(NBC News) — Florida Gov. Ron DeSantis’ administration Thursday asked the state board regulating doctors to essentially ban transition-related care for transgender minors, according to a letter obtained by NBC News.

The state Health Department made the request hours after another state agency issued a 46-page report to justify banning Medicaid coverage for transgender people of any age who want puberty blockers, hormone therapies or gender-assignment surgery.

The two-pronged effort, which ensures DeSantis can act quickly and without the need for legislative approval, drew instant opposition from activists and medical professionals. They have increasingly clashed with DeSantis, a Republican, as he seeks re-election and builds a national brand as a culture warrior and potential 2024 White House contender.

Leading the charge for DeSantis: Florida Surgeon General Joseph Ladapo, who oversees the Health Department.

Read the full story on NBCNews.com.