Nevermind, fixed my own issue, at least on a few horizontal games I checked. In LR-MAME2010, in the TAB menu for a rom (I checked Metal Slug) there is a video options section which has a mode called cocktail and it mirrors and flips the horizontal game so both players on a cocktail machine can play! Now my only issue is that my machine and roms are designed around using LR-MAME2003 and a bunch dont work with 2010, so i'm guessing I will need to go looking for a .107 romset somewhere.
Thanks for the help,
Chartman