As of September 30, the Ravalli County Health Department will stop providing family planning services.
In a 3-to-2 vote, county commissioners rejected $50,000 in federal Title X funds to keep family planning services afloat.
A majority of the commission objects to requirements that underage clients be served without parental notification.
Health workers said the decision not accept the federal dollars, affects as many as 400 clients, most of them women, many of them poor.
On Monday, the Health Department answered phone calls from clients worried about losing services at the end of the month.
Christa Hylton used those services as a single mom with little money.
"They provided me with health care," she said.
Her own grown daughter would use those services too if the clinic would stay open.
"There's no way I will be able to afford to go anywhere else," said Kandus Hylton.
Casey Trihey is a stay at home mom and a Christian youth leader. The young mom supports low income care, and said it's now up to the community to find a way to fund it.
"The government should not have the right to render services for our youth regarding their sexual health," said Trihey.
Family planning provides referral for abnormal clinical breast exams, follow-up for high-risk pap screenings, domestic violence screening, pregnancy and prenatal counseling and birth control.
County Commissioner Suzy Foss said most of the services provided here are "wonderful." But she and a majority of the board object to underage clients being served without parental notification.
"It's just a matter of not accepting those federal dollars," said Foss, "adding to our debt, and putting it on our children, and getting between parents and their children."
Foss said the community could raise a predictable amount of money for these programs.
Commissioners Greg Chilcott and J.R. Iman voted to accept the money.
Public Health Director Judy Griffin said losing the clinic leaves a huge void.
"We've reduced the unwanted pregnancies," said Griffin, "we've reduced the sexually transmitted diseases. We've increased awareness as to the importance of prevention."
Griffin said the program has provided basic health care to women, who otherwise might not have had any, and she said it has saved lives.
Other public health services do remain active -- basic services like immunizations, emergency preparedness, communicable disease prevention and maternal child care.