Scott, the voice actuation is currently available, (but don't tell your boss).

Using it for commands can be set up to work well.  Using it to take dictation is still highly inaccurate.
But you can create "macros" that could run on one word commands.  Have used technique in some medical applications for writing medical reports.  One word = one or more paragraphs, eg.

Haven't integrated it with Sesame yet, but a voice command could create a file or change a value in a file, so that Sesame could look at/for that file and perform based on its content.  Here is an untested approach. 

1.  Click a button to put Sesame into Voice Command mode, and it could go into a holding pattern, looking for specific files and responding as defined. 
2.  Holding pattern could be a form that says "In Voice Command Mode.  Say Open Sesame to return to normal operations"   
3.  No buttons on form, mouse movement locked up. 
4.  When "Open Sesame" is spoken, a voice macro creates a file open.ses. 
5.  The Sesame program sees that open.ses exists, deletes open.ses, closes that form, and returns to Main Menu or wherever you want.

(Patent pending.  All rights reserved).