If anyone else runs into this, for now I've created this workaround:
Open NotePad and save the following as RemapAlt.reg then double-click to import:
Windows Registry Editor Version 5.00
[HKEY_LOCAL_MACHINE\SYSTEM\CurrentControlSet\Control\Keyboard Layout]
"Scancode Map"=hex:00,00,00,00,00,00,00,00,02,00,00,00,38,00,38,e0,00,00,00,00
If this opens NotePad again instead, make sure the file was really named "RemapAlt.reg" and not "RemapAlt.reg.txt" if you have extensions hidden.