Version 1.5.19 adds a new system plugin called "System - Mootools Upgrade". This plugin is installed in a disabled state the first time you login to a 1.5.19 site. Since the plugin is disabled, it has no impact on existing Joomla! 1.5.19 sites unless you choose to enable it.
If you require the expanded functionality of Mootools 1.2.4, then you should enable this plugin. If not, then you don't need to do anything.
If you use this new plugin, please report any issues you find through the normal bug reporting process. If you use this feature, we would like to hear feedback on how this works for you. Thanks!