Machida City: child medical expense subsidy
In Machida City, Tokyo, 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: outpatient yes, inpatient no. (As of April 1, 2025, Children and Families Agency survey.)
In Tokyo, 62 of 62 municipalities cover outpatient care through age 18, and Machida City is one of them.
Machida City does not meet no co-payment of the three conditions (coverage through age 18, no income limit, no co-payment). In Tokyo, 44 of 62 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
- outpatient yes, inpatient no(April 1, 2025)
- Coverage through age 18
- Yes(April 1, 2025)
- Population
- 430,170(Resident register, 2024)
- Share under 15
- 11.9%(2020 census)
For applications, refunds and visits outside the prefecture, check the official website of Machida 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 limitchanged | No | No |
| Co-payment | Yes | No |
Changed since last year
- Income limit
- Yes / Yes → No / No
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 Machida 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 Machida 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 Machida City apply an income limit?
No (as of April 1, 2025).
There was one as of April 1, 2024, but it had been removed as of April 1, 2025.
Do the conditions differ between outpatient and inpatient care in Machida City?
Yes. Outpatient care is 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); inpatient care is covered through the end of the fiscal year in which the child turns 18 (end of high-school age) (income limit: no; co-payment: no).
Has Machida City changed its conditions since last year?
Yes. Compared with April 1, 2024, the following changed: Income limit. See the rows marked "changed" in the table above.
How does Machida City compare with other municipalities in Tokyo?
In Tokyo, 62 of 62 municipalities cover outpatient care through age 18, and Machida City is one of them.
Machida City does not meet no co-payment of the three conditions (coverage through age 18, no income limit, no co-payment). In Tokyo, 44 of 62 municipalities meet all three.
If I move out of Machida 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 Tokyo: Suginami Ward, Hachioji City, Koto Ward, Katsushika Ward, Shinagawa Ward, Kita Ward, Shinjuku Ward, Nakano Ward
Nursery and after-school club waiting lists in Machida City
Machida City had 90 children on the nursery waiting list as of April 1, 2026 (9,614 applicants, 9,121 enrolled; 40 waiting a year earlier). After-school clubs had 45 children waiting as of May 1, 2026 (preliminary; 5,306 registered).
| Item | Value | As of |
|---|---|---|
| Nursery waiting list | 90 | Apr 1, 2026 |
| Waiting list a year earlier (April 1, 2025) | 40 | Apr 1, 2025 |
| Nursery applicants | 9,614 | Apr 1, 2026 |
| Children enrolled in nurseries | 9,121 | Apr 1, 2026 |
| After-school club waiting list | 45 | May 1, 2026 (prelim.) |
| After-school club registrations | 5,306 | 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 Machida City
Machida City has 736 urban parks (451.3 ha), or 10.5 m² per resident (Rank 8 of 62 in Tokyo). It has 8 libraries, 0 community centers, 75 nursery schools and 44 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 | 736 | Rank 2 of 62 in Tokyo | Mar 31, 2025 |
| Urban park area | 451.3 ha | — | Mar 31, 2025 |
| Urban park area per residentDivided by the population of the city-planning area (MLIT's calculation) | 10.5 m² | Rank 8 of 62 in Tokyo | Mar 31, 2025 |
| Libraries | 8 | Rank 51 of 62 in Tokyo | 2021 |
| Community centers | 0 | — | 2021 |
| Nursery schools | 75 | Rank 54 of 62 in Tokyo | 2023 |
| Kindergartens | 34 | — | 2024 |
| Elementary schools | 44 | — | 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 Machida City
- PopulationResident register, 2024
- 430,170Rank 11 of 62 in Tokyo2024
- Share under 15
- 11.9%Rank 23 of 62 in Tokyo2020 census
- Share 65 and over
- 27.0%2020 census
- Share of foreign residents
- 1.5%2020 census
- Net migration (move-ins minus move-outs)2024. A positive number means more people moved in than moved out
- +2,385Rank 29 of 62 in Tokyo2024
- Births per 1,000 residents
- 5.2Rank 45 of 62 in Tokyo2023
- Nursery schools
- 752023
- Nursery schools per 1,000 children under 15
- 1.47Rank 54 of 62 in Tokyo2023
- Kindergartens
- 342024
- Elementary schools
- 442024
- Doctors per 10,000 residents
- 15.1Rank 47 of 62 in Tokyo2022
- Clinics per 10,000 residents
- 7.92023
- General hospitals
- 162023
- Owner-occupied homes
- 59.0%2023
- Floor area per dwelling
- 82.5 m²2023
- Fiscal strength indexAbove 1 means local tax revenue covers standard spending
- 0.94Rank 13 of 39 in Tokyo2022
- Restaurants
- 1,0772021
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 Tokyo
| Municipality | Population | Outpatient until | Income limit | Co-payment (outpatient / inpatient) | Nursery waiting list |
|---|---|---|---|---|---|
| Machida City | 430,170 | Age 18 | No | Yes / No | 90 |
| Suginami Ward | 577,147 | Age 18 | No | No / No | 0 |
| Hachioji City | 559,083 | Age 18 | No | Yes / No | 43 |
| Koto Ward | 541,685 | Age 18 | No | No / No | 0 |
| Katsushika Ward | 469,916 | Age 18 | No | No / No | 0 |
| Shinagawa Ward | 412,786 | Age 18 | No | No / No | 0 |
| Kita Ward | 362,089 | Age 18 | No | No / No | 103 |
| Shinjuku Ward | 352,717 | Age 18 | No | No / No | 0 |
| Nakano Ward | 341,322 | Age 18 | No | No / No | 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.