Ako City
In Ako City, Hyogo Prefecture, the child medical expense subsidy covers outpatient care through the end of the fiscal year in which the child turns 15 (end of junior high school) and inpatient care through the end of the fiscal year in which the child turns 18 (end of high-school age). Income limit: yes. Co-payment: none. (As of April 1, 2025, Children and Families Agency survey.)
Ako City does not meet coverage through age 18 and no income limit of the three conditions (coverage through age 18, no income limit, no co-payment). In Hyogo Prefecture, 22 of 41 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 15(April 1, 2025)
- Covered until (Inpatient)
- Age 18(April 1, 2025)
- Income limit
- Yes(April 1, 2025)
- Co-payment
- No(April 1, 2025)
- Coverage through age 18
- No (outpatient to Age 15, inpatient to Age 18)(April 1, 2025)
- Population
- 44,179(Resident register, 2024)
- Share under 15
- 11.4%(2020 census)
Child medical expense subsidy
| Item | Outpatient | Inpatient |
|---|---|---|
| Covered until | Age 15 through the end of the fiscal year in which the child turns 15 (end of junior high school) | Age 18 through the end of the fiscal year in which the child turns 18 (end of high-school age) |
| Income limit | Yes | Yes |
| Co-payment | No | No |
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.
Key figures
- PopulationResident register, 2024
- 44,179Rank 18 of 41 in the prefecture2024
- Share under 15
- 11.4%Rank 26 of 41 in the prefecture2020 census
- Share 65 and over
- 32.9%2020 census
- Share of foreign residents
- 0.8%2020 census
- Net migration (move-ins minus move-outs)2024. A positive number means more people moved in than moved out
- -212Rank 23 of 41 in the prefecture2024
- Births per 1,000 residents
- 4.5Rank 27 of 41 in the prefecture2023
- Nursery schools
- 72023
- Nursery schools per 1,000 children under 15
- 1.34Rank 11 of 41 in the prefecture2023
- Kindergartens
- 112024
- Elementary schools
- 102024
- Doctors per 10,000 residents
- 25.6Rank 12 of 41 in the prefecture2022
- Clinics per 10,000 residents
- 8.82023
- General hospitals
- 42023
- Owner-occupied homes
- 76.1%2023
- Floor area per dwelling
- 121.0 m²2023
- Fiscal strength indexAbove 1 means local tax revenue covers standard spending
- 0.66Rank 18 of 41 in the prefecture2022
- Restaurants
- 2052021
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 municipalities in the same prefecture (by population)
- Miki City73,091
- Tatsuno City72,271
- Tamba City60,033
- Ono City46,825
- Minamiawaji City43,732
- Kasai City41,455
- Awaji City41,364
- Sumoto City40,767
Page updated: . You may quote this table. Please credit Machishirabe and the original survey.