This report is not really anything new, plus there is jsut a few lines about Bitcoin, the rest being self gratification for the great job the FINCEN is working etc etc.
Plus, as it has been mentioned by several others, this only affects US based operations. The EU is due to update their regulations on E-Currencies any time soon, which will give a better the idea of what the regulatory landscape for exchangers is going to look like over the coming years