) | 3.4 m² | Rank 34 of 43 in the prefecture | Mar 31, 2025 |
| Libraries | 1 | Rank 12 of 43 in the prefecture | 2021 |
| Community centers | 0 | — | 2021 |
| Nursery schools | 5 | Rank 12 of 43 in the prefecture | 2023 |
| Kindergartens | 2 | — | 2024 |
| Elementary schools | 4 | — | 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 Shimamoto Town
- PopulationResident register, 2024
- 32,247Rank 35 of 43 in the prefecture2024
- Share under 15
- 14.8%Rank 2 of 43 in the prefecture2020 census
- Share 65 and over
- 27.5%2020 census
- Share of foreign residents
- 0.7%2020 census
- Net migration (move-ins minus move-outs)2024. A positive number means more people moved in than moved out
- +666Rank 1 of 43 in the prefecture2024
- Births per 1,000 residents
- 6.3Rank 13 of 43 in the prefecture2023
- Nursery schools
- 52023
- Nursery schools per 1,000 children under 15
- 1.09Rank 12 of 43 in the prefecture2023
- Kindergartens
- 22024
- Elementary schools
- 42024
- Doctors per 10,000 residents
- 12.7Rank 34 of 43 in the prefecture2022
- Clinics per 10,000 residents
- 7.42023
- General hospitals
- 12023
- Owner-occupied homes
- 76.3%2023
- Floor area per dwelling
- 85.7 m²2023
- Fiscal strength indexAbove 1 means local tax revenue covers standard spending
- 0.71Rank 19 of 43 in the prefecture2022
- Restaurants
- 412021
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 |
|---|---|---|---|---|---|
| Shimamoto Town | 32,247 | 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 |
| Toyono Town | 17,804 | Age 18 | No | Yes / Yes | 0 |
| Tadaoka Town | 16,317 | Age 18 | No | Yes / Yes | 0 |
| Kanan Town | 14,556 | Age 18 | No | Yes / Yes | 0 |
| Misaki Town | 14,295 | 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.