Same as generating a 2 digit number. If the first digit is a zero, it is not a 2 digit number.
I guess another way to pose my question would be: is there an issue with sampling the entire 2^n space that makes us only take the highest 2^(n-1) subset of integers instead when selecting factors for a key?
Edit: Ah, nevermind, I see now why I don't have that issue. It's because I can't easily iterate the primes in that domain even though I can iterate the reduced number of bits. Thanks!