Public funding for childbirth at designated midwifery facilities (your share depends on your bracket)
Childbirth Assistance Program / Koto City
Childbirth Assistance ProgramKoto CityBirth at a designated midwifery facilityIncome requirement
Childbirth with public funding for households that have difficulty paying
For households on public assistance¥0 out of pocketOther households pay a share based on income
- For births at midwifery facilities designated by Koto City
- You can apply in advance during pregnancy
When households that have difficulty paying for childbirth give birth at a midwifery facility designated by Koto City, the costs are paid with public funds. Eligible people live in Koto City, have difficulty paying for childbirth, and are in one of the following: a household on public assistance, a household exempt from resident tax, or a household whose income-based city resident tax (municipal resident tax) is ¥19,000 or less. However, households with income-based tax of ¥19,000 or less are not eligible if the childbirth lump-sum allowance, etc. from health insurance is ¥488,000 or more. You can apply in advance during pregnancy. It is completely free only for households on public assistance; other households pay a share based on income.
Nationality and residence status
The official page (checked in October 2026) sets no condition on nationality or residence status that we found. Eligibility follows the official conditions, not the language of this page; many programs require resident registration in the municipality.
Who is eligible
People living in Koto City in households on public assistance, exempt from resident tax, or with income-based city resident tax (municipal resident tax) of ¥19,000 or less (excluding cases where the childbirth lump-sum allowance, etc. is ¥488,000 or more), who give birth at a designated midwifery facility and have difficulty paying
Notes
You must meet all 4 conditions: living in the city, giving birth at a designated midwifery facility, having difficulty paying, and the income requirement.