Appropriates $18.295 million from the General Fund to the Department of Health and Human Services (DHHS), Office of Rural Health (Office), for 2022-23. Requires the funds to be allocated to Duke University (Duke) to establish and operate a six-year, public-private partnership to improve general surgical care in Robeson County, Scotland County, and other surrounding rural counties identified by the Office as a surgical workforce shortage area. Establishes three required uses of the funds by Duke in collaboration with the Office, including attracting medical students to surgical residency programs affiliated with Duke. Specifies that the funds remain available for nonrecurring expenditures until expended. Directs the Office to bi-annually report on the partnership to the specified NCGA committee. Includes required content of the reports. Effective July 1, 2022.