You may or may not actually needed the add-on card (depending on how compatible your motherboard is) but it can never hurt. Assuming you have the space in your build for a PCI-E card, you might as well just get it. You could always use more USB ports.
As far as I remember, sensors are ok even with USB 2.0, it's the general compatibility(i.e. the magic "can this particular MB model can handle the oculus" factor) which might be a problem. If you're hesitant to buy the USB controller and have enough USB ports, just try it out and see if it will work. You can always buy the USB controller later. I did exactly that myself: oculus is working flawlessly with my MB but with two USB ports used by keyboard & mouse and 3 more used by oculus I'm left with only two front ports and one back port available. Feels a bit crowded, especially given I am planning to buy a 3rd sensor.
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