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Japan’s Nursing-Home Waitlist Falls to 225,000 as Panel Backs Modest 2027 Care Reforms

Key cost-sharing decisions were deferred to further review before fiscal 2027.

Overview

  • MHLW published prefectural totals showing about 225,000 people awaiting admission to special nursing homes as of April 1, 2025.
  • The backlog has decreased by roughly 50,000 since the 2022 survey, which officials attribute to expanded home-care services and added facility capacity.
  • Approximately 206,000 on the list are certified at care-need level 3 or higher, including about 86,000 waiting while living at home.
  • The Social Security Council’s long-term care subcommittee approved charging fees for care plans in residential-type fee-based homes, while keeping care planning free for people receiving services at home.
  • Plans to broaden the 20% user co-pay and to shift some services to municipal programs were left undecided, with conclusions slated before FY2027 after consideration of options including a monthly 7,000-yen cap.