The Democratic leader defended plans in the government's $825 billion (£600 billion) economic stimulus package to reimburse states for contraceptives and other family planning services given out as part of the Medicaid programme for people who cannot afford health insurance.
Mrs Pelosi said that "contraception will reduce costs to the states and to the federal government".
Mrs Pelosi, the mother of five children and grandmother to six, did not spell out exactly how fewer babies would help the economy.
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