Our Lady of Perpetual Exemption was a legally recognized parody religion in the United States established by the comedian and satirist John Oliver.

Its purpose was to highlight and criticize televangelists, such as Kenneth Copeland and Robert Tilton, whom Oliver argued used television broadcasts of Christian church services for private gain.

[3][7][8] Oliver criticized pastors such as Tilton, Copeland and his wife Gloria, Creflo Dollar, and others for using the IRS's religious tax breaks for personal luxuries.

[24] Steve Thorngate, writing in The Christian Century, suggested that the question of religious tax exemption was more difficult and nuanced than Oliver portrayed, and not a simple matter of government regulation.

[28] On April 8, 2018, Last Week Tonight broadcast a segment about crisis pregnancy centers (CPCs), which dissuade pregnant women from getting abortions, often through misinformation.

[10][30][31] Oliver announced the van at the end of the segment on CPCs with Rachel Dratch as Wanda Jo, who made multiple incorrect medical claims to point out the right CPC workers have to misinform patients.

[10][32][33] Oliver finished the segment by saying: "This is all perfectly legal and there is absolutely nothing stopping us from parking outside an abortion clinic tonight and haranguing people in the morning.

[36] Due to the lax requirements, Oliver founded the church Our Lady of Perpetual Health, which owned the HCSM "JohnnyCare".

[11][38] Oliver announced the new organization in an informercial at the end of the Last Week Tonight segment about HCSMs, bringing back Rachel Dratch as Wanda Jo.

[39] Oliver stated that 5,000 Florida residents could sign up for a $1.99 fee and receive a JohnnyCare-branded set of bandages in return.