Cornwall County Council has decided to stop looking after people who need a low-level of care, saving it £3.6m but affecting about 7,000 people.
Councillors also decided to stop free transport for people to and from day centres and increase charges for meals for the sick and elderly.
Care services are rated as either low, moderate, severe and critical.
Nigel Walker, from the Council, said he hoped the voluntary sector would pick-up the needs of those needing low-level care.
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