While I don't know the current status, with MAME in the mid 2000s, an update that added support for certain games usually involved changes... that broke a different set of previously working games. I remember having 3 MAME versions installed to play all the games that I wanted. That kind of emulation hell is greatly reduced when you simulate every bus and chip of the original hardware.

To give you an example: I don't remember which game it was, but it was a platformer, and when the character jumped, the game put the starting pitch of the jumping sound effect in the sound chipset, with the DSP doing the loss and pitch change on each cycle. The game moved the character according to certain value in some register of the DSP, so the game was working normally until you jumped, then the DSP emulation code did something like returning the original value or 0 (because 99.9% of the games just write there), and the game crashed.