Integrity Data (www.integrity-data.com) is currently gathering requirements regarding these changes and evaluating feature functionality that could help alleviate your concerns with the Affordable Healthcare Act (aka ObamaCare). To the best of my knowledge, Microsoft is not currently planning to add any functionality in this area. We would welcome input from customers and partners on what your needs are in this area. Feel free to contact me to discuss your needs if you would like.
Regards,
Thomas Franz
Product Manager
Integrity Data, Inc.