(A) As used in this section:

1. (1) "Medicaid-certified capacity" has the same meaning as in section 5124.01 of the Revised Code.
2. (2) "Residential facility" has the same meaning as in section 5123.19 of the Revised Code.

(B)

1. (1) The director of developmental disabilities may change the terms of an agreement entered into with a county board of developmental disabilities or private, nonprofit agency pursuant to section 5123.36 of the Revised Code or other statutory authority in effect before July 1, 1980, regarding the construction, acquisition, or renovation of a residential facility if all of the following apply:

   1. (a) The agreement was entered into during the period beginning January 1, 1975, and ending December 31, 1984.
   2. (b) The agreement requires the county board or private, nonprofit agency to use the residential facility as a residential facility for at least forty years.
   3. (c) The residential facility is an ICF/IID and, before the conversion specified in division (B)(1)(d) of this section, the ICF/IID had a medicaid-certified capacity of at least sixteen.
   4. (d) The residential facility's operator converted at least fifty per cent of its medicaid-certified beds from providing ICF/IID services to providing home and community-based services in accordance with section 5124.60 or 5124.61 of the Revised Code.
   5. (e) The county board or private, nonprofit agency applies to the director for the change in the agreement's terms.
2. (2) The terms of an agreement that may be changed pursuant to division (B)(1) of this section include terms regarding the length of time the residential facility must be used as a residential facility.

(C) The director may authorize a county board or nonprofit, private agency not to repay the amount of an outstanding balance otherwise owed pursuant to an agreement entered into pursuant to section 5123.36 of the Revised Code or other statutory authority in effect before July 1, 1980, regarding the construction, acquisition, or renovation of a residential facility if all of the following apply:

1. (1) The agreement was entered into during the period beginning January 1, 1975, and ending December 31, 1984.
2. (2) The agreement requires the county board or private, nonprofit agency to use the residential facility as a residential facility for at least forty years.
3. (3) Before the conversion specified in division (C)(4) of this section, the residential facility was an ICF/IID with a medicaid-certified capacity of at least sixteen.
4. (4) The residential facility's operator converted all of its medicaid-certified beds from providing ICF/IID services to providing home and community-based services in accordance with section 5124.60 or 5124.61 of the Revised Code.
5. (5) The county board or private, nonprofit agency applies to the director for forgiveness of the outstanding balance.