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Akishima City

Tokyo

In Akishima 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: none. (As of April 1, 2025, Children and Families Agency survey.)

In Tokyo, 62 of 62 municipalities cover outpatient care through age 18, and Akishima City is one of them.

Akishima City is one of 44 municipalities in Tokyo that meet all three conditions: coverage through age 18 for both outpatient and inpatient care, no income limit, and no co-payment.

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
No(April 1, 2025)
Coverage through age 18
Yes(April 1, 2025)
Population
115,632(Resident register, 2024)
Share under 15
12.1%(2020 census)

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Child medical expense subsidy

Child medical expense subsidy
ItemOutpatientInpatient
Covered untilAge 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 limitNoNo
Co-paymentchangedNoNo

Changed since last year

Co-payment
Yes / No → 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.

Key figures

PopulationResident register, 2024
115,632Rank 39 of 62 in Tokyo2024
Share under 15
12.1%Rank 17 of 62 in Tokyo2020 census
Share 65 and over
26.3%2020 census
Share of foreign residents
2.3%2020 census
Net migration (move-ins minus move-outs)2024. A positive number means more people moved in than moved out
+1,479Rank 5 of 62 in Tokyo2024
Births per 1,000 residents
6.0Rank 29 of 62 in Tokyo2023
Nursery schools
202023
Nursery schools per 1,000 children under 15
1.45Rank 56 of 62 in Tokyo2023
Kindergartens
72024
Elementary schools
142024
Doctors per 10,000 residents
18.3Rank 37 of 62 in Tokyo2022
Clinics per 10,000 residents
5.42023
General hospitals
82023
Owner-occupied homes
54.5%2023
Floor area per dwelling
74.3 m²2023
Fiscal strength indexAbove 1 means local tax revenue covers standard spending
0.97Rank 11 of 39 in Tokyo2022
Restaurants
3772021

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)

All 62 municipalities in Tokyo

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Page updated: . You may quote this table. Please credit Machishirabe and the original survey.