Japan’s Ministry of Health, Labour and Welfare has decided to make an extraordinary revision to disability welfare service fees in June 2026, cutting basic fees for newly established providers of four services, including Continuous Employment Support (Type B), for fiscal 2026 only, while leaving fees for existing providers unchanged. The ministry says the move is intended to curb rising disability welfare expenditures, but concerns have been raised that it could discourage new entrants and worsen service shortages, particularly in underserved areas. The Tokyo Metropolitan Government has opposed the plan, formally requesting that the health ministry and the Children and Families Agency reconsider the nationwide reduction, warning that changing fee policy during its 2024–2026 service development plan could disrupt service provision and limit access for people with disabilities.